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3. Improvement in visual acuity in chronic aphakic and pseudophakic cystoid macular edema after treatment with topical 0.5 percent ketorolac tromethamine

Author

Flach, Allan J., Jampol, Lee M., Weinberg, David, Kraff, Manus C., Yannuzzi, Lawrence A., Campo, Randy V., Neumann, Albert C., Cupples, Howard P., Lefler, W. Hampton, Pulido, Jose S., and Lavelle, Caroline

Subjects
Eye diseases -- Drug therapy, Cataract -- Complications, Retinal diseases -- Drug therapy, Ketorolac -- Evaluation, Health
Abstract

Ketorolac tromethamine 0.5% ophthalmic solution treatment was compared to placebo treatment in 120 patients with chronic aphakic or pseudophakic cystoid macular edema (six-month or more duration of distance visual acuity of 20/40 or less and angiographic evidence of cystoid changes) during a four- to five-month double-masked, multicenter study in which patients were randomly assigned. A statistically significant improvement in distance visual acuity (two lines or more) was observed in the ketorolac-treated group as compared to the placebo-treated group after 30 days (P = .038), 60 days (P = .017), and 90 days (P = .008) of treatment. This improvement in visual acuity remained statistically significant one month after cessation of treatment (P = .001). Nine ketorolac-treated patients and two placebo-treated patients demonstrated a decrease in visual acruity one month after treatment was discontinued. Seven of the nine ketorolac-treated patients experienced an improvement in visual acuity after retreatment as compared to none of the placebo-treated patients. This study offers evidence for a more optimistic outlook in the medical treatment of chronic aphakic and pseudophakic cystoid macular edema., Cystoid macular edema is a type of retinopathy caused by leaking microaneurysms (microscopic localized dilatation of a blood vessel wall); this may occur following cataract surgery, which removes the crystalline lens. Cystoid macular edema may be identified by fluorescein angiography, imaging of the blood flow in the eye following intravenous injection of dye. Chronic cystoid edema causes reduced visual acuity. Patients with chronic aphakic (without crystalline lens) and pseudophakic (with intraocular lens in place) cystoid macular edema who were treated for 60 days with ketorolac tromethamine, a new nonsteroid anti-inflammatory medication, showed improvement. A report is presented of a randomized, placebo-controlled study performed to further evaluate the effective of treatment with ketorolac tromethamine on a larger group of patients treated for 90 days. There were 120 patients in the study, all had vision of 20/40 or less. The results after 30, 60 and 90 days all indicated a significant improvement in distance vision (two or more lines on the eye chart) in the patients who received 5 percent ketorolac tromethamine treatment. One month after medication was stopped, the significant improvement in vision remained. One month after treatment was stopped nine ketorolac-treated patients and two placebo-treated patients showed decreased visual acuity. Seven of the nine ketorolac-treated patients improved once medication was restarted; improvement did not occur in the placebo-treated patients, when the placebo was restarted. It is concluded that ketorolac treatment improves vision in chronic symptomatic aphakic or pseudophakic cystoid macular edema. (Consumer Summary produced by Reliance Medical Information, Inc.)

Published
1991

4. Improved detection and referral of patients with diabetic retinopathy by primary care physicians: effectiveness of education

Author

Awh, Carl C., Cupples, Howard P., and Javitt, Jonathan C.

Subjects
Physicians -- Education, Diabetic retinopathy -- Diagnosis, Diabetic retinopathy -- Study and teaching, Health
Abstract

