L’AFPEP-SNPP existe sous sa forme actuelle, associative et syndicale, depuis plus de 40 ans. Elle représente les psychiatres privés (libéraux en ville et en clinique, mais aussi salariés à temps partiel dans le milieu associatif et médicosocial). La psychiatrie privée accompagne le patient dans l’accomplissement de soins qu’il a librement choisis. Elle repose essentiellement sur un lien de confiance où la souplesse du clinicien et sa polyvalence sont les clés d’une efficacité thérapeutique et préventive des troubles mentaux les plus variés (depuis les interrogations en apparence bénignes jusqu’aux pathologies chroniques lourdes). L’exercice privé se distingue par le dispositif psychiatrique le plus allégé, son moindre coût de fonctionnement, notamment administratif et assure environ 2 millions de consultations annuelles en France. Il permet un exercice professionnel le plus indépendant possible, car la rémunération repose essentiellement sur les honoraires directement perçus de la part des patients. À ce titre, les psychiatres privés expriment un point de vue indépendant et original sur les processus administratifs imposés par la législation et notamment par la Haute Autorité de santé. Ils demeurent solidaires de la profession qui bénéficie ainsi d’une complémentarité dans l’éventail thérapeutique, par une articulation entre la ville et l’hôpital. Ils peuvent enrichir la réflexion psychiatrique par leurs recherches indépendantes et ainsi réinterroger les concepts de la psychiatrie traditionnelle, par exemple le paradigme de la psychose, qui a permis le développement d’une réflexion clinique spécifique à la psychiatrie. Ils doivent confronter les données de la science avec le besoin que ressentent les patients d’exprimer librement leurs troubles, et beaucoup d’entre eux pratiquent la psychothérapie. C’est ainsi qu’ils sont amenés à réinventer leur approche clinique au gré de l’évolution de la société et de la technologie, notamment en ce qui concerne les adolescents et les nouveaux modes d’expression de leurs troubles.

Le « burn-out » ou syndrome d’épuisement professionnel est très fréquent chez les professionnels de santé, notamment les médecins ; il se caractérise par une association d’un syndrome d’épuisement émotionnel, de dépersonnalisation et de réduction de l’accomplissement professionnel. Nous avons comparé, dans une étude observationnelle descriptive, les conditions de travail des médecins travaillant en établissement public et privé, en supposant que la qualité de travail dans le public reste meilleure que dans le privé ; 120 médecins, tout secteur confondu, ont totalement répondu à l’enquête, composée de trois questions. Environ 3/5 des répondants étaient issus du public et 2/5 du privé ; les résultats de l’étude, utilisant le test t de Student, n’ont pas montré de différence significative entre le public et le privé, que ce soit pour la qualité relationnelle avec les médecins ou les autres soignants, la motivation à se rendre au travail ou la satisfaction au travail ; ceci s’explique très certainement du fait d’une puissance trop faible avec un nombre de médecins inclus trop réduit. Enfin, il apparaît qu’environ 4 médecins sur 10 sondés, disent avoir déjà vécu un épisode dépressif majeur lié à une souffrance au travail, ce qui est considérable. En conclusion, afin de montrer une vraie différence significative de qualité de travail entre le secteur public et privé, d’autres études s’avèrent nécessaires, plus puissantes, incluant un nombre plus important de médecins.

Despite the increasing complexity of nursing home care, the role of physicians caring for residents is largely unexplored. This international, exploratory study sought to learn about physicians’ roles, responsibilities, and tasks as well as investigate the unique qualities of medical practice in nursing homes. We conducted interviews with 18 physicians, who reported making important contributions to the quality of resident care, including clarifying the goals of care, working to reduce unnecessary medication and hospitalization, as well as contributing to staff education. Nursing home practice involved physicians in networks of relations that were instrumental to the quality of medical care and physicians’ job satisfaction. The importance of these relationships disrupts the oft-drawn boundary between the medical and the social, suggesting that good medical practice depends on good social practice. Reflecting the exploratory nature of the study, we recommend research to better understand and support the relational dimensions of nursing home medicine.

