The study described here compared levels of satisfaction with staff, environment, and other patients among 420 first-time and long-term patients in psychiatric outpatient and inpatient settings. The demographic, clinical, and outcome variables associated with satisfaction were explored. Patient satisfaction was related to quality of life, social functioning, treatment expectations, and one-year psychological and physical prognoses. Perceptions of other patients were significantly more positive among long-term patients than among first-time patients. The concerns of first-time patients about other patients are of special importance, and they should be addressed during initial treatment.

This study confirms that cost of dementia care increases with dependence and that the impact of other disease indicators is mainly mediated by dependence.

QoL is independent of illness severity. Deinstitutionalisation improves QoL and OLS is mainly predicted by subjective variables.

The objective of this study was to describe and analyze the gastrointestinal tolerability and medication switching in patients receiving treatment for primary osteoporosis in Sweden. The study was based on all patients starting therapy with alendronate, risedronate, strontium ranelate, and raloxifene in Sweden between 2005 and 2009. The primary outcome measure was start of treatment with a gastroprotective agent, and the secondary outcome was hospitalization for a gastrointestinal adverse event (GIAE). Switching was analyzed while patients were on treatment. The crude incidence of gastroprotective treatment during the first 6 months after initiation of osteoporosis therapy was 5.14%, 5.93%, 4.25%, and 2.86% for patients prescribed alendronate, risedronate, strontium ranelate, and raloxifene, respectively. Patients prescribed raloxifene had a significantly lower risk of filling a prescription for a gastroprotective agent compared with alendronate. There was no significant difference in the risk of hospitalization for GIAEs. Less than 3% switched therapy while on treatment. Patients prescribed risedronate, strontium ranelate, and raloxifene had a significantly higher risk of switching compared with patients taking alendronate. In conclusion, no significant difference in the incidence of GIAEs was found between patients prescribed alendronate, risedronate, and strontium ranelate. Individuals prescribed raloxifene had a significantly lower risk of GIAEs compared with patients prescribed alendronate. No significant difference was found in the frequency of hospitalization for GIAEs. Switching between osteoporosis medications and drug classes was uncommon. Prescribers should consider the real-world gastrointestinal safety of osteoporosis drugs when choosing between treatment options to potentially improve medication adherence and consequently effectiveness.

ZusammenfassungMuslimische Seelsorge bildet nicht zuletzt aufgrund der vielfältigen Hintergründe von Musliminnen und Muslimen einen zentralen interkulturellen Erfahrungsraum. Angesichts von homogenisierenden Engführungen von Interkulturalität knüpft der Beitrag an Konzepte von Transkulturalität und Transdifferenz an. Damit wird einerseits der Vermischung von kulturellen Elementen, andererseits aber auch dem Fortbestehen von Differenten und Abgrenzungen Rechnung getragen. Anhand von Beispielen aus der Praxis muslimischer Asylseelsorge wird aufgezeigt, wie sich interkulturelle Konfliktnarrative auf die Tätigkeit der Seelsorgenden auswirkten und wie diese in Abgrenzung davon eine transkulturelle Brückenfunktion wahrnehmen konnten. In einer Weiterbildung für muslimische Spitalseelsorge ging es um im Zusammenhang mit Krankheit und Tod wirksame muslimische Sinngebungen, die die Seelsorgenden entschlüsseln können, ohne sie automatisch auf die Seelsorgeempfänger zu projizieren. Abschließend wird aufgezeigt, dass muslimische Seelsorgende in der Lage sein müssen, religiöse Deutungen zurückzustellen, aber gleichzeitig auch ihre Wirkmächtigkeit und ihre konfliktgenerierende Wirkung zu erkennen. Bei allem Bemühen um interkulturelles Verstehen ist auch der Tatsache Rechnung zu tragen, dass muslimische Seelsorge selbst das Produkt einer kulturellen Hybridisierung darstellt. Von daher erweist sie sich prädestiniert dafür, eine inter- und transkulturelle Vermittlungsfunktion wahrzunehmen.