Based on the results of health examinations and questionnaires, this study was made to find out about the health characteristics of women aged 30-69 who live in fishing villages and a mountain village, Shimane Prefecture. The subjects were divided into the obese group and the normal group in accordance with the Minowa method to clarify the difference in various health factors between the two groups. The normal group was made up of those women who have a normal body weight.
The major findings are as follows:
1. A significant difference was noted in TG, blood pressure level and hypertension incidence (based on WHO criteria) between the two groups.
2. The frequency of complaints about subjective symptoms of disorder in locomotive organs and other parts of the body was higher among the obese group than the normal group. The number of those women undergoing medical treatment was also larger among the obese group than the normal group.
3. Women in both groups were concerned about obesity because they were well aware of the consequences of adult diseases.
4. Only half of the women in the obese group succeeded in decreasing their body weight after they tried to control obesity by using moderation in eating sweets, improving their nutrition, practicing exercises and so on.

A patient developed perioperative coronary artery spasms (CAS) twice, in initial and redo open heart operations for mitral stenosis. CAS was shown by sudden ST segment elevation, hypotension, bradycardia, and decreased cardiac output. The patient, a female, had the first CAS attack in the ICU following open mitral commissurotomy at the age of 48. The Second CAS attack occurred during redo surgery for mitral valve replacement at age of 56. Preoperative coronary angiography before both operations did not indicate significant organic lesions. Intraaortic balloon pumping in conjunction with intravenous nitroglycerin and norepinephrine were effective to treat CAS in this case.

The new community-based curriculum in Shimane Medical University, Japan, which are mainly based on family health practice and community health approach, is useful for students to understand the comprehensive medicine and holistic approach to community-based primary health care.
It is important to introduce district health workers in the preventive education for medical students to obtain to humanistic attitude and to change their value and behavior.
The importance of the exposure to the community health activities organized with man power and social resources should be more stressed in the improvement of the medical education curriculum and also of educational methodology to learn the essential physicians' nature such as humanity, responsibility, cooperation, positive attitude, and ability of problem solving.