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We sit in a small, dim room off the main hall. Mr. Elya’s hands are trembling. As he tells his story, he stares at a spot on the wall, speaking haltingly, as if long sentences are too much effort. Elya is a young pediatrician in Naga Hammadi, a community of farmers and aluminum plant workers in southern Egypt along the Nile River. As he drove home from his clinic one night in April, masked men stopped his car, grabbed him at gunpoint, and beat him unconscious.

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ADivision of General Practice, University of Nottingham, Nottingham NG7 2RD, bQuality Unit, Royal College of General Practitioners, London SW7 1PU, cDirector’s Centre for Quality of Care Research (WOK), Nijmegen University, Netherlands PO Box 9101, 6500 HB Nijmegen, NetherlandsAll agree that we need to measure the quality of health care, including the care given by individual doctors. Measuring requires accurate data used appropriately, and it must be done without demoralising and demotivating staff. Do current measures fulfil these requirements, and if not, what measures should be used?

A Swift lookAlthough still quite far from the sun and very faint, the comet has been imaged by two orbiting observatories. Astronomers from the University of Maryland at College Park and Lowell Observatory used NASA’s Swift satellite to check out the comet during January and February. Using images acquired from Swift’s Ultraviolet/Optical Telescope, the team was able to make initial estimates of the comet’s water and dust production and then used these values https://www.uggsingapore.nu to determine the size of ISON’s icy nucleus.

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