Although early treatment of diabetic retinopathy, a disorder of the eye's retina that is currently the main cause of new cases of legal blindness, can reduce the probability that severe visual loss will result, many patients with this condition never consult an ophthalmologist until it is too late to save their vision. A survey carried out in 1979 indicated that fewer than one third of family physicians and only 40 percent of internists were aware of the results of an important study of diabetic retinopathy that described the available treatments and their effectiveness. A study was carried out to assess the value of a four-hour training course for physicians who were not eye specialists that focused on the recognition and management of diabetic retinopathy. Ten physicians took part, and 20 patients with various degrees of diabetic retinopathy were presented to them. At the beginning of the course, physicians completed questionnaires to indicate their levels of medical training, the degree of confidence they felt when examining their diabetic patients' eyes, and their knowledge of diabetic retinopathy. The course itself consisted of lecture and slide presentations, written material, and direct ophthalmoscopic examination of the patients. The physicians were encouraged to examine their diabetic patients' eyes for 12 days. At the end of that period, they examined 10 new patients with diabetic retinopathy, and took a second examination. Before the course began, only one physician could correctly name a medication for dilating the pupils, and none performed dilated-eye examinations on diabetic patients. The scores on the written examination increased from 49 to 78 percent correct. The increase in correctness of the physicians' scores of patients' degree of retinopathy was slight but significant. Physicians became less likely to fail to detect retinopathy as a result of taking the course. The study showed that a short course can improve physicians' awareness and ability to manage diabetic retinopathy. The results are particularly important, since this is a disease whose course, with timely treatment, can be dramatically slowed. (Consumer Summary produced by Reliance Medical Information, Inc.)