Jean-Luc Marion’s phenomenology reveals two attitudes regarding the classification of phenomena. On the one hand, they are classified by type. On the other, the “banality of saturation” reduces these types to possible interpretations, in which case saturation isn’t a qualitative rupture anymore, but a possible hermeneutic attitude to any phenomenon. Hence, there is, in Marion’s phenomenology, a tension between a metaphysical attitude that maintains categorial discontinuities, and a hermeneutic temptation driven by the recovery of quantitative continuities between all phenomena. Yet, Marion does not push this quantitative temptation to its limits; he steps back in front of a specifically saturated phenomenon: the icon.

Introduction. Innovation in the management of perishability/freshness is an essential theme of the future fruit sector, not only for commercial and distribution systems but also for production. Plastic films with modified atmospheres represent a postharvest technology that can be used to store stone fruits, such as apricots, that have a short shelf life when maintained in a normal atmosphere under cold conditions. The aim of our work was to evaluate the effect of several packaging materials on the postharvest quality of apricot fruits stored for 21 days by considering the most important qualitative traits. Materials and methods. Modified atmosphere technology with different packaging materials was used to store apricot fruits cv. Tom Cot® at (+1 ± 0.5) °C and 90–95% relative humidity (RH). Different passive modified atmosphere packaging (MAP) conditions were developed because of the interaction between fruit respiration and the different oxygen and carbon dioxide barriers of the films. The effects of MAP were evaluated on the postharvest quality of the fruits by monitoring the headspace gas composition, weight loss, fruit flesh firmness (FFF), total soluble solids content (TSS), titratable acidity (TA) and skin colour. Results and discussion. Changes in packaging headspace gas composition were observed for all films used, but only multilayer films and biodegradable film maintained the MAP conditions until the end of storage. Wrapped fruits lost less weight than fruits maintained under normal conditions; in particular, multilayer films maintained the highest FFF values after 21 days. The biodegradable film exhibited good performance in terms of maintaining the CO2 and O2 equilibrium inside the baskets by balancing the fruits’ respiration and the film’s permeability. Traditional plastic materials, such as multilayer films, and more sustainable films, such as the biodegradable film used in our study, can be successfully employed to store apricot fruits cv. Tom Cot® for up to 21 days in passive MAP conditions.

Introduction. Strawberry is basically a temperate fruit, but, due to itsshort production cycle (100–120 days), it has now become the fastest growing crop in thetropical and sub-tropical regions of the Asian nations. In India, farmers of northernplain regions transplant the strawberries before the onset of the winter and keep onharvesting until early summer. Not much is known about the impact of the harvesting season(winter and summer) on the accumulation of health-promoting substances or on qualitytraits. Considering the existing research gaps and practical utility, the present studywas undertaken. Materials and methods. Four varieties were grown on raisedbeds with black polythene mulch, and a drip and fertigation system. Fruits were harvestedat the ¾ colour (scarlet) development stage and observations were recorded on differentphysiological and functional attributes consecutively during three harvesting months.Results and discussion. Our results indicated that both cultivars andharvesting months affected the physiology and functional quality of strawberry fruit.Anthocyanin, ascorbic acid and total antioxidants were found to be higher during March.Ascorbic acid content registered ≈ 50% reduction during advance summer harvesting (April).Among the tested varieties, Camarosa gave better results during all three harvestingmonths in terms of desirable quality traits. Conclusion. Our findings showthat there are some varieties such as Camarosa which have the potential to producefunctionally superior fruits over other cultivars even during early summer. Theinformation presented may be helpful in selection of suitable cultivars, and postharvesthandling and processing measures for strawberry fruits harvested during differentmonths.

