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1. Formulation of Quality Improvement Methodology for Risk Mitigation in Congenital Cardiac Catheterization

Author

Yeh, Mary J., Bjornlund, Elsa, Gauvreau, Kimberlee, Ali, Fatima, Aslam, Nadeem, Batlivala, Sarosh P., Berman, Darren, Bocks, Martin L., Chenault, Kristin, Doyle, Thomas, Gudausky, Todd, Hainstock, Michael, Holzer, Ralf, Ibla, Juan, O’Byrne, Michael L., Quinn, Brian P., Shahanavaz, Shabana, Sharma, Ruchik, Trucco, Sara M., Whiteside, Wendy, Bergersen, Lisa, and Armstrong, Aimee K.

Published
2025
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2. Contributors

Author

Abrams, Dominic J., primary, Alexander, Mark E., additional, Alexander, Peta M.A., additional, Allan, Catherine, additional, Baird, Christopher W., additional, Bergersen, Lisa, additional, Beroukhim, Rebecca, additional, Bevilacqua, Laura M., additional, Bezzerides, Vassilios, additional, Blume, Elizabeth D., additional, Breitbart, Roger E., additional, Brown, David W., additional, Callahan, Ryan, additional, Carreon, Chrystalle Katte, additional, Castellanos, Daniel A., additional, Chen, Ming Hui, additional, Cheng, Henry, additional, Colan, Steven D., additional, Daly, Kevin P., additional, de Ferranti, Sarah D., additional, del Nido, Pedro J., additional, DeWitt, Elizabeth, additional, DiNardo, James, additional, Dionne, Audrey, additional, Emani, Sitaram M., additional, Esch, Jesse J., additional, Esteso, Paul, additional, Feins, Eric N., additional, Freed, Michael D., additional, Friedman, Kevin, additional, Fulton, David R., additional, Fynn-Thompson, Francis, additional, Garbern, Jessica C., additional, Garcia-Mancebo, Julia, additional, Gauthier, Naomi, additional, Geggel, Robert L., additional, Geisser, Diana L., additional, Gellis, Laura, additional, Geva, Tal, additional, Ghbeis, Muhammad Bakr, additional, Ghelani, Sunil J., additional, Goldberg, Sarah W., additional, Gurvitz, Michelle, additional, Hames, Daniel L., additional, Harrild, David M., additional, Hartz, Jacob, additional, Hickey, Patricia, additional, Hoganson, David, additional, Jenkins, Kathy, additional, Kane, David, additional, Kaza, Aditya K., additional, Kheir, John N., additional, Kumar, R. Krishna, additional, Kwon, Michael H., additional, Lacro, Ronald V., additional, Landzberg, Michael J., additional, Lang, Peter, additional, LaRovere, Joan M., additional, Levine, Jami, additional, Lock, James Ernest, additional, Lyon, Shannon, additional, Mah, Douglas Y., additional, Marx, Gerald R., additional, Maschietto, Nicola, additional, Matte, Gregory S., additional, Mayer, John E., additional, Mills, Kimberly I., additional, Mistry, Kshitij, additional, Mullen, Mary P., additional, Nasr, Viviane G., additional, Nathan, Meena, additional, Newburger, Jane W., additional, O’Brien, Patricia, additional, O’Brien, Sharon E., additional, O’Leary, Edward T., additional, Porras, Diego, additional, Powell, Andrew J., additional, Prakash, Ashwin, additional, Pu, William T., additional, Quiat, Daniel, additional, Quinn, Brian, additional, Quinonez, Luis, additional, Rathod, Rahul H., additional, Rhodes, Jonathan, additional, Roberts, Amy E., additional, Rodriguez-Monserrate, Carla P., additional, Ronai, Christina, additional, Saia, Theresa, additional, Saleeb, Susan F., additional, Salvin, Joshua W., additional, Sanders, Stephen P., additional, Schidlow, David, additional, Shafer, Keri M., additional, Siegel, Bryan D., additional, Singh, Michael N., additional, Singh, Tajinder, additional, Teele, Sarah A., additional, Thiagarajan, Ravi R., additional, Triedman, John K., additional, Tworetzky, Wayne, additional, Valente, Anne Marie, additional, VanderPluym, Christina, additional, Walsh, Edward P., additional, Wu, Fred Ming-Chieh, additional, and Yin, Suellen, additional

Published
2025
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4. Changes in Practice/Outcomes of Pediatric/Congenital Catheterization in Response to the First Wave of COVID.