Published
1991

6. The Endophthalmitis Vitrectomy Study

Author

Johnson, Mark W., primary, Doft, Bernard H., additional, Kelsey, Sheryl F., additional, Barza, Michael, additional, Wilson, Louis A., additional, Barr, Charles C., additional, Wisniewski, Stephen R., additional, Vine, Andrew K., additional, Blodi, Barbara A., additional, Elner, Susan G., additional, Johnson, Mark W., additional, Jessup, Laurie M., additional, Khanderia, Sharad, additional, Pierson, Carl L., additional, Willis, Julie, additional, McIver, Frances, additional, Stanley, Sally, additional, Sneed, Scott R., additional, Capone, Antonio, additional, Aaberg, Thomas M., additional, Lim, Jennifer I., additional, Sternberg, Paul, additional, Coffman, Diana S., additional, Moore, Cameile N., additional, Gardner, Susanne K., additional, Nolte, Frederick S., additional, Fremstad, Ann, additional, Gibbs, Deborah, additional, Gilman, James, additional, Swords, Ray, additional, Aguilar, H.Edith, additional, Meredith, Travis A., additional, Lakhanpal, Vinod, additional, Christian, Faith D., additional, Hood, A., additional, Schwalbe, Richard S., additional, Billings, Emery E., additional, Buie, William, additional, Mallonee, James J., additional, Millar, Mary Ann, additional, Verbeek, Sharon, additional, Campochiaro, Peter A., additional, Palardy, Carol B., additional, Reynolds, Lois, additional, Dick, James D., additional, Cain, Dennis, additional, D'Amico, Donald J., additional, Frederick, Albert R., additional, Morley, Michael G., additional, Pesavento, Richard D., additional, Puliafito, Carmen A., additional, Topping, Trexler M., additional, Finn, Susan M., additional, Raymond, Laura A., additional, Baker, Ann Sullivan, additional, Paton, Barbara, additional, Evans, Claudia, additional, Napoli, Jeffrey, additional, Kierman, Christine, additional, Makris, Kathryn, additional, McInnes, Tom, additional, Reidy, Wini T., additional, White, Ruth, additional, Garfinkel, Richard A., additional, Pilkerton, A.Raymond, additional, Frantz, Robert A., additional, Abernathy, Gill B., additional, Barbaccia, Jay G., additional, Ensey, H.Russell, additional, Ormes, Carol A., additional, Park, Choong H., additional, Caplan, Joel, additional, Russell, Kathryn, additional, Toma, Robert, additional, Packo, Kirk H., additional, de Bustros, Serge, additional, Flood, Timothy P., additional, Glazer, Louis, additional, DeAlba, Maggie, additional, Evanich, Evangeline, additional, Montwill, Michael A., additional, Rothman, Jeri J., additional, Ruderman, Gail, additional, Beard, Melodie, additional, Landau, William, additional, Shen, Min H., additional, Gordon, Martha, additional, Graff, Sharon, additional, Kwiatkowski, Kathy, additional, Pappas, Loreen, additional, Bryant, Douglas, additional, Doherty, Don, additional, Morini, Frank, additional, Arredondo, Linda, additional, Garretson, Bruce R., additional, Gerena, Carlos, additional, Hunt, Maureen, additional, Kinnaird, Sharon M., additional, Neri, Toni, additional, Rice, Thomas A., additional, Novak, Michael A., additional, Rowe, Pamela S., additional, Jamieson, Scott, additional, Newberry, Deborah, additional, Rech, Glenn R., additional, Dul, Michael J., additional, Kinser, Livia, additional, Strozewski, Krystyna, additional, Clark-Rath, Susan, additional, DeLisio, Marty, additional, Dempsey, David L., additional, Kukula, Donna, additional, Pinter-Smith, Anne, additional, Smith-Brewer, Sheila, additional, Ludwig, Tracey, additional, Chambers, Robert B., additional, Davidorf, Frederick H., additional, Taylor, Cindy S., additional, Hale, Karen N., additional, Buesching, William J., additional, Chaudhuri, Chhanda, additional, Cover, Nanci J., additional, Shortlidge, Gail R., additional, Keating, Michael J., additional, Savage, Scott J., additional, Andrzejewska, Paula, additional, Cometet, Susan, additional, Milliron, Jill D., additional, Richmond, Rob, additional, Schneider, Lori, additional, Weisenberger, Debra, additional, Cantrill, Herbert L., additional, Ramsay, Robert C., additional, Brallier, Amy B., additional, Johnson, Timothy P., additional, Rossing, Edith E., additional, Knauth, Kathleen A., additional, Monahan, Martha M., additional, Oestreich, Neal W., additional, Clark, Kenneth F., additional, Glennen, Anita M., additional, Yarian, David L., additional, Green, Stuart N., additional, Leff, Steven R., additional, Masciulli, Leo, additional, Lucido, Margaret M., additional, Ludwig, Edward J., additional, Marano, Charlotte L., additional, Peters, Linda, additional, Joho, Kim, additional, Volkert, Doris C., additional, Andersen, Finn, additional, Coffey, Donna, additional, Schlosser, Alex, additional, Honeywell, Ann, additional, Mames, Robert N., additional, Driebe, William T., additional, Stern, George A., additional, Francis, Amye, additional, Zam, Z.Suzanne, additional, Cooper, Rhonda, additional, Gaskins, Darla, additional, Shamis, Diana J., additional, Willingham, Melinda, additional, Barker, Kay, additional, Rosa, Harry, additional, Friedman, Scott M., additional, Gardner, Thomas W., additional, Blankenship, George W., additional, Coyle, Carole J., additional, Bero, Christopher J., additional, Halas, Cindy, additional, Schick, Suzanne, additional, Walker, Jean, additional, Cunningham, Denise, additional, Lambert, H.Michael, additional, Clogston, Pamela S., additional, Frady, Pamela M., additional, Gardner, S.Neal, additional, Osato, Michael S., additional, Carr, Louise, additional, Shigley, James, additional, Lopez, Pedro F., additional, Chong, Lawrence P., additional, Frambach, Donald A., additional, CisnerosMargaret^Padilla, Lupe, additional, Yee, Edmond Ming, additional, Nakamura, Tamako, additional, Walonker, A.Frances, additional, Morales, Ronald, additional, Nichols, Tracy, additional, Huete, Maria E., additional, Liggett, Peter E., additional, Ober, Richard R., additional, Quillen-Thomas, Beth, additional, Williams, Mark, additional, Bloom, Steven M., additional, Greene, Pamela J., additional, Whittington, Greg K., additional, Martin, Mark E., additional, Watson, Glen, additional, Jenkins-Curry, Betty, additional, Gilkey, Leigh A., additional, Huelsman, Steven, additional, Han, Dennis P., additional, Burton, Thomas C., additional, Mieler, William F., additional, Pulido, Jose S., additional, Reeser, Frederick H., additional, Newman, Janet