Foreign body aspiration occurs rarely in adults. Aspiration of foreign bodies into tracheobronchial tree commonly occurs by accident, and in most cases they get removed without delay. Sometimes, however, small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and become symptomatic several years later. In these cases, unless a clear history of an aspiration event is obtained, it is difficult to even consider the aspiration as a cause of pneumonia. Foreign bodies were most frequently located in right lower lobe and usually aspirated unilaterally. A review of recent literature reveals only a few case reports of unilaterally aspirated foreign body in adults. We are reporting an adult case of obstructive pneumonia due to foreign bodies (fish vertebrae) aspirated into both bronchi at least 5 month prior to his hospitalization into our institute. Removal of the endobronchial foreign bodies was successfully accomplished by flexible bronchoscopy. The patient did not experience any complication and the pneumonia was completely resolved after removal of foreign bodies.
Adult ; Bronchi* ; Bronchoscopy ; Foreign Bodies ; Hospitalization ; Humans ; Pneumonia* ; Spine*

Foreign body aspiration occurs rarely in adults. Aspiration of foreign bodies into tracheobronchial tree commonly occurs by accident, and in most cases they get removed without delay. Sometimes, however, small foreign bodies that lodge in the peripheral airway are often asymptomatic initially and become symptomatic several years later. In these cases, unless a clear history of an aspiration event is obtained, it is difficult to even consider the aspiration as a cause of pneumonia. Foreign bodies were most frequently located in right lower lobe and usually aspirated unilaterally. A review of recent literature reveals only a few case reports of unilaterally aspirated foreign body in adults. We are reporting an adult case of obstructive pneumonia due to foreign bodies (fish vertebrae) aspirated into both bronchi at least 5 month prior to his hospitalization into our institute. Removal of the endobronchial foreign bodies was successfully accomplished by flexible bronchoscopy. The patient did not experience any complication and the pneumonia was completely resolved after removal of foreign bodies.
Adult ; Bronchi* ; Bronchoscopy ; Foreign Bodies ; Hospitalization ; Humans ; Pneumonia* ; Spine*

PURPOSE: This study examined two overarching topics: to what extent do faculties acknowledge class readiness, execution of lessons, and evaluation of the session; and what core content should be strengthened in a medical school faculty development program? METHODS: In November 2012, 37 faculties completed a detailed survey on the needs of medical school faculty development programs. The 14-item survey assessed the importance, operational frequency, difficulty in accomplishment, class readiness, execution of teaching, and evaluation of the session. RESULTS: Faculties were aware of the importance of class readiness, execution of teaching, and evaluation of the session but had a low level of accomplishment with regard to execution of the instruction and evaluation of the session. Four subitems of session evaluation were considered very important but showed low operational frequency, high difficulty in accomplishment, and low accomplishment ability. The successful discussion class item had the lowest operational frequency and accomplishment ability. The core contents that should be strengthened in medical school faculty development programs are diagnose students' class readiness (prior knowledge) (35.5%) and providing class session with suitable level/content (32.3%). CONCLUSION: Before designing faculty development programs, a needs assessment is useful in providing more tailored content for the faculty.
Needs Assessment ; Schools, Medical

PURPOSE: Feedback in medical education is as important as developing the curriculum and choosing the right method of instruction. This study measured three overarching areas: student satisfaction rates with academic feedback, the type and helpfulness of the feedback, and the types of feedback that students want. METHODS: In December 2013, 166 students answered a student survey that consisted of 26 items. The survey asked questions on their experiences with the overall feedback that was given the previous semester, the satisfaction rate, the type of feedback that was received, the helpfulness of the feedback, and the types of feedback that were desired after examinations and learning tasks. RESULTS: Overall, 35% of the students were satisfied with the feedback that they received in the previous semester. Students wanted more systematic (61.4%) and timely feedback (30.1%). The types of feedback that were most desired were "written comment feedback from the teacher" (51.8%) for learning tasks and "item difficulty, percentile ranks feedback" for examinations (62.0%). CONCLUSION: Students found the current feedback to be helpful, but the lack of feedback that students desired indicates that we must provide more systematic feedback in a more timely manner.
Curriculum ; Education, Medical ; Humans ; Learning ; Students, Medical*

Sclerosing ecapsulating peritonitis (SEP) first described by Gandhi and Humyn at 1980 is generally recognized, but uncommon complication of continous ambulatory peritoneal dialysis (CAPD) and the prognosis is very poor. A 62-year old female was admitted to our hospital with chief complaint of abdominal pain, nausea, vomiting. On physical examination, abdominal pain was not detected. Abdominal CT demonstrated paralytic ileus and adhesion in proximal ileum. She underwent adhesilolysis of ileum and repair of perforated ileum. We experienced one case of SEP presenting small bowel perforation and peritonitis in patient with IPD. We report this case with review of the literature.
Abdominal Pain ; Female ; Humans ; Ileum ; Intestinal Pseudo-Obstruction ; Middle Aged ; Nausea ; Peritoneal Dialysis* ; Peritonitis* ; Physical Examination ; Prognosis ; Tomography, X-Ray Computed ; Vomiting