Author

Quinn, Brian, Barry, Oliver, Batlivala, Sarosh, Boe, Brian, Glatz, Andrew, Gauvreau, Kimberlee, Goldstein, Bryan, Gudausky, Todd, Hainstock, Michael, Holzer, Ralf, Nicholson, George, Trucco, Sara, Whiteside, Wendy, Yeh, Mary, Bergersen, Lisa, and OByrne, Michael

Subjects
AE, adverse events, C3PO, Cardiac Catheterization Project on Outcomes Registry, FTR, failure to rescue, HSAE, high-severity adverse events, PCCL, pediatric/congenital catheterization laboratory, catheterization, health services research, outcomes research, pediatric cardiology
Abstract

BACKGROUND: The COVID-19 pandemic has posed tremendous stress on the health care system. Its effects on pediatric/congenital catheterization program practice and performance have not been described. OBJECTIVES: The purpose of this study was to evaluate how case volumes, risk-profile, and outcomes of pediatric/congenital catheterization procedures changed in response to the first wave of COVID-19 and after that wave. METHODS: A multicenter retrospective observational study was performed using Congenital Cardiac Catheterization Project on Outcomes Registry (C3PO) data to study changes in volume, case mix, and outcomes (high-severity adverse events [HSAEs]) during the first wave of COVID (March 1, 2020, to May 31, 2020) in comparison to the period prior to (January 1, 2019, to February 28, 2020) and after (June 1, 2020, to December 31, 2020) the first wave. Multivariable analyses adjusting for case type, hemodynamic vulnerability, and age group were performed. Hospital responses to the first wave were captured with an electronic study instrument. RESULTS: During the study period, 12,557 cases were performed at 14 C3PO hospitals (with 8% performed during the first wave of COVID and 32% in the postperiod). Center case volumes decreased from a median 32.1 cases/month (IQR: 20.7-49.0 cases/month) before COVID to 22 cases/month (IQR: 13-31 cases/month) during the first wave (P = 0.001). The proportion of cases with risk factors for HSAE increased during the first wave, specifically proportions of infants and neonates (P

Published
2022

5. Procedural Risk in Congenital Cardiac Catheterization (PREDIC3T).

Author

Quinn, Brian, Yeh, Mary, Gauvreau, Kimberlee, Ali, Fatima, Balzer, David, Barry, Oliver, Batlivala, Sarosh, Berman, Darren, Foerster, Susan, Goldstein, Bryan, Hainstock, Michael, Holzer, Ralf, Janssen, Dana, OByrne, Michael, Shirley, Lauren, Trucco, Sara, Whiteside, Wendy, and Bergersen, Lisa

Subjects
comparative effectiveness/patient‐centered outcomes research, congenital heart disease, pediatric intervention, pediatrics, Cardiac Catheterization, Heart Defects, Congenital, Hemodynamics, Humans, Infant, Odds Ratio, Registries, Risk Assessment, Risk Factors
Abstract

Background Advancements in the field, including novel procedures and multiple interventions, require an updated approach to accurately assess patient risk. This study aims to modernize patient hemodynamic and procedural risk classification through the creation of risk assessment tools to be used in congenital cardiac catheterization. Methods and Results Data were collected for all cases performed at sites participating in the C3PO (Congenital Cardiac Catheterization Project on Outcomes) multicenter registry. Between January 2014 and December 2017, 23 119 cases were recorded in 13 participating institutions, of which 88% of patients were

Published
2022

6. PICS/AEPC/APPCS/CSANZ/SCAI/SOLACI: Expert Consensus Statement on Cardiac Catheterization for Pediatric Patients and Adults With Congenital Heart Disease

Author

Holzer, Ralf J., Bergersen, Lisa, Thomson, John, Aboulhosn, Jamil, Aggarwal, Varun, Akagi, Teiji, Alwi, Mazeni, Armstrong, Aimee K., Bacha, Emile, Benson, Lee, Bökenkamp, Regina, Carminati, Mario, Dalvi, Bharat, DiNardo, James, Fagan, Thomas, Fetterly, Kenneth, Ing, Frank F., Kenny, Damien, Kim, Dennis, Kish, Emily, O’Byrne, Michael, O’Donnell, Clare, Pan, Xiangbin, Paolillo, Joseph, Pedra, Carlos, Peirone, Alejandro, Singh, Harsimran S., Søndergaard, Lars, and Hijazi, Ziyad M.