L., additional, Werner, Kathy A., additional, Pisarzewicz, Paul J., additional, Reinerio, Nina A., additional, Walloch, Mary Lee K., additional, Wilmer, Zuzana, additional, Laabs, Jan, additional, Picchiottino, Ruth, additional, Phillips, Jim, additional, Wipplinger, Walter, additional, Abrams, Gary W., additional, Jurkiewicz, Dale T., additional, Leet, Margaret L., additional, Mandel, Paul, additional, Metzger, Kim, additional, Suchla, Lori, additional, Zarling, Denise, additional, Balles, Mark W., additional, Ryan, Edwin H., additional, Knobloch, William H., additional, Cook, Sally M., additional, Luke, Darlette G., additional, Ferrieri, Patricia, additional, Schiminsky, Norynne M., additional, Genia, Anne, additional, Philiph, David A., additional, Stinson, Elizabeth K., additional, Wright, Linda M., additional, McMichael, William C., additional, Mielke, Sandy J., additional, Ponwith, Lisa J., additional, Pavan, Peter Reed, additional, Pautler, Scott E., additional, Coats, Marion L., additional, Kirk, Nancy M., additional, Millard, Sharon M., additional, Castellano, Frank C., additional, Edwards, Charlotte R., additional, Marquardt, Angela, additional, McCormack, Amy J., additional, McCormick, Michael T., additional, Renshaw, Bernard, additional, Restuccia, Angela, additional, Campbell, Monica, additional, Christopher, Nell, additional, Garrett, L.Scott, additional, Halkias, Demetrios G., additional, Hothersall, Kim, additional, Mickler, Karen, additional, Minnick, Thomas S., additional, Burr, Cheryl, additional, Saxon, Wyatt, additional, Arcacha, Miguel A., additional, Carlton, Steve, additional, Edison, Sonya K., additional, Mallis, Marc J., additional, Sayers, Tamre L., additional, Sudds, Thomas W., additional, Tiberia, Robert J., additional, Wolabaugh, Sherry, additional, Bradford, Reagan H., additional, Parke, David W., additional, Wolf, Thomas C., additional, Shofner, Janie M., additional, Tobey, Lee E., additional, Jensen, Harold G., additional, Sanchez, Dinah, additional, Shofner, Janie, additional, Burris, Russell, additional, Drake, Kellie K., additional, Grissom, Kay R., additional, Rowsey, J.James, additional, Wilkinson, Charles P., additional, Brown, Gary C., additional, Benson, William E., additional, Federman, Jay L., additional, Lucier, Alfred C., additional, Maguire, Joseph I., additional, Sarin, Lov K., additional, Shakin, Eric P., additional, Sivalingam, Arunan, additional, Tasman, William, additional, Vander, James F., additional, Ward, Nancy, additional, Weisbecker, Clement A., additional, Agnew, Caroline L., additional, Lambert, Richard, additional, Torner, Terrance, additional, Carlson, Kathy, additional, Franchine, Gerrie, additional, Serfass, Michelle S., additional, Bergren, Robert L., additional, Lobes, Louis A., additional, Olsen, Karl R., additional, Rinkoff, Jeffrey S., additional, Metz, Donna J., additional, Leonard, Margaret N., additional, Karenchak, Lisa M., additional, Kowalski, Regis P., additional, Wellman, Lynn A., additional, Wilcox, Linda A., additional, Campbell, Alan F., additional, Steinberg, David R., additional, Vagstad, Gary L., additional, Flook, Kimberly A., additional, Good, Mary M., additional, Keenen, Beverly J., additional, Mellinger, Kim A., additional, Margherio, Raymond R., additional, Cox, Morton S., additional, Murphy, Patrick L., additional, Trese, Michael T., additional, Werner, Jane C., additional, Williams, George A., additional, Manatrey, Patricia E., additional, Prote, Janet L., additional, Lucarotti, Richard, additional, Martin, Susan, additional, Band, Jeff, additional, Bostic, Grace, additional, Gumming, Kristi, additional, Mitchell, Beth, additional, Regan, Virginia S., additional, Bridges, Craig, additional, Cox, Sam, additional, Houston, Gary, additional, Johnson, John, additional, Streasik, Pat, additional, Wood, Betty, additional, Blumenkranz, Mark S., additional, Cayo, Lisa, additional, Kaye, Virginia, additional, Valenzuela, Carmen Luz, additional, Orgel, Ira K., additional, Poliner, Lon S., additional, Tornambe, Paul E., additional, Cannon, Sarah V., additional, Nielsen, Janet L., additional, Carlson, Anne, additional, Chan, Pauline, additional, Drake, Lynne, additional, Grim, Martha, additional, Peterson, Corky, additional, Borg, Lynn A., additional, Gillyatt, Joann, additional, Beyer, Conny, additional, Hammer, Mark E., additional, Grizzard, W.Sanderson, additional, Shannon, Theresa L., additional, Traynom, Janet R., additional, Collado, Melinda J., additional, McManus, Dennis W., additional, Sweeney, Daniel E., additional, Adams, Donald H., additional, Watson, Thomas T., additional, Antworth, Michael V., additional, Araos, Johanna Glacy, additional, Greenwald, Mark A., additional, Habib, Mohsen, additional, Myers, Sandra K., additional, Ockers, Karen M., additional, Thibodeau, Judy-Ann, additional, Watkins, Brett, additional, Nelsen, Philip T., additional, Rosenthal, J.Gregory, additional, Mintz, Fay V., additional, Biedenbach, Michael, additional, Leonardy, Nicholas J., additional, Lawniczak, Sue M., additional, Bork, Chuck, additional, Hageage, George, additional, Hunter, Evelyn B., additional, Marshall, MarLynn J., additional, Roman, Patricia, additional, Hill, Rick, additional, Hofbauer, Thomas, additional, Lemanowicz, Jack, additional, Cupples, Howard P., additional, Guzman, Gladys I., additional, Brodeur, Richard J., additional, Yee, Donald, additional, Delaha, Edward C., additional, Geyer, Stanley L., additional, Slovis, Stacey, additional, Shields, William J., additional, Lauber, Susan, additional, Michelitsch, Karl, additional, Kassoff, Aaron, additional, Watling, Sharon, additional, Buehler, JoAnne C., additional, McVay, Jeffrey, additional, Podobinski, Gale K., additional, Sillett, Robert L., additional, Groer, Shirley, additional, Avery, Brian, additional, Belle, Steven H., additional, Boles, James, additional, Henry, Linda, additional, Shema, Sarah J., additional, Titus-Emstoff, Linda, additional, Davis, Matthew, additional, Magli, Yvonne L., additional, Hubbard, Larry, additional, Thomas, Suzanne, additional, Everett, Donald F., additional, Mowery, Richard, additional, Everett, Donald, additional, Davis, Kathryn, additional, Azen, Stanley, additional, Covey, Preston, additional, McCuen, Brooks, additional, Packer, Andrew, additional, and Robin, Jeffrey, additional

