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                                                                   EXHIBIT 10.19
                                 AMENDMENT NO. 2
                                     TO THE
                              INVESTORS' AGREEMENT
                  This Amendment No. 2, dated as of May 2, 2001 (this "Amendment
No. 2"), as amended to the Amended and Restated Investors' Agreement, dated as
of March 29, 1999 (the "Investors' Agreement"), among (i) ▇▇▇▇▇▇ Scientific
International Inc. (the "Company"), (ii) ▇▇▇▇▇▇ ▇. ▇▇▇ Equity Fund III, L.P.
("THL"), certain individuals associated with THL listed on Schedule I attached
hereto, THL-CCI Limited Partnership ("THL-CCI"), THL Foreign Fund III, L.P. and
THL FSI Equity Investors, L.P. ("THL/FSI" and collectively with THL, the
individuals listed on Schedule I, THL-CCI, and THL Foreign Fund III, L.P., the
"THL Entities"), (iii) DLJ Merchant Banking Partners II, L.P. ("DLJMB"), DLJ
Offshore Partners II, C.V., DLJ Diversified Partners, L.P., DLJMB Funding II,
Inc., DLJ Merchant Banking Partners II - A, L.P., DLJ Diversified Partners - A,
L.P., DLJ Millennium Partners, L.P., DLJ Millennium Partners - A, L.P., UK
Investment Plan 1997 Partners, DLJ EAB Partners, L.P., DLJ ESC II, L.P., and DLJ
First ESC, L.P. (collectively the "DLJ Entities"), (iv) Chase Equity Associates,
L.P. ("Chase Equity"), (v) ▇▇▇▇▇▇▇ ▇▇▇▇▇ KECALP L.P. 1997, KECALP INC., and ML
IBK Positions, Inc. (collectively, the "▇▇▇▇▇▇▇ ▇▇▇▇▇ Entities" and, together
with each other entity listed in clauses (iii) and (iv), the "Institutional
Shareholders" and, collectively with (ii), the "Equity Investors"), and (vi)
certain other Persons listed on the signature pages hereof (including the trust
pursuant to the Trust Agreement, dated of even date herewith, between the
Company and Mellon Bank, N.A., as trustee (the "Rabbi Trust")) (the "Management
Shareholders" and individually, along with the THL Entities, DLJ Entities, Chase
Equity, and ▇▇▇▇▇▇▇ ▇▇▇▇▇ Entities, each a "Shareholder").
                              W I T N E S S E T H :
                  WHEREAS, the parties hereto desire to amend the Investors'
Agreement to clarify the parties' intention with respect to holdback agreements
in connection with firmly Underwritten Public Offerings under Section 5.3 of the
Investors' Agreement;
                  WHEREAS, pursuant to Section 7.4(a) of the Investors'
Agreement, the Board of Directors and the holders of at least 50% of the shares
of Common Stock held by the parties to the Investors' Agreement at the time of
this Amendment No. 2 are required to approve this Amendment No. 2;
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                  WHEREAS, the Equity Investors collectively are holders of at
least 50% of the shares of Common Stock held by the parties to the Investors'
Agreement at the time of this Amendment No. 2; and
                  WHEREAS, terms used herein but not otherwise defined herein
shall have the respective meanings given such terms in the Investors' Agreement.
                  NOW, THEREFORE, in consideration of the mutual promises and
agreements herein contained and other good and valuable consideration, the
receipt of which is hereby acknowledged, it is agreed by and between the parties
hereto as follows:
                  The following shall be added to Section 5.3 of the Investors'
Agreement as the second paragraph thereof:
                  In the event that any or all of the Shareholders executes a
         lock-up agreement in favor of the underwriter or underwriters for an
         Underwritten Public Offering substantially consistent with the
         preceding paragraph (each, a "Lock-Up Agreement"), each Equity Investor
         that executes a Lock-Up Agreement agrees, and their Permitted
         Transferees will agree, that if it seeks a waiver of the Lock-Up
         Agreement (a "Waiver Request"), it will notify the other Shareholders
         that have executed a Lock-Up Agreement at least five days prior to
         making such Waiver Request that it intends to make a Waiver Request
         (the "Waiver Notice"). From the date of the Waiver Notice, each
         Shareholder shall have the right, exercisable by written notice given
         to the party making the Waiver Request within two Business Days, to
         request that the Waiver Request include Shares held by the Shareholder
         and if such a request is made, the Waiver Request shall include all
         Shares so requested to be included, provided that the Transfer of the
         Shares requested to be included in the Waiver Request would otherwise
         be permitted under this Agreement. If the underwriter or underwriters
         in whose favor the Lock-Up Agreement is given refuses to grant such
         Waiver Request for all Shares included therein, then each of the Equity
         Investors agrees, and their Permitted Transferees will agree, that all
         Lock-Up Agreements will continue in full force and effect.
         Notwithstanding the foregoing, a Waiver Request may be sought without
         seeking a waiver of the Lock-Up Agreement for other Shareholders by (1)
         any of the THL Entities for a Transfer set forth in Section 4.1(a)(ii)
         and (iv) hereof and (2) any Institutional Shareholder to Transfer
         Shares to a Permitted Transferee pursuant to Section 3.3(a) hereof.
                                       2
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                  This Amendment No. 2 may be executed in counterparts, each of
which shall be deemed to be an original but all of which together shall
constitute one and the same instrument.
