The present study aims to seek ways of activating teaching consulting by investigating how primary and secondary English teachers perceive consulting. A survey was conducted to investigate the current state of English teaching consulting at schools and to identify needs to be met for effective consulting. 157 primary and 107 secondary English teachers took part in the survey using a questionnaire. The major findings from the data analysis are summarized as follows: (1) teaching consulting is not widely accepted as significant in professional development yet, and teaching consulting is not likely to be done voluntarily; (2) there is lack of professional consultants; (3) the administration process involved in consulting needs to be truncated and made simple; (4) the evaluation of consulting needs to be fed back in improving teaching and professional learning; and (5) teachers’ voluntary involvement in consulting and cooperative professional development are considered to be important to activate and sustain consulting. Some measures are suggested to vitalize consulting in English teaching at schools and directions for future research are discussed.

Prognosis of the patients with lung cancer with lung-to-lung metastasis are known to be poor and frequently old aged persons with multiple nodules on imaging study abandon more invasive procedure including bronchoscopy and VATS (Videoassisted thoracoscopic surgery) to get tissue confirmation. Sjogren’s syndrome (SS) associated lung lesion mimicking lung cancer has a chance to have more favorable diseases including lymphoma. A 78-year-old woman with SS was admitted due to slowly progressive exertional dyspnea and multiple nodules on imaging study. She and her family gave up invasive diagnostic procedures at first due to old age but short term rapid change of dyspnea and nodules on chest CT brought out invasive procedures and diffuse large B-cell lymphoma was diagnosed. Dyspnea and nodules on imaging were improved after R-CHOP chemotherapy.

Toxocariasis is an illness of humans caused by roundworm. Toxocara species are commonly found in dogs and cats. Humans are accidental hosts. There are two routes of infection. One route is the ingestion of infected eggs, and the other route is the ingestion of an infected paratenic host. Clinical manifestations vary from asymptomatic infection to severe organ failure. In most cases, the patients are asymptomatic and the disease is self-limited. Thus, patients with mild symptoms do not require treatment. However we report on cases of patients with asymptomatic hepatic nodules who were treated to exclude malig-nant disease.