Published
1997
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7. Improvement in Visual Acuity in Chronic Aphakic and Pseudophakic Cystoid Macular Edema After Treatment With Topical 0.5% Ketorolac Tromethamine

Author

Flach, Allan J., primary, Jampol, Lee M., additional, Weinberg, David, additional, Kraff, Manus C., additional, Yannuzzi, Lawrence A., additional, Campo, Randy V., additional, Neumann, Albert C., additional, Cupples, Howard P., additional, Lefler, W. Hampton, additional, Pulido, Jose S., additional, and Lavelle, Caroline, additional

Published
1991
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11. Sympathetic Ophthalmia After Pars Plana Vitrectomy-Lensectomy for Endogenous Bacterial Endophthalmitis

Author

Croxatto, Juan O., Galentine, Paul, Cupples, Howard P., Harper, David, Reader, August, and Zimmerman, Lorenz E.

Abstract

A 71-year-old woman developed an endogenous bacterial endophthalmitis in her right eye. Because of the rapid progression she was treated by pars plana vitrectomy-lensectomy and with antibiotics and corticosteroids. The patient improved after the antibiotic therapy. One month later she had a recurrence of the inflammatory signs in the same eye. Examination disclosed lens remnants in the vitreous. Because of the possibility of phacoallergic uveitis, she underwent a second vitrectomy. The corticosteroid dosage was increased. She did well until three months later when, while still taking corticosteroids, she noted loss of visual acuity in the left eye, accompanied by bilateral inflammatory signs. Sympathetic ophthalmia was suspected and the blind right eye was enucleated. The choroid was grossly unremarkable; the routine sections disclosed many inconspicuous foci of mononuclear infiltration. Tangential sections of flat-embedded choroid, however, showed ill-defined nests of epithelioid cells containing phagocytosed melanin, supporting the diagnosis of sympathetic ophthalmia. To our knowledge, this is the first published report of this complication after pars plana vitrectomy-lensectomy in the absence of nonsurgical trauma or other surgical procedures.

