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Globalization symbolizes the process of reaffirmation of faith in the markets retaining the original form and character of the sovereignty of a country. Many of us would agree that globalization, far from being any novel concept, is the extensions of the classical Comparative Cost Approach, which suggests that intervention at specialization benefits the countries sharing trade. Deregulation is the essence of this strategy which follows a significant shift in decision-making from the government to business with an increasing thrust on the market forces rather than any political ideology. Thus globalization is a means when it is conceived of as an instrument to create an integrated world economy that takes the shape of a single market and as an end when it promises to maximize the quantum of socio-economic gains of all citizens of the world as its ultimate goal. The paper attempts to study the different dimension of globalization in India by mainly, trying to locate the impact of globalization on the Indian Economy as well as social wellness and to analyze the various facts regarding the achievements of India as well as challenges faced by it in respect of globalization, to this effect, a predominantly qualitative research approach has been adopted to critically inquire into the topic at hand. Data at all stages are secondary and garnered from a variety of published sources. Conclusively, the paper tries to highlight that the benefits of globalization could be made available to all people without discrimination. This would need the government to check the practice of keeping itself away from its basic social obligations by heralding a mechanism that could strike a balance between the strategy of following market theory and the urge to look after social needs.

This report describes the cases autopsied at B. P. Koirala Institute of Health Sciences- Nepal, during the period of two years in which the treatment provided falls below the accepted standard practice causing the death of the patient. Postmortem examination provides an opportunity to find out the actual cause of death in which the cause of death is suspicious. Sometimes the cause of death found through postmortem examination is different from the clinical cause of death. The autopsy finding on the cause of death will help doctors even to think about unusual conditions that lead to death and hence apply preventive measures for those unusual conditions. The cause of medical error is not always due to the doctor's mistake, but sometimes also due to the obsolete hospital protocol. The autopsy reporting of medical errors can be used to identify lacunae in hospital protocols, problem-prone clinical processes and suggest interventions that may reduce negligence.

Background: Combined use of furosemide with albumin is an approved therapy to overcome diuretic resistance in treatment of ascites in decompensated chronic liver disease. Bolus dosing of diuretics has its own limitations due to pre-existing hypotension, post diuretic sodium retention and braking phenomenon. Slow albumin and furosemide Infusion has been shown to mobilize large ascites with improved diuresis and hemodynamic stability in decompensated chronic liver disease. This study was undertaken to compare efficacy and safety of infusion therapy vs bolus therapy in term the management of refractory ascites.Methods: Decompensated chronic liver disease patients with refractory ascites were randomly assigned into two groups of 15 each - Bolus therapy (intravenous albumin and furosemide as boluses) and Infusion therapy (furosemide infusion at 2mg/hour and albumin at 2g/hour for three days). Diuresis, natriuresis, change in abdominal girth and body weight, and hemodynamic stability (change in SBP) were compared between the two groups.Results: Infusion therapy, as compared to bolus therapy, showed a significantly better diuresis (mean urinary output increment 483ml vs 243ml, p <0.001), natriuresis (mean urinary sodium excretion increment 35.2 mEq/L vs 16.6 mEq/L, p = 0.004),decrease in abdominal circumference (6.1cm vs 3.0cm, p<0.001) and decrease in body weight (5.53 Kg vs 2.86 Kg, p < 0.001). The complications of renal impairment were also lower in the Infusion group. Conclusion: Infusion of furosemide and albumin is a potential safer and effective therapeutic option in the management of refractory ascites with better natriuresis, higher urine output, and higher decrement in abdominal circumference and body weight, and lesser side effects.Keywords: Bolus dose; continuous infusion; decompensated chronic liver disease; refractory ascites.