Introduction. Postharvest physiology and ripening in passion fruit are not well documented, which is an impediment in designing handling and storage regimes. Materials and methods. Passion fruits harvested at four different maturity stages were studied for postharvest ripening behaviour and to determine the correct stage of harvesting. Results and discussion. The respiratory climacteric peak was attained in all stages irrespective of harvest maturity, while the ethylene evolution rate increased by almost 8.15 times the initial value to peak levels of 505.35 µL C2H4·kg–1·h–1 in fruits harvested at the 50% colour turning stage. Changes in Hunter L*a*b* values indicated development of optimum colour only in fruits harvested after 50% colour turning. Fruit quality attributes were also better in fruits harvested after half (50%) colour turning than fruits harvested earlier. Conclusion. Passion fruit should be harvested only after 50% of fruit surface colour has developed, so as to allow for optimum postharvest storage, proper ripening, and development of characteristic flavour and fruit quality attributes.

Introduction. Diverse fruit crops with a high value reduce the risk of crop failure and offer alternatives to farmers and the market. The scope of profitable production with such quality crops along with environmental concerns make the evaluation of new species desirable. The aim of our study was to determine the most appropriate species of Physalis for small-scale commercial production in the temperate climate of western Himalayan regions. Materials and methods. Four Physalis species, viz., P. peruviana, P. ixocarpa, P. pruinosa and P. nicandroides, were field-grown during 2010–2011 in the experimental field of the Central Institute of Temperate Horticulture, Srinagar, India, to determine the most appropriate species of Physalis suitable for a temperate climate. Results and discussion. All the species tested produced vegetative growth, flowered and fruited; however, they differed significantly. The number of basal shoots was found to be maximum for P. pruinosa (6.37), whereas the maximum number of prickles per shoot was recorded as maximum for P. nicandroides (6.48). The number of points of attachment varied significantly with species, and the maximum was recorded for P. pruinosa and P. ixocarpa (7.16 for each); the maximum size of fully developed leaves (146.8 mm) and overall plant height (168.27 cm) were recorded for P. pruinosa. Physalis pruinosa and P. ixocarpa were found to exhibit vigorous growth under a temperate climate. Significant differences were recorded for fruiting, flowering and yield potential among the Physalis species. The minimum days taken for bud burst were reported for P. nicandroides (23.55) and P. ixocarpa (24.41). Similarly, the minimum days taken to reach maturity were reported for P. peruviana (64.96). The maximum number of fruits per plant (260.23), length of fruit (33.83 mm), average fruit weight (37.19 g), husk weight (0.32 g), fruit husk ratio (121.27), maximum fruit firmness (43.96 Relative Index) and yield (9.96 Relative Index) were recorded for P. pruinosa. Significant variation was recorded in quality attributes. The highest total soluble solids were found for P. nicandroides (8.46 °Brix), whereas the minimum total titrable acidity (0.35%) and maximum ascorbic content (38.41 mg·100 g–1) were recorded for P. peruviana. The ‘L’ value of fruits, showing brightness, was recorded as the highest for P. peruviana (58.97), whereas fruits of all the species showed a negative ‘a’ value, indicating that none of them produced redness; however, the ‘b’ value, indicating yellowness, was maximum for P. pruinosa (18.72).

Abstract – Introduction. Mango fruits grown underhigh-density planting show a progressive decline in crop yield after14–15 years, due to overcrowding of canopies, which suggests regularcanopy management is necessary. Hence, the effects of pruningtreatment on fruit yield and quality of ‘Amrapali’ mango were studiedin India over two consecutive years, 2010 and 2011. Materialsand methods. Mango trees were subjected to pruning(removal of 50 cm of shoot from the apex) in the month of September2009 with unpruned trees serving as control. Fruits were harvested atthe commercial maturity stage and quality parameters were assessedboth in fresh fruits and following ripening at room temperature [(35 ±2) °C and (80 ± 5)% RH)]. Results and discussion. Fruityield of pruned trees was found to decrease during the first yearcompared with the fruit yield of unpruned trees; later on, itincreased during the second year. Pruning resulted in significantlyhigher fruit weight, fruit firmness, total carotenoids, antioxidantcapacity and total phenolic content. Early maturity of fruits wasobserved from unpruned trees with faster color change, higher totalsoluble solids and lower titratable acidity. The fruits harvested frompruned trees showed slower ripening, and lower respiration, ethyleneevolution rate and enzyme activity as compared with fruits fromunpruned trees. Both anthracnose and stem-end rot disease percentagewere reduced in ripe fruits from pruned trees.Conclusion. Pruning treatment appears to be analternative strategy to obtain better yield and quality in denselypopulated old mango orchards.

