Owing to the concerns about electromagnetic interference (EMI) from wireless local area networks (WLAN), an investigation into its impact on medical equipment is carried out. The results indicate that there is no evidence of 802.11 Wireless LAN systems being unsafe for installation inside hospital premises and only one piece of equipment was found to be susceptible to IEEE 802.11b standard.

In the course of the development of the "Hyper Hospital," a novel medical care system constructed in the computerized information network using virtual reality as its human interface, we devised a virtual reality world creating system which allows users to con figure the world interactively. The re-configuration of the virtual world was designed to be carried out without interruptions of activity and the world can continue to exist during the reconfiguration process. This facility comprises an important part of our Hyper Hospital system because one of our major goals of this proposal of the Hyper Hospital is to restore maximum freedom for patients in the medical care system. Discussion was given in the present study with respect to the basic requirements of the system to be realized, including discussions on the permission given to the participants of different levels, and means by which to modify the structure of the virtual world. A preliminary implementation was described following this general consideration. The developed prototype was shown to be practically suitable to the test of our virtual environment applied to realistic medical scenes.

We are studying a novel concept of the on-line hospital system using a virtual environment called Hyper Hospital," the Hyper Hospital" is a medical care system which is constructed in a distributed manner to the electronic information network using virtual reality (VR) as a human interface. In the present report, we studied the physiological and psychological responses of healthy subjects induced by the usage of the VR in terms of fatigue. Twenty healthy young male subjects were exposed to the virtual reality system and they performed some psychological tasks with a virtual nurse for 30 minutes. Several parameters of physiological, psychological, and subjective fatigue were measured. None of the physiological or psychological parameters such as urinary catecholamine release, ECG, etc. showed significant fatigue induced by our VR system. However, by using a standard questionnaire, some kinds of subjective fatigue were noted and they were thought to be indicating a direction of improvement for our VR system.

We have developed a Virtual Playground," which allows various activities such as virtual playground and virtual visiting areas for hospitalized children who can not usually go outside. A Virtual Playground system is composed of TV monitors, joysticks, cameras, video transmission devices, and a graphics workstation. In a Virtual Playground environment, children can experience what is impossible or difficult during their stay in a hospital. We have completed a couple of experiments already and discussed its effects.* In our recent work, we also introduced a simple version of the Cave display to the Virtual Playground system.

The Hyper Hospital" is a novel medical care system which will be constructed on an electronic information network. The human interface of the Hyper Hospital based on the modern virtual reality technology is expected to enhance patients' ability to heal by providing computer-supported on-line visual consultations. In order to investigate the effects and features of on-line visual consultations in the Hyper Hospital, we conducted an experiment to clarify the influence of electronic interviews on the talking behavior of interviewees in the context of simulated doctor-patient interactions. Four types of distant-confrontation interviews were made with voluntary subjects and their verbal and non-verbal responses were analyzed from the behavioral point of view. The types of interviews included three types of electronic media-mediated interviews and one of a live face to face interview. There was a tendency in the media-mediated interviews that both the latency and the duration of interviewees' utterances in answering questions increased when they were compared with those of live face to face interviews. These results suggest that the interviewee became more verbose or talkative in the media-mediated interviews than in the live interviews. However, the interviewee's psychological tension was generally augmented in the media-mediated interviews, which was suggested by the delay of the initiation of conversations as compared to the conventional face-to-face interviews. We also discuss the applicability of media-mediated interviews by an electronic doctor which we are studying as a functional unit of our Hyper Hospital, a network based virtual reality space for medical care.

In the modern hospital, the physical or chemical therapeutic procedure is regarded as paramount and psychological or spiritual care is quite frequently put aside. The goal of the Hyper Hospital" is to correct this. The Hyper Hospital is constructed in the computer based electronic network using an alternate reality system, such as the virtual reality system, as the human-machine-human interface. The nodes of the Hyper Hospital belong to a patient and also to a variety of medical care facilities; for example, the out patient office, the nursing care center, the medical examination unit, the operating theater, etc. The Hyper Hospital space consists of various kind of spaces including the alternate reality space owned and exclusively controlled by the patient himself or herself, and even the real space as well. Most of the physical contact, such as the visit to the out patient office by the patient, is actualized by the electronic connection of the patient private space and the public space of the hospital system. Prescription drugs, special care, and even the admission to the ward will be integrated into the distributed electronic network. To realize such a system, we need to solve many problems, such as the research on the network oriented architecture of the alternate reality, the development of human-machine interface particularly fitted to various disabilites, the study of the behavior of normal and diseased people, etc. The concept of the Hyper Hospital we are proposing is believed to be a new paradigm of the next generation of medical care.