that the nursing sisters of a French asylum recognized that a patient's behaviour seemed to be that of an epileptic, but she does notfall. 'Les religieuses me disent: "elle est mechante comme une epileptique, mais elle ne tombe pas." ' The revision has taken into account such concepts as psychomotor epilepsy and temporal lobe epilepsy, 'which were as yet rare or non-existent at the writing of t...

From the viewpoint of the medical founders, although not necessarily of their non-professional colleagues, one of the main objectives of the new hospitals was to facilitate the study of diseases of childhood. Continental experience indicated that specialized institutions provided unrivalled opportunity to advance knowledge of the clinical course and pathology of illness. An honest appraisal wou...

The control of unintended variation is an objective central to modern industrial quality management methods, based largely on the theoretical work of Walter A. Shewhart. As industrial quality management techniques find their place in health care, professionals may feel threatened by the effort to reduce variation. Understanding may reduce this fear. Variation of the types addressed in quality c...