Introduction. The aim of ourstudy was to analyze the effect of various levels of light availabilityin the fruit microenvironment (induced by summer pruning) on somefruit quality traits. Materials and methods. Two levelsof summer pruning were set: removal of either 30% or 60% of thecanopy leaf area. These treatments were compared with the control(unpruned vines). Two canopy layers (upper and lower) were identifiedin each treatment and in the control vines. At harvest, yield percane and per shoot was recorded in the two canopy layers; fruitfresh weight, flesh firmness, total soluble solid content and totaltitratable acidity were measured. Fruit Total Antioxidant Capacity (TAC)and Total Polyphenols (TPH) were determined at kiwifruit harvestand post-harvest (60 days after storage at 1 °C) in relation totheir position within the canopy (layer) and to the pruning treatmentapplied. Results. Removing 60% of the canopy leaf areainduced higher titratable acidity and flesh firmness of kiwifruitsat harvest; it reduced fruit weight and crop yield, but increasedTAC and TPH compared with kiwifruits of control. Removing 30% leaf areadid not reduce mean fruit weight and crop yield; it increased TACand TPH at harvest by 20%. Post-harvest TAC and TPH evolution didnot differ among treatments. Discussion and conclusion.Pergola-trained kiwifruit vines showed good performances in termsof crop yield and fruit quality when summer pruning reduced the LeafArea Index (LAI) to 3. More intense pruning resulted in a significantincrease in fruit TAC, but reduced fruit weight and crop yield,and delayed softening of pulp.

Introduction. The objectiveof this study was to examine the relationships among the ripeningattributes of ‘Honeycrisp’ apples at harvest and after storage,and the direct and indirect contributions of these attributes topeel greasiness and the incidence of soft scald and soggy breakdownduring storage using correlation and path-coefficient analyses. Materialsand methods. Fruit were harvested from a commercial orchardat least five times throughout the commercial harvest period during foursubsequent years (2008 to 2011). In two of the years, fruit werestored in air for 3 months at 3 °C and/or in a controlled atmosphere(1–2 kPa O2 + 1–2 kPa CO2) for 6 months at 3 °C. Fruit were analyzedat harvest and after storage. Results and discussion.Negative correlations were detected between internal ethylene concentration(IEC) and soluble solids concentration (SSC) or titratable acidity(TA) (the higher the IEC, the lower the SSC and TA) and a positivecorrelation between firmness and TA (the higher the firmness, thehigher the TA). More peel greasiness and higher incidence of soggybreakdown during storage were associated with lower firmness, SSCand TA. Negative correlations were also detected between the incidence ofsoft scald and IEC or peel greasiness. The results of the path-coefficientanalyses suggest that, in ‘Honeycrisp’, interrelationships amongpostharvest ripening indices and each individual disorder differ. Threepossible path models for the interrelationships among ripening attributes (independent variables)and the incidence of peel greasiness, soft scald and soggy breakdown(dependent variables) are presented.

Introduction. Bananas are harvestedat the green preclimacteric stage prior to sale. The time betweenharvest and the initiation of the natural ripening process is calledgreen life. Black Leaf Streak Disease and Sigatoka Disease are themain foliar diseases affecting banana production. Sigatoka Disease (SD)is due to Mycosphaerella musicola, which frequently causesearly ripening in commercial banana plantations, considered as animportant source of damage. Our work aimed at determining the effectivenessof the removal of necrotic leaves, one month before harvest, onrecovering banana quality arising from SD-infested plants. Materialsand methods. Banana plants (totaling 80) at the floweringstage were selected in an experimental plot. These plants were dividedinto two groups of SD infestation levels: level 1 (Severity Indexat flowering < 10%) and level 2 (Severity Index at flowering > 25%).We divided each group into two treatments: a treatment with no necroticleaf removal and a treatment with necrotic leaf removal. Fruitswere harvested at the same physiological age, at 900 degree-days. Fruitquality was characterized by weight, diameter, % of ripe fruit inthe field and fruit green life. Results. Our resultsshowed that the removal of necrotic leaves causes a reduction insize parameters but leads to a strong reduction in SD effects onthe fruit maturity, thereby preventing premature ripening. Bananaplants whose necrotic leaves were removed produced fruit with a verylong green life. Discussion. Removal of necrotic leaves allowsthwarting the negative effect of SD on fruit physiology. This showsthat the presence of necrosis during the last month of fruit growth isresponsible for this fruit physiological modification characterizedby early ripening. Conclusion. Removal of necroticleaves one month before the date of harvest may be a technique thatcan limit production losses when the infestation level by SD ishigh.