Published
2024
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7. Catheterization for Congenital Heart Disease Adjustment for Risk Method II

Author

Quinn, Brian P., Gunnelson, Lauren C., Kotin, Sarah G., Gauvreau, Kimberlee, Yeh, Mary J., Hasan, Babar, Lozier, John, Barry, Oliver M., Shahanavaz, Shabana, Batlivala, Sarosh P., Salavitabar, Arash, Foerster, Susan, Goldstein, Bryan, Divekar, Abhay, Holzer, Ralf, Nicholson, George T., O’Byrne, Michael L., Whiteside, Wendy, and Bergersen, Lisa

Published
2024
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10. 2023 ACC/AHA/SCAI advanced training statement on interventional cardiology (coronary, peripheral vascular, and structural heart interventions): A report of the ACC Competency Management Committee

Author

Bass, Theodore A., Abbott, J. Dawn, Mahmud, Ehtisham, Parikh, Sahil A., Aboulhosn, Jamil, Ashwath, Mahi L., Baranowski, Bryan, Bergersen, Lisa, Chaudry, Hannah I., Coylewright, Megan, Denktas, Ali E., Gupta, Kamal, Gutierrez, J. Antonio, Haft, Jonathan, Hawkins, Beau M., Herrmann, Howard C., Kapur, Navin K., Kilic, Sena, Lesser, John, Lin, C. Huie, Mendirichaga, Rodrigo, Nkomo, Vuyisile T., Park, Linda G., Phoubandith, Dawn R., Quader, Nishath, Rich, Michael W., Rosenfield, Kenneth, Sabri, Saher S., Shames, Murray L., Shernan, Stanton K., Skelding, Kimberly A., Tamis-Holland, Jacqueline, Thourani, Vinod H., Tremmel, Jennifer A., Uretsky, Seth, Wageman, Jessica, Welt, Frederick, Whisenant, Brian K., White, Christopher J., Yong, Celina M., Mendes, Lisa A., Arrighi, James A., Breinholt, John P., III, Day, Jennifer, Dec, G. William, Jr., Drajpuch, David, Faza, Nadeen, Francis, Sanjeev A., Hahn, Rebecca T., Housholder-Hughes, Susan D., Khan, Sadiya S., Kondapaneni, Meera Devi, Lee, Kwan S., Hussain Mahar, Jamal, McConnaughey, Shannon, Niazi, Khusrow, Pearson, Dorothy D., Punnoose, Lynn R., Reejhsinghani, Risheen S., Ryan, Thomas, Silvestry, Frank E., Solomon, Michael A., Spicer, Robert L., Weissman, Gaby, and Werns, Steven W.

Published
2023
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20. Adjusting for Risk Associated With Pediatric and Congenital Cardiac Catheterization: A Report From the NCDR IMPACT Registry.

Author

Jayaram, Natalie, Beekman, Robert, Benson, Lee, Holzer, Ralf, Jenkins, Kathy, Kennedy, Kevin, Martin, Gerard, Moore, John, Ringel, Richard, Rome, Jonathan, Spertus, John, Vincent, Robert, and Bergersen, Lisa

Subjects
catheterization, heart defects, congenital, risk factors, Adolescent, Cardiac Catheterization, Child, Child, Preschool, Cohort Studies, Female, Heart Defects, Congenital, Humans, Infant, Infant, Newborn, Male, Pediatrics, Registries, Research Report, Risk Factors, United States, Young Adult
Abstract

