My passions have always been art, music, people, photography and the outdoors.  Such passions are portrayed in my PhotoArt.

The Other Side of Toronto
early in the morning the sun broke through the clouds
the wind rested
the dears danced
the hawk soared across the city
the rivers glowed like rippled diamonds
the reflections of nature at work are there for all to see
the colours in the horizon, left early morning joggers in awe
hikers smiled as the beaver floated by
bird watchers noticed the owls nestled in our tall maples
chipmunks turned and fled as early morning cyclist passed by
the bees visited the colourful wild flowers
the squirrels froze as they noticed the fox with its brilliant red tail
the birds float by along our lakefront
a child is one as she races to see the turtles
the artist paints our rivers that hold her heart
embracing sensations that stay with her
forest green that make me sing
sounds that awaken the senses
smells so pure I feel alive now
my brush moves on its own as mother nature speaks to me
will you join me
will you now
will we grow
will you fade away
(A poem I wrote to portray the green space of Toronto.)
August 2016 © All Right Reserved, brunodaniel, bdphotoart

"Art does not reproduce what we see; rather, it makes us see." -- Paul Klee
"Mother Nature is the ultimate artist."  -- ©Bruno Daniel
Her artwork is seen throughout the world - sunrises/sunsets, aurora borealis, 
waterfalls, mountain ranges, flowers, rock formations, wildlife, people, landscapes..............
When Mother Nature decides to create a masterpiece with the right light, colours, shadows and highlights -  I’ll be there to capture a copy and share it with you.

Abraham Maslow states that we have a "hierarchy of needs".  The foundational needs are physiological such as food, water and safety.  I would add that being with nature, for at least a given period of time every week, is also a physiological need.



The Health Benefits of Greenspace
Check out these two New York Times articles and learn how awesome 

It’s a medical fact: Spending time outdoors, especially in green spaces, is good for you.
A wealth of research indicates that escaping to a neighbourhood park, hiking through the woods, or spending a weekend by the lake can lower a person’s stress levels, decrease blood pressure and reduce the risk asthma, allergies, diabetes and cardiovascular disease, while boosting mental health and increasing life expectancy. Doctors around the world have begun prescribing time in nature as a way of improving their patients’ health.
One question has remained: How long, or how frequently, should you experience the great outdoors in order to reap its great benefits? Is there a recommended dose? Just how much nature is enough?
According to a paper published Thursday in the journal “Scientific Reports”, the answer is about 120 minutes each week.
The study examined data from nearly 20,000 people in England who took part in the “Monitor of Engagement with the Natural Environment Survey” from 2014 to 2016, which asked them to record their activities within the past week. It found that people who spent two hours a week or more outdoors reported being in better health and having a greater sense of well-being than people who didn’t get out at all.
Spending just 60 or 90 minutes in nature did not have as significant an effect. And five hours a week in nature offered no additional health benefits.
 “What really amazed us was that this was true for all groups of people,” said Mathew P. White, an environmental psychologist at the University of Exeter Medical School, who led the study. “Two hours a week was the threshold for both men and women, older and younger adults, different ethnic groups, people living in richer or poorer areas, and even for those living with long term illnesses.”
It did not matter how close people lived to recreational spaces or how often they frequented them, as long as they accumulated two hours of outdoor time by the end of the week.
“Nature is not like a pill you get prescribed by your doctor that you have to take in small doses every day,” Dr. White said. “What matters most is that you’re able to fit it into your lifestyle.”
Not everyone has the benefit of living near natural landscapes or parks that they can visit every day. But they can still get the same benefits by taking a long walk on one day, or making a trip to a recreational area on a weekend.
Dr. Nooshin Razani, a pediatrician at U.C.S.F. Benioff Children’s Hospital in Oakland, Calif., has taken to prescribing time outdoors to her patients, who come from low-income settings. She often leads group outings to nearby recreational areas in the East Bay Regional Park District. 
“When you go to a park with your family, there are so many good things that happen,” Dr. Razani said. “Children get to play and be physically active. They get to socialize, and they get some stress relief.” Adults experience the same benefits, she added.
Teasing out the exact cause of these health benefits is difficult. Does being outdoors encourage physical activity? Would anything that gets you off the couch and away from screens improve your health? Or are healthier, happier people simply more likely to spend time outdoors?
“Most studies like this are cross-sectional, so they only look at one point in time,” said Carla Nooijen, a researcher at the Swedish School of Sport and Health Sciences, in Stockholm, whose research has examined the effects of natural environments. Tracking habits and responses over a period of time may help shed light on the possible mechanisms, she said.
Still, nature prescriptions are growing in popularity. In Sweden, friluftsliv, the term for living close to nature, is so ingrained in everyday life — from commuting by bike to relaxing in lakeside saunas — that there are tax breaks offered as incentives for the lifestyle. In South Korea, the government is establishing dozens of “healing forests” for its stressed-out citizens. And last year, NHS Shetland, a national hospitalsystem in Scotland, began allowing doctors at some medical practices to write scripts for outdoor activities as a routine part of patient care.
The latest study is a major first step toward developing concrete guidelines for nature prescriptions, akin to the guidelines for weekly exercise. (The current weekly recommendation for American adults is at least 150 minutes of moderate activity, 75 minutes of vigorous activity, or some combination of the two.)
“This study will help clinicians like me better advise patients,” Dr. Razani said. And, she added, it provides a realistic target that most people can achieve. Low-cost and low-risk, it’s just what the doctor ordered.
By Knvul Sheikh
June 13, 2019



