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In group 3, an increase in mitral A a and tricuspid A a , and a reduction in mitral E a /A a ratio, tricuspid E a , and tricuspid E a /A a ratio were observed after sequential caffeine assumption and cigarette smoking (Figures 3, 4, bottom panels)
When conducting root cause analysis of any such issue, the facilitator anticipates that the group may disagree about the problems and writes down all three responses without judging or evaluating any of them
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