Pseudoaneurysm of the uterine artery is rare as a cause to delayed postpartum hemorrhage. Nowadays, uterine pseudoaneurysm is often treated by uterine artery embolization. The outcome is favorable. Here, we report a case of delayed postpartum hemorrhage following Cesarean section, which was caused from a rupture of uterine pseudoaneurysm. The patient was at the point of death from excessive bleeding but successfully treated by uterine artery embolization (UAE). In encountering a case of postpartum hemorrhage after Cesarean delivery or Dilation & Curettage, it is indispensable to check the abnormal blood flow in a color Doppler examination.

PEP (the study group of Practical English for Pharmacists) was started by teachers from different fields at Hokkaido Pharmaceutical University, and has been offering English conversation class for local pharmacists. As with its turning point of three years, in January 2016, it conducted an online questionnaire survey for pharmacists all over Japan. The purpose was to find their needs for learning English, as well as to make sure if PEP teaching materials were proper enough for them. The questionnaires consisted of five areas: current working situation in terms of using English; self-evaluation for their attitudes towards English-speaking customers/ patients; their preference in learning English; their foresight into the English-related situation around their job; and evaluation on PEP sample materials. Participants were 220 pharmacists at work who were interested in learning English. They were divided into two groups (Yes-group and No-group) according to the answer to the question of whether they, as a pharmacist, thought it necessary to learn English or not. The groups were compared with each other within each of the five areas mentioned above. The results showed the overall illustrations of the pharmacists today and positive evaluation for a PEP material. Most importantly, however, contrastive difference between Yes-No groups for the type of English needed was revealed (p<0.01). This was interpreted as an evidence that No-group just have a naive intention to learn English, while Yes-group have already been involved in the situations where rather high English proficiency is required for their pharmacy jobs.