Take a Walk in the Woods. Doctor’s Orders.
“Forest bathing,” or immersing yourself in nature, is being embraced by doctors and others as a way to combat stress and improve health.
By Amitha Kalaichandran, M.D.
July 12, 2018
On a damp Saturday morning last August, I joined 10 others in the woods outside Ottawa, Canada, as part of a “forest bathing” session offered by a local wilderness resort.
First we sat in a circle on the leafy ground, each sharing a moment in nature from our childhood that filled us with joy. Next our guide, Kiki, a newly trained forest therapist who insisted we call her by her first name, led us on a mindful — and very slow — walk through the forest.
“What do you hear, smell, see?” Kiki asked, encouraging us to use all five senses to become deeply “immersed” in the experience.
An older woman in the group told us that she was undergoing a difficult and stressful period in her life, and that being among the trees felt “healing.” Others mentioned that the activity reminded them of walks they took as part of Boy Scouts or commented on the sounds: insects, birds, the rustling of leaves. I noticed the bright green acorns that dotted the forest floor, which reminded me of my childhood collection of acorns and chestnuts. Admittedly, I was also worried that the early morning rain was fertile ground for vicious mosquitoes (West Nile!) and ticks (Lyme!).
We ended the two-hour forest walk with a tea ceremony, sipping a concoction of white pine needles steeped in hot water.I left feeling relaxed and more at peace, though with at least two dozen bites from mosquitoes that seemed immune to DEET.
Kiki had been trained according to standards set by the Association of Nature and Forest Therapya professional group that has certified morethan 300 people across North America to be forest therapy guides, among them psychotherapists, nurses and six M.D.s. The sessions are modeled after the Japanese tradition of shinrin-yoku,or forest bathing.
Over the years, I’ve had physician mentors recommend Richard Louv’s books, “The Nature Principle” and “Last Child in the Woods,” which describe the benefits of time spent in the wilderness, from stimulating creativity to reducing stress. Florence Williams’s best-selling book, “The Nature Fix,”has a chapter dedicated to the benefits of forest therapy.And now, it appears that more North American doctors are starting to incorporate spending time in forests into their practice.
Some small studies, many conducted in Japan and Korea, suggest that spending time in nature, specifically in lush forests, might decrease stress and blood pressure (especially in middle-aged men), improve heart-rate variability and lower cortisol levelswhile boosting one’s mood. An analysisofstudies from 2010 that focused on exercising in nature found improvements in self-esteem, particularly among younger participants. Overall effects on mood were heightened when there was a stream or other body of water nearby.
But other studies have shown mixed results. A cross-sectional study from Korea found no change in blood pressure with forest bathing, and a systematic review from 2010 found that while time in the forest may boost mood and energy, any effects on attention, blood pressure and cortisol may not be statistically significant. Another recent review from Australia underscored the challenges of drawing causal links to disease prevention, with the authors calling for robust randomized controlled trials.
Several theories have been proposed as to why spending time in forests might provide health benefits.Some have suggested that chemicals emitted from trees, so-called phytoncides, have a physiological effect on our stress levels. Others suggest that forest sounds — birds chirping, rustling leaves — have a physiologically calming effect. Yet evidence to support these theories is limited.
On a recent visit to Japan, I met with Dr. Hiroko Ochiai, a surgeon based at Tokyo Medical Center, and her husband, Toshiya Ochiai, who is currently the chief executive of the International Society of Nature and Forest Medicine. Dr. Ochiai is trained in forest therapy and currently conducts most of her sessions with volunteers within a forestin Nagano, about three hours from Tokyo, with the help of a local guide, and plans to offer forest therapy soon at one of Tokyo’s largest hospitals.
“I usually encourage participants to sit or lie down on the forest ground and listen to the sounds,” she says. “The hypersonic natural world can be soothing, and things are always moving even while we are still. It can be very calming.”