Introduction. Pescabivona is the name of an autochthonous peach [Prunus persica (L.) Batch] population of the central west of Sicily. In a previous work, this fruit was submitted to chemical analysis, while in this paper, sensory evaluation is considered. Materials and methods. Samples of four Pescabivona landraces were harvested throughout the harvest season. A trained panel outlined the sensory profiles and the data were processed by ANOVA and Principal Component Analysis (PCA). A correlation between sensory analysis and instrumental data was finally carried out. Results and discussion. The results demonstrated a high standard of quality for the four landraces studied, with some differences in aroma intensity and in some other parameters, with sweetness and aroma being highly correlated with overall liking. PCA did not clearly separate the different landraces as they have the same origin. Some correlations between sensory analysis and instrumental data were verified. The sensory liking was correlated with the main ripeness parameters, as well as with the pulp firmness. Conclusion. The data obtained contribute to outlining a complete fruit profile for product comparison and shelf-life monitoring. As previously verified for chemical parameters, the sensory evaluation indicates a substantial similarity among the landraces. The good agreement between sensory evaluation and composition makes sensory analysis a precious tool to assess quality of Pescabivona landraces.

Introduction. The Chinese jujubetree always presents some unfavorable performances because its vegetativegrowth is very vigorous. Our study was conducted to apply root pruning totest whether it can effectively inhibit the vigorous vegetative growthby regulating the competitive ability of the root system for waterand nutrients. Materials and methods. For our experiment,roots were cut at three different distances from the trunk (light,moderate and severe root pruning) on both inter-row sides of jujubetrees to the depth of 20 cm. Roots of control jujube trees werenot pruned. Then we determined for three years the competitive indicatorsof Chinese jujube trees including the length, number and thicknessof primary branches; photosynthetic characteristics and nutrientconcentrations of leaves; hormone contents in the jujube head, flowernumber and fruiting percentage, yield, and fruit quality. Resultsand discussion. In the early stage after root treatment,root pruning decreased lots of indicators such as concentrationsof nitrogen, phosphorus, and potassium in leaves, photosynthesis, transpiration,stomatal conductance, and intercellular CO2 concentrationof leaves, relative to the same indicators as the control group. Withthe gradual emergence of new roots, these indexes appeared to have adversepatterns with respect to those in the early stage after root pruning. Comparedwith the control, root pruning significantly decreased the lengthand number of primary branches and flower number, but thickenedprimary branches, enhanced fruiting percentage and increased the amountof ethylene release of the jujube head in the whole experiment.Fruit quality was improved with root pruning, as indicated by increasesin vitamin C and total sugar and a decrease in titrable acidity.No effects of root pruning were noticed on yield. From our results,we conclude that the removal of the root system at a distance ofthree times the trunk diameter (severe pruning) from the trunk isthe most effective in regulating the competitive ability of theChinese jujube tree.