Published
1981
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12. Update of Ocular Reticulum Cell Sarcoma

Author

Sloas, Harold A., Starling, Jay, Harper, David G., and Cupples, Howard P.

Abstract

• Reticulum cell sarcoma involving the vitreous and the brainstem occurred in a 45-year-old man. He initially was seen with diplopia from a partial left-sided third cranial nerve palsy, which is rare. Later, a typical uveitis developed in the right eye. An initial diagnosis of brainstem glioma, based primarily on the computed tomographic scan findings and clinical history, was ultimately proved erroneous when the correct diagnosis was shown by the results of a cytologic examination of a vitreous aspirate. Excellent visual response to a moderately high oral dose of steroids occurred, which has not been usual in other reported cases. Definitive cobalt (gamma) radiation therapy (6,000 rad to the brainstem and 4,000 rad to the vitreous) has produced a one-year remission at this time.

Published
1981
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13. Bilateral Retinal Detachment Following Cytomegalovirus Retinitis

Author

Broughton, Warren L., Cupples, Howard P., and Parver, Leonard M.

Abstract

• Bilateral retinal detachments developed in a renal allograft patient several months after the onset of cytomegalovirus retinitis. Laser photocoagulation was used to limit the posterior extent of one detachment until the detachment was surgically repaired. The thinned, atrophic retina that results from the necrotizing retinitis makes localization of retinal holes difficult and, in this case, contributed to the initial impression that these detachments were nonrhegmatogenous in origin.

Published
1978
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14. The Endophthalmitis Vitrectomy Study: Relationship Between Clinical Presentation and Microbioloaic Spectrum