BACKGROUND: As US health care increasingly focuses on outcomes as a means for quantifying quality, there is a growing demand for risk models that can account for the variability of patients treated at different hospitals so that equitable comparisons between institutions can be made. We sought to apply aspects of prior risk-standardization methodology to begin development of a risk-standardization tool for the National Cardiovascular Data Registry (NCDR) IMPACT (Improving Pediatric and Adult Congenital Treatment) Registry. METHODS AND RESULTS: Using IMPACT, we identified all patients undergoing diagnostic or interventional cardiac catheterization between January 2011 and March 2013. Multivariable hierarchical logistic regression was used to identify patient and procedural characteristics predictive of experiencing a major adverse event after cardiac catheterization. A total of 19,608 cardiac catheterizations were performed between January 2011 and March 2013. Among all cases, a major adverse event occurred in 378 of all cases (1.9%). After multivariable adjustment, 8 variables were identified as critical for risk standardization: patient age, renal insufficiency, single-ventricle physiology, procedure-type risk group, low systemic saturation, low mixed venous saturation, elevated systemic ventricular end-diastolic pressure, and elevated main pulmonary artery pressures. The model had good discrimination (C statistic, 0.70), confirmed by bootstrap validation (validation C statistic, 0.69). CONCLUSIONS: Using prior risk-standardization efforts as a foundation, we developed and internally validated a model to predict the occurrence of a major adverse event after cardiac catheterization for congenital heart disease. Future efforts should be directed toward further refinement of the model variables within this large, multicenter data set.

Published
2015

23. PICS/AEPC/APPCS/CSANZ/SCAI/SOLACI: Expert Consensus Statement on Cardiac Catheterization for Pediatric Patients and Adults With Congenital Heart Disease

Author

Holzer, Ralf J., primary, Bergersen, Lisa, additional, Thomson, John, additional, Aboulhosn, Jamil, additional, Aggarwal, Varun, additional, Akagi, Teiji, additional, Alwi, Mazeni, additional, Armstrong, Aimee K., additional, Bacha, Emile, additional, Benson, Lee, additional, Bökenkamp, Regina, additional, Carminati, Mario, additional, Dalvi, Bharat, additional, DiNardo, James, additional, Fagan, Thomas, additional, Fetterly, Kenneth, additional, Ing, Frank F., additional, Kenny, Damien, additional, Kim, Dennis, additional, Kish, Emily, additional, O’Byrne, Michael, additional, O’Donnell, Clare, additional, Pan, Xiangbin, additional, Paolillo, Joseph, additional, Pedra, Carlos, additional, Peirone, Alejandro, additional, Singh, Harsimran S., additional, Søndergaard, Lars, additional, and Hijazi, Ziyad M., additional

Published
2023
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26. Incidence and management of life-threatening adverse events during cardiac catheterization for congenital heart disease.

Author

Lin, C, Hegde, Sanjeet, Marshall, Audrey, Porras, Diego, Gauvreau, Kimberlee, Balzer, David, Beekman, Robert, Torres, Alejandro, Vincent, Julie, Moore, John, Holzer, Ralf, Armsby, Laurie, and Bergersen, Lisa

Subjects
Age Factors, Cardiac Catheterization, Child, Child, Preschool, Critical Care, Critical Illness, Disease Management, Extracorporeal Membrane Oxygenation, Female, Heart Defects, Congenital, Hemodynamics, Humans, Incidence, Infant, Infant, Newborn, Intraoperative Complications, Male, Outcome Assessment, Health Care, Prospective Studies, Quality Improvement, Risk Adjustment, Risk Factors, Safety Management, Severity of Illness Index, United States
Abstract

Continued advancements in congenital cardiac catheterization and interventions have resulted in increased patient and procedural complexity. Anticipation of life-threatening events and required rescue measures is a critical component to preprocedural preparation. We sought to determine the incidence and nature of life-threatening adverse events in congenital and pediatric cardiac catheterization, risk factors, and resources necessary to anticipate and manage events. Data from 8905 cases performed at the 8 participating institutions of the Congenital Cardiac Catheterization Project on Outcomes were captured between 2007 and 2010 [median 1,095/site (range 133-3,802)]. The incidence of all life-threatening events was 2.1 % [95 % confidence interval (CI) 1.8-2.4 %], whereas mortality was 0.28 % (95 % CI 0.18-0.41 %). Fifty-seven life-threatening events required cardiopulmonary resuscitation, whereas 9 % required extracorporeal membrane oxygenation. Use of a risk adjustment model showed that age

Published
2014

27. Safety of percutaneous patent ductus arteriosus closure: an unselected multicenter population experience.

Author

El-Said, Howaida, Bratincsak, Andras, Foerster, Susan, Murphy, Joshua, Vincent, Julie, Holzer, Ralf, Porras, Diego, Moore, John, and Bergersen, Lisa

