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The report also found inappropriate access to emergency ultrasound on the ward where Savita was treated and inadequacies in the workforce to deal with patient casemix on the ward, which it said was an unsuitable environment to effectively care for patients at risk of clinical deterioration.
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He said: ''In each and every case, these terrorist incidents, some of which ended up in the courts, some of which were destructed before that stage, would not have been identified at least in material part but for the ability to intercept the relevant emails or other communications of the individuals concerned.''
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