Author

Vine, Andrew K., Blodi, Barbara A., Elner, Susan G., Johnson, Mark W., Jessup, Laurie M., Khanderia, Sharad, Pierson, Carl L., Willis, Julie, McIver, Frances, Stanley, Sally, Sneed, Scott R., Capone, Antonio, Jr., Aaberg, Thomas M., Lim, Jennifer I., Sternberg, Paul, Jr., Coffman, Diana S., Moore, Cameile N., Gardner, Susanne K., Nolte, Frederick S., Fremstad, Ann, Gibbs, Deborah, Gilman, James, Swords, Ray, Aguilar, H.Edith, Meredith, Travis A., Lakhanpal, Vinod, Christian, Faith D., Hood, A., Schwalbe, Richard S., Billings, Emery E., Buie, William, Jr., Mallonee, James J., Jr., Millar, Mary Ann, Verbeek, Sharon, Campochiaro, Peter A., Palardy, Carol B., Reynolds, Lois, Dick, James D., Cain, Dennis, D'Amico, Donald J., Frederick, Albert R., Jr., Morley, Michael G., Pesavento, Richard D., Puliafito, Carmen A., Topping, Trexler M., Finn, Susan M., Raymond, Laura A., Baker, Ann Sullivan, Paton, Barbara, Evans, Claudia, Napoli, Jeffrey, Kierman, Christine, Makris, Kathryn, McInnes, Tom, Reidy, Wini T., White, Ruth, Garfinkel, Richard A., Pilkerton, A.Raymond, Frantz, Robert A., Abernathy, Gill B., Barbaccia, Jay G., Ensey, H.Russell, Ormes, Carol A., Park, Choong H., Caplan, Joel, Russell, Kathryn, Toma, Robert, Packo, Kirk H., de Bustros, Serge, Flood, Timothy P., Glazer, Louis, DeAlba, Maggie, Evanich, Evangeline, Montwill, Michael A., Rothman, Jeri J., Ruderman, Gail, Beard, Melodie, Landau, William, Shen, Min H., Gordon, Martha, Graff, Sharon, Kwiatkowski, Kathy, Pappas, Loreen, Bryant, Douglas, Doherty, Don, Morini, Frank, Arredondo, Linda, Garretson, Bruce R., Gerena, Carlos, Hunt, Maureen, Kinnaird, Sharon M., Neri, Toni, Rice, Thomas A., Novak, Michael A., Rowe, Pamela S., Jamieson, Scott, Newberry, Deborah, Rech, Glenn R., Dul, Michael J., Kinser, Livia, Strozewski, Krystyna, Clark-Rath, Susan, DeLisio, Marty, Dempsey, David L., Kukula, Donna, Pinter-Smith, Anne, Smith-Brewer, Sheila, Ludwig, Tracey, Chambers, Robert B., Davidorf, Frederick H., Taylor, Cindy S., Hale, Karen N., Buesching, William J., Chaudhuri, Chhanda, Cover, Nanci J., Shortlidge, Gail R., Keating, Michael J., Savage, Scott J., Andrzejewska, Paula, Cometet, Susan, Milliron, Jill D., Richmond, Rob, Schneider, Lori, Weisenberger, Debra, Cantrill, Herbert L., Ramsay, Robert C., Brallier, Amy B., Johnson, Timothy P., Rossing, Edith E., Knauth, Kathleen A., Monahan, Martha M., Oestreich, Neal W., Clark, Kenneth F., Glennen, Anita M., Yarian, David L., Green, Stuart N., Leff, Steven R., Masciulli, Leo, Lucido, Margaret M., Ludwig, Edward J., Marano, Charlotte L., Peters, Linda, Joho, Kim, Volkert, Doris C., Andersen, Finn, Coffey, Donna, Schlosser, Alex, Honeywell, Ann, Mames, Robert N., Driebe, William T., Jr., Stern, George A., Francis, Amye, Zam, Z.Suzanne, Cooper, Rhonda, Gaskins, Darla, Shamis, Diana J., Willingham, Melinda, Barker, Kay, Rosa, Harry, Friedman, Scott M., Gardner, Thomas W., Blankenship, George W., Coyle, Carole J., Bero, Christopher J., Halas, Cindy, Schick, Suzanne, Walker, Jean, Cunningham, Denise, Lambert, H.Michael, Clogston, Pamela S., Frady, Pamela M., Gardner, S.Neal, Osato, Michael S., Carr, Louise, Shigley, James, Lopez, Pedro F., Chong, Lawrence P., Frambach, Donald A., CisnerosMargaret^Padilla, Lupe, Yee, Edmond Ming, Nakamura, Tamako, Walonker, A.Frances, Morales, Ronald, Nichols, Tracy, Huete, Maria E., Liggett, Peter E., Ober, Richard R., Quillen-Thomas, Beth, Williams, Mark, Barr, Charles C., Bloom, Steven M., Greene, Pamela J., Whittington, Greg K., Martin, Mark E., Watson, Glen, Jenkins-Curry, Betty, Gilkey, Leigh A., Huelsman, Steven, Han, Dennis P., Burton, Thomas C., Mieler, William F., Pulido, Jose S., Reeser, Frederick H., Newman, Janet L., Werner, Kathy A., Pisarzewicz, Paul J., Reinerio, Nina A., Walloch, Mary Lee K., Wilmer, Zuzana, Laabs, Jan, Picchiottino, Ruth, Phillips, Jim, Wipplinger, Walter, Abrams, Gary