Subjects
PDA, adverse events, complications, interventional catheterization, safety, Adolescent, Adult, Age Factors, Body Weight, Cardiac Catheterization, Child, Child, Preschool, Ductus Arteriosus, Patent, Female, Humans, Infant, Male, Patient Safety, Patient Selection, Practice Patterns, Physicians, Prospective Studies, Registries, Risk Factors, Treatment Outcome, United States
Abstract

BACKGROUND: The technique and safety of transcatheter patent ductus arteriosus (PDA) closure have evolved during the past 20 years. We sought to report a multicenter experience of PDA closure with a focus on the rate of adverse events (AE) and a review of institutional practice differences. METHODS AND RESULTS: Outcome data on transcatheter PDA closure were collected at 8 centers prospectively using a multicenter registry (Congenital Cardiac Catheterization Project on Outcome Registry). Between February 2007 and June 2010, 496 PDA closures were recorded using a device in 338 (68%) or coils in 158 (32%). Most patients had an isolated PDA (90%). Fifty percent of patients were between 6 months and 3 years old, with only 40 patients (8%) 2 mm (all P1.5 mm. In 9% of cases (n=46), an AE occurred; however, only 11 (2%) were classified as high severity. Younger age was associated with a higher AE rate. Coil-related AEs were more common than device-related AEs (10% versus 2%, P

Published
2013

28. Radiation Risk Categories in Cardiac Catheterization for Congenital Heart Disease: A Tool to Aid in the Evaluation of Radiation Outcomes

Author

Quinn, Brian P., Armstrong, Aimee K., Bauser-Heaton, Holly D., Callahan, Ryan, El-Said, Howaida G., Foerster, Susan R., Goldstein, Bryan H., Goodman, Andrea S., Gudausky, Todd M., Kreutzer, Jacqueline N., Leahy, Ryan A., Petit, Christopher J., Rockefeller, Toby A., Shahanavaz, Shabana, Trucco, Sara M., Bergersen, Lisa, and The Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI)

Published
2019
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34. Longitudinal Improvements in Radiation Exposure in Cardiac Catheterization for Congenital Heart Disease: A Prospective Multicenter C3PO-QI Study

Author

Quinn, Brian P., Cevallos, Priscila, Armstrong, Aimee, Balzer, David, El-said, Howaida, Foerster, Susan, Glatz, Andrew C., Goodman, Andrea, Goldstein, Bryan, Hainstock, Michael, Janssen, Dana, Kreutzer, Jacqueline, Latson, Larry, Leahy, Ryan, Petit, Christopher, Shahanavaz, Shabana, Trucco, Sara, Whiteside, Wendy, Zampi, Jeffrey D., and Bergersen, Lisa

Published
2020
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36. One-Year Outcomes in a Pooled Cohort of Harmony Transcatheter Pulmonary Valve Clinical Trial Participants

Author

Gillespie, Matthew J., primary, McElhinney, Doff B., additional, Jones, Thomas K., additional, Levi, Daniel S., additional, Asnes, Jeremy, additional, Gray, Robert G., additional, Cabalka, Allison K., additional, Fujimoto, Kazuto, additional, Qureshi, Athar M., additional, Justino, Henri, additional, Bergersen, Lisa, additional, Benson, Lee N., additional, Haugan, Daniel, additional, Boe, Brian A., additional, and Cheatham, John P., additional

Published
2023
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37. Pediatric Cardiac Catheterization Databases

Author

Kanter, Joshua P., Bergersen, Lisa, Coombs, Sandra, Forbes, Thomas J., Everett, Allen D., Martin, Gerard R., Barach, Paul R., editor, Jacobs, Jeffery P., editor, Lipshultz, Steven E., editor, and Laussen, Peter C., editor

Published
2015
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38. Aortic Valve Dilation

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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40. Coronary Angiography

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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41. PDA Closure

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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42. Creating Atrial Septal Defects

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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43. Device Closure of Fontan Fenestrations

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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44. RV-PA Conduit Dilation and Stenting

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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45. ASD Device Closure

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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47. Pulmonary Angioplasty

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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48. Hemodynamics

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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49. After the Case

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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50. In the Lab

Author

Bergersen, Lisa, Foerster, Susan, Marshall, Audrey C., Meadows, Jeffery, Bergersen, Lisa, editor, Foerster, Susan, editor, Marshall, Audrey C., editor, and Meadows, Jeffery, editor

Published
2009
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