In order to satisfy the demands of the modern consumer for food of high quality, low in fat but rich in polyunsaturated fatty acids, farmers from the inner regions of both Italy and Greece in recent years have started to orient their activity to the rearing of autochthonous animal populations, as in the case of the bovine Podolian (Italy) and Katerini (Greece). As both of these populations (raised in two different countries, but under a similar free-range production system) were derived from Bos primigenius, it was considered interesting to compare their meat characteristics. For this target, eight animals were used, subdivided into two groups: Podolian group (reared in Italy and slaughtered at 18 months of age) and Katerini group (reared in Greece and slaughtered at 18 months of age). All animals were fed only on local pasture and they were slaughtered in licensed slaughterhouses in their country of birth and they were analysed in the laboratories of the University of Bari in Italy. The results show that the raw meat of Katerini bulls is less red, has higher moisture and is leaner. The fat of this meat is richer in C18:0 and ω3 fatty acids. These data seem to indicate that the meat produced by the breeds studied can satisfy the dietary demands of the modern consumer. As the Katerini breed is threatened with extinction, this study can offer a reason to the local authorities to make a possible future rescue programme, which necessarily passes through a chemical and nutritional characterization of its meat.

Introduction. The aim of this work was to develop a list ofsuitable sensory attributes and to perform sensory quality assessment of an unprocessedpeach juice and a peach juice clarified by enzymatic treatment followed by membraneprocesses, using the attributes chosen by the trained panel. Materials andmethods. A panel of assessors was selected and trained following the quantitativedescriptive analysis methodology. A descriptive terminology with eight descriptors wassuccessfully developed. Results and discussion. The sensory analysis showedthat the juices were effectively clarified. Although the clarification by microfiltrationin a bench-scale unit did not change juice taste attributes, the characteristic color andaroma of peach juice were also removed. The scale-up of the membrane clarification processaffected all the sensory characteristics of the clarified juice, even taste. Theunpleasant cooked fruit taste and aroma could be reduced by juice clarification byenzymatic and membrane processes. The kind of membrane, membrane geometry andtransmembrane pressure used in the membrane clarification did not significantly affect thejuice sensory characteristics.

Introduction. Apple fruit containsmany compounds with positive effects on human health but even smallpesticide residues from integrated production cause many food safety issuesfor consumers. Materials and methods. The apple fruits fromdifferent types of production: organic, integrated and two combinedsystems were analyzed. Their contents of sugars and organic acidswere quantified with the use of HPLC with RI and UV detectors, andphenolic contents from apple skin and pulp were detected with HPLC-MS.Apple quality was also determined in terms of weight, firmness andcolor. Results. Organically produced fruits had 14%lower weight than integrated fruits, as well as 15% higher firmnessand less green skin color than apples from the other three treatments.Among primary metabolites, the sum of sugars (fructose, glucose,sucrose and sorbitol) as well as organic acids (malic and citric)was highest in the integrated production treatment. Among secondarymetabolites, eighteen individual phenolic compounds were determinedseparately in apple peel and pulp. They were classified into four groups:hydroxycinnamic acids, flavan-3-ols, dihydrochalcones and flavonols. Themajority of the identified compounds were dependent on the applied managementsystem. Their concentrations were mainly highest in the organictreatment due to higher stress levels. The multivariate analysisof all monitored parameters placed organic production into one groupand presented a similarity among the other three management systems.

Introduction. Natural beveragesface strong competition from synthetic drinks in the open market.Creation of diversity in natural products is a key strategy to withstandthis competition. Pummelo (Citrus grandis Linn.)is one such potential fruit which could be exploited on a commercialscale if processed properly. The bitterness of pummelo juice isa serious handicap in its utilization. The present study aimed atpreparation of a cost-effective, palatable blended beverage of pummelo. Materials and methods. To overcome this problem, pummelowas blended with mango ginger and kokum juice in the ratio of [65:30:5]for the preparation of syrup. The product was stored for 120 daysin ambient conditions of storage and analyzed for changes in itsphysicochemical constituents. Results and discussion.Total soluble solids and total sugar increased during storage, whiletitratable acidity and ascorbic acid content decreased slightlyduring storage. Organoleptically, the best recipe was 25% juice,70 °Brix total soluble solids and 1.5% acidity with a score of 6.3out of 7.0 for overall acceptability. Mango ginger juice suppressedthe bitter aftertaste of pummelo juice and imparted its characteristictaste and flavor to the product. The product was shelf-stable andhad important medicinal constituents in it. The [total revenue / totalcost] ratio of the product was 2.90.