W., Jurkiewicz, Dale T., Leet, Margaret L., Mandel, Paul, Metzger, Kim, Suchla, Lori, Zarling, Denise, Balles, Mark W., Ryan, Edwin H., Jr., Knobloch, William H., Cook, Sally M., Luke, Darlette G., Ferrieri, Patricia, Schiminsky, Norynne M., Genia, Anne, Philiph, David A., Stinson, Elizabeth K., Wright, Linda M., McMichael, William C., Mielke, Sandy J., Ponwith, Lisa J., Pavan, Peter Reed, Pautler, Scott E., Coats, Marion L., Kirk, Nancy M., Millard, Sharon M., Castellano, Frank C., Edwards, Charlotte R., Marquardt, Angela, McCormack, Amy J., McCormick, Michael T., Renshaw, Bernard, Restuccia, Angela, Campbell, Monica, Christopher, Nell, Garrett, L.Scott, Halkias, Demetrios G., Hothersall, Kim, Mickler, Karen, Minnick, Thomas S., Burr, Cheryl, Saxon, Wyatt, Arcacha, Miguel A., Jr., Carlton, Steve, Edison, Sonya K., Mallis, Marc J., Sayers, Tamre L., Sudds, Thomas W., Tiberia, Robert J., Wolabaugh, Sherry, Bradford, Reagan H., Jr., Parke, David W., II, Wolf, Thomas C., Shofner, Janie M., Tobey, Lee E., Jensen, Harold G., Sanchez, Dinah, Shofner, Janie, Burris, Russell, Drake, Kellie K., Grissom, Kay R., Rowsey, J.James, Wilkinson, Charles P., Brown, Gary C., Benson, William E., Federman, Jay L., Lucier, Alfred C., Maguire, Joseph I., Sarin, Lov K., Shakin, Eric P., Sivalingam, Arunan, Tasman, William, Vander, James F., Ward, Nancy, Weisbecker, Clement A., Agnew, Caroline L., Lambert, Richard, Torner, Terrance, Carlson, Kathy, Franchine, Gerrie, Serfass, Michelle S., Doft, Bernard H., Bergren, Robert L., Lobes, Louis A., Jr., Olsen, Karl R., Rinkoff, Jeffrey S., Metz, Donna J., Leonard, Margaret N., Karenchak, Lisa M., Kowalski, Regis P., Wellman, Lynn A., Wilcox, Linda A., Campbell, Alan F., Steinberg, David R., Vagstad, Gary L., Flook, Kimberly A., Good, Mary M., Keenen, Beverly J., Mellinger, Kim A., Margherio, Raymond R., Cox, Morton S., Jr., Murphy, Patrick L., Trese, Michael T., Werner, Jane C., Williams, George A., Manatrey, Patricia E., Prote, Janet L., Lucarotti, Richard, Martin, Susan, Band, Jeff, Bostic, Grace, Gumming, Kristi, Mitchell, Beth, Regan, Virginia S., Bridges, Craig, Cox, Sam, Houston, Gary, Johnson, John, Streasik, Pat, Wood, Betty, Blumenkranz, Mark S., Cayo, Lisa, Kaye, Virginia, Valenzuela, Carmen Luz, Orgel, Ira K., Poliner, Lon S., Tornambe, Paul E., Cannon, Sarah V., Nielsen, Janet L., Carlson, Anne, Chan, Pauline, Drake, Lynne, Grim, Martha, Peterson, Corky, Borg, Lynn A., Gillyatt, Joann, Beyer, Conny, Hammer, Mark E., Grizzard, W.Sanderson, Shannon, Theresa L., Traynom, Janet R., Collado, Melinda J., McManus, Dennis W., Sweeney, Daniel E., Adams, Donald H., Jr., Watson, Thomas T., Antworth, Michael V., Araos, Johanna Glacy, Greenwald, Mark A., Habib, Mohsen, Myers, Sandra K., Ockers, Karen M., Thibodeau, Judy-Ann, Watkins, Brett, Nelsen, Philip T., Rosenthal, J.Gregory, Mintz, Fay V., Biedenbach, Michael, Leonardy, Nicholas J., Lawniczak, Sue M., Bork, Chuck, Hageage, George, Hunter, Evelyn B., Marshall, MarLynn J., Roman, Patricia, Hill, Rick, Hofbauer, Thomas, Lemanowicz, Jack, Cupples, Howard P., Guzman, Gladys I., Brodeur, Richard J., Yee, Donald, Delaha, Edward C., Geyer, Stanley L., Slovis, Stacey, Shields, William J., Lauber, Susan, Michelitsch, Karl, Barza, Michael, Kassoff, Aaron, Watling, Sharon, Wilson, Louis A., Buehler, JoAnne C., McVay, Jeffrey, Kelsey, Sheryl F., Wisniewski, Stephen R., Podobinski, Gale K., Sillett, Robert L., Groer, Shirley, Avery, Brian, Belle, Steven H., Boles, James, Henry, Linda, Shema, Sarah J., Titus-Emstoff, Linda, Davis, Matthew, Magli, Yvonne L., Hubbard, Larry, Thomas, Suzanne, Everett, Donald F., Mowery, Richard, Everett, Donald, Davis, Kathryn, Azen, Stanley, Covey, Preston, McCuen, Brooks, Packer, Andrew, and Robin, Jeffrey

Published
1997
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