Walking exercise in forests, referred to as “shinrin-yoku, forest-air bathing and walking, ” has been attracting attention as a method for promoting mental and physical health utilizing the environment and topography of forests in the recent time. Walking exercise in forests has characteristics arising from the natural environment and topography of forests with beautiful trees, twittering of birds, and favorable fragrances of woods, etc. However, scientific verification of such specific effects is necessary in order to make walking an authentic method to health promotion. This study intended to physiologically investigate it from physical and scientific point of view. For this purpose, we determined chronological changes in energy consumed in walking exercise in forests with a portable oxygen intake measuring device, on the basis of data on the respiratory and circulatory systems such as heart rate and the amounts of ventilation and oxygen intake. The results suggested that the changes in these parameters showed the movement correlated with the changes in topography of forests, including the inclination and demonstrated that selection on the resting locations was related to the comfortable rhythm of walking. Furthermore, it was indicated that exercise loading to living body tended to increase in association with increases in the upward inclination, resulting that the energy consumed in walking was less though the amounts of exercise loading to lower limbs tended to be very large at a download inclination of 36.0 degrees or larger. This demonstrative study suggested that to determine chronological changes in physiological loading conditions related to the walking route was effective to establish promenades in order to perform comfortable and effective forest bath.

Keeping upright stance is important to other complex motions like locomotion and running for human beings. The mechanism of balance-keeping control in upright standing is still unknown. This study was conducted to analyze the body sway by using a simple PID (proportional, integral, derivative) control model and to investigate the influence of vision on its gains. Ten healthy subjects took part in the study. The upright body was modeled as one-link inversed pendulum model. While determining the model parameters according to subject's physical statue, the gain of PID parameters, (K_P, K_D, K_I are gains of proportion, derivative, and integral respectively.) could be estimated. Four kinds of visual patterns, (three for central visual field stimulation, one is eyes closed) were designed for visual stimulation. The results showed that the gain of K_D was decreased significantly in eyes closed (131.5±37.6 Nms/rad in eyes open and 90.4±26.0 Nms/rad in eyes closed, p<0.001), and, K_P, K_I were not changed. The results suggested that the PID control model was a promising means for individual balance ability analysis and that the visual effect on balance-keeping control in upright standing was analogized to a damper in the mechanical system.

Coronary artery bypass surgery in a 54-year-old female with severe calcified ascending aorta was performed with aortic no touch technique, Extracorporeal circulation with femoral cannulation was performed, and bilateral internal thoracic acteries and gastroepiploic artery were used as grafts under ventricular fibrillation and hypothermia without aortic cross-clamping. No neurological complication was observed and postoperative course was uneventful. We think the aortic no touch technique is safe and reliable in the coronary revascularization with severe calcified aorta.