. . . eng . . april 2005 (12) .the presumptive leader is not defined, which leads to uncertainty and delays when leadership and action is needed,'' the report says. .mr mcgurgan found that one nurse had added to her original account of what had happened on the ward on the morning of july 16, 2016 to state that "the cot sides were up". https://grassfed.us/Bernand-grandma-of-Kearse-from-Bremen . .araka haron .