Last June the Northside Hospital Cancer Institute in Atlanta began to formally offer forest therapy as part of a pilot project in collaboration with the Chattahoochee Nature Center. Twelve patients with newly diagnosed cancers recently signed up for a session, according to Christy Andrews, the executive director of Cancer Support Community Atlanta.
“It was a four-hour session that seemed to have an impact on the patients,” she said. “I remember one participant telling me afterward that it was a way to ‘steer away from cancer,’ and the group became very cohesive. I think it helped reduce the isolation in a way that’s different from a regular support group.”
Dr. Suzanne Bartlett Hackenmiller, an obstetrician-gynecologist based in Cedar Falls, Iowa, began guiding patients in her practice through the Prairie Woods in Hiawatha Iowa, though she has also led groups in forests around Des Moines. She became a certified guide through the Association of Nature and Forest Therapy three years ago and tries to tailor her offerings based on the group she is leading.
“I generally get a sense of where people are at. For some, it’s best for me to stick to the science, but others may literally want to hug a tree. The traditional tea ceremony at the end might turn some people off, so I’m conscious of that and adjust accordingly,” she says.
In one exercise, she has participants close their eyes as she guides them through experiencing the different senses, imagining feeling their feet growing into the ground like roots of a tree, for instance, listening to nearby sounds and observing how far they may extend, or smelling the air. It’s similar in many ways to a guided meditation.
“I recently held a session where four out of the 20 participants were in wheelchairs, so I found a local park that had plenty of trees and a paved sidewalk so everyone could enjoy it,” she says. 
At the University of California, San Francisco, Benioff Children’s Hospital in Oakland, Dr. Nooshin Razani, a pediatric infectious disease doctor and director of the Center for Nature and Health, has offered a similar program for the past four years. The “Shine” program, linked to the East Bay Regional Parks District, offers “park prescriptions,”a movement that is growing in popularity, and aims to improve accessibility to nature for low income children.
One Saturday a month, Dr. Razani leads a group of up to 50 people through a lush forest of redwood trees and lakes on the outskirts of Oakland. The groups consist of patients ranging in age from a few months to 18 years, accompanied by at least one adult family member. A few of her medical colleagues — an orthopedic surgeon and primary care doctor — have also attended, and the Oakland-based pediatrics residency program at the medical centers invites doctors in training to join the group.Shine recently celebrated its 60th park outing.
“The accessibility part is huge for me. Many children don’t have access to green spaces in their community,” Dr. Razani says. “We also have evidence that supports the mental health aspects of spending time in forests, and for the resident doctors who participate, it’s a way to show them how children interact with nature based on the developmental stage. Sometimes the doctors’ need is just as much as the patients’.” In February, Dr. Razani published findings of randomized trialthat found that park visits — regardless of whether they were led by a guide or not — were associated with a decrease in stress three months after the visits.
A few hours after my own forest walk, the woman in our group who had mentioned her stress emailed me to say that she had checked her blood pressure afterward and noticed it was lower than usual. “It would be nice to see if there was a meaningful change from before, if they collected that information,” she wrote.
She had hit on one of the biggest issues around guided forest walks and forest therapy. Is it an evidence-based activity with proven clinical benefits?
The science is still lacking to prove it.But there is some evidence — as well as good old common sense — to suggest that spending time in nature is good for both the mind and body, whether done as a group or alone. It may be something we all need more of.
Amitha Kalaichandran, M.H.S., M.D., (@DrAmithaK) is a resident physician in pediatrics based in Ottawa, Canada.
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