This new molecular based diagnostic system (SES) helps in rapid and accurate diagnosis of neonatal sepsis and reduces mortality and morbidity in affected neonates.

Context:Palliative care services, until recently, were mainly restricted to cancer patients with incurable diseases. Hence, evaluative studies of palliative care are sparse in areas other than oncology.Aims:To estimate what proportion of patients attending the Departments of Neurology, Cardiology, and Nephrology of Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, required palliative care and to identify the palliative care needs of those patients.Settings and Design:This was an exploratory descriptive study conducted in the three departments of JIPMER.Materials and Method:There was no predetermined sample size for the study. The participants were all adult inpatients and outpatients who were in need of palliative care in the departments of Cardiology, Nephrology, and Neurology on the day of study.Statistical Analysis:Percentage distribution was used to analyze the categorical variables such as education, gender, age, patients in need of palliative care, and their needs.Results:The study showed that one in ten non-cancer patients in tertiary care hospitals may require palliative care services. Apart from issues in physical domain, a substantial proportion of participants also had issues in the psychological, emotional, and financial domains.Conclusion:This study highlights the need for incorporation and initiation of palliative care services in other non-cancer specialties in tertiary care hospitals to ensure holistic management of such cases. Counseling service has also to be rendered as part of palliative care since a good share of the patients had psychological and emotional issues.

The purpose of this research is to identify and address the service delivery issues faced by patients in hospitals including emergency departments. It illustrates the available solutions and determines the one that best fits the solution among service delivery methods in hospitals to provide quick and quality care with better efficiency. There are various software tools that are used to analyse and minimize the patients waiting times. This research examines and discusses the existing practices and findings that are currently being used in the hospital frameworks. It also examines the factors influencing the service delivery and patient satisfaction through different methods and tools to give a clearer picture of the patient flow at the hospitals utilizing a case study approach in the context of hospitals within NSW Australia. This research paper proposes improvement in service delivery model, which potentially improves patient satisfaction as well as increase efficiency for health care service providers to handle huge overcrowding in many hospitals. It potentially creates opportunities for better health care by providing better services on time and in a better quality.

BACKGROUNDThe organisms causing neonatal sepsis and their antimicrobial susceptibility patterns are highly diverse and vary geographically, temporally and locally attributed to changing pattern of antimicrobial use. Therefore, a continuous surveillance of sepsis is of utmost importance to ensure early diagnosis and appropriate therapy. This requires an understanding of changing trends in prevalent organisms and their antimicrobial susceptibility pattern. The aim of the present study was to determine the bacteriological profile and antimicrobial susceptibility pattern of organisms causing neonatal sepsis over a period of five years.