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The crowded tram was travelling in the centre of Milan at rush hour when it appeared to crash into the side of a building.
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The latest attacks by Pakistan follow months of clashes between the two countries. despite agreeing to a fragile ceasefire in October.
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Bombings by Pakistan are the most significant development in tensions between the two neighbours - though the physical impact remains unclear.
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Will a worsening internal crisis create the conditions for the Cuban Revolution to unravel from within?
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President Trump said he was not happy with Iran's stance, but had not yet decided whether to attack.