                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment No. 2 to be duly executed by their respective authorized officers as
of the day and year first above written.
                              ▇▇▇▇▇▇ SCIENTIFIC INTERNATIONAL INC.
                              By: /s/ ▇▇▇▇ ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                   Name: ▇▇▇▇ ▇▇▇▇▇▇▇
                                   Title:
   4
THL Equity Shareholders:
                              ▇▇▇▇▇▇ ▇. ▇▇▇ EQUITY FUND III, L.P.
                              By:  THL Equity Advisors III Limited
                                      Partnership, as General Partner
                              By:  THL Equity Trust III,
                                      as General Partner
                              By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                      Title:
                              ▇▇▇▇▇▇ ▇. ▇▇▇ FOREIGN FUND III, L.P.
                              By:     THL Equity Advisors III Limited
                                      Partnership, as General Partner
                              By:     THL Equity Trust III,
                                      as General Partner
                              By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                      Title:
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                              THL FSI EQUITY INVESTORS, L.P.
                              By:     THL Equity Advisors III
                                      Limited Partnership,
                                      as General Partner
                              By:     THL Equity Trust III,
                                      as General Partner
                              By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                      Title:
                              THL-CCI LIMITED PARTNERSHIP
                              By:     THL Investment Management Corp.,
                                      as General Partner
                              By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇ ▇▇▇▇▇▇▇▇
                                      Title:
   6
DLJ Entities' Shareholders:
                              DLJ MERCHANT BANKING PARTNERS II, L.P.
                              By:     DLJ Merchant Banking II, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name:  ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              DLJ MERCHANT BANKING PARTNERS II-A, L.P.
                              By:     DLJ Merchant Banking II, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name:  ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              DLJ OFFSHORE PARTNERS II, C.V.
                              By:     DLJ Merchant Banking II, Inc.,
                                      as advisory general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name:  ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
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                              DLJ DIVERSIFIED PARTNERS, L.P.
                              By:     DLJ Diversified Partners, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              DLJ DIVERSIFIED PARTNERS - A, L.P.
                              By:     DLJ Diversified Partners, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              DLJ MILLENNIUM PARTNERS, L.P.
                              By:     DLJ Merchant Banking II, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
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                              DLJ MILLENNIUM PARTNERS - A, L.P.
                              By:     DLJ Merchant Banking II, Inc.,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              DLJMB FUNDING II, INC.
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                      Title: Principal
                              UK INVESTMENT PLAN 1997 PARTNERS
                              By:     ▇▇▇▇▇▇▇▇▇, Lufkin & ▇▇▇▇▇▇▇▇ Inc.,
                                      as general partner
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Senior Vice President and
                                             Controller
   9
                              DLJ EAB PARTNERS, L.P.
                              By:     DLJ LBO Plans Management Corporation,
                                      as managing general partner
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Senior Vice President and
                                             Controller
                              DLJ ESC II, L.P.
                              By:     DLJ LBO Plans Management Corporation,
                                      as general partner
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Senior Vice President and
                                             Controller
                              DLJ FIRST ESC, L.P.
                              By:     DLJ LBO Plans Management Corporation,
                                      as general partner
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Senior Vice President and
                                             Controller
                                      The address for each of the DLJ Entities
                                      listed above is:
                                      c/o DLJ Merchant Banking II, Inc.
                                      ▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇
                                      ▇▇▇ ▇▇▇▇, ▇▇▇ ▇▇▇▇  ▇▇▇▇▇
                                      Fax:  (▇▇▇) ▇▇▇-▇▇▇▇
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                              CHASE EQUITY ASSOCIATES, L.P.
                              By:  Chase Capital Partners
                              By: /s/
                                 -----------------------------------------------
                                      Name:
                                      Title:
                                      Address:
                                               ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                               ▇▇▇ ▇▇▇▇, ▇▇  ▇▇▇▇▇
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▇▇▇▇▇▇▇ ▇▇▇▇▇ Entities:
                              ML IBK POSITIONS, INC.
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Vice President
                              KECALP INC.
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Vice President
                              ▇▇▇▇▇▇▇ ▇▇▇▇▇ KECALP L.P. 1997
                              By:     KECALP Inc., as general partner
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                      Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                      Title: Vice President
                                      The address for each of the ▇▇▇▇▇▇▇ ▇▇▇▇▇
                                      Entities listed above is:
                                           ▇▇▇ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇▇ ▇▇▇▇▇
                                           ▇▇▇ ▇▇▇▇, ▇▇  ▇▇▇▇▇
                                           Fax:  (▇▇▇) ▇▇▇-▇▇▇▇
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Individual Shareholders:
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                              By: /s/
                                 -----------------------------------------------
                                       Name: The 1995 Harkins Gift Trust
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                                             Money Purchase Pension Plan
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                              By: /s/ ▇. ▇▇▇▇▇▇ ▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇. ▇▇▇▇▇▇ ▇▇▇▇
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇▇▇▇ Family Limited Partnership
                              By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name: ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
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                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇, ▇▇.
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇ ▇. ▇▇▇▇▇, ▇▇.
                              By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇ ▇. ▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇ ▇. ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇ ▇. ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  THL-CCI Limited Partnership
                                       By:    ▇▇▇▇▇ ▇. Master
                                       Title: Vice President
                              By: /s/ ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
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                              By: /s/
                                 -----------------------------------------------
                                       Name:  First Trust Co. FBO
                                              ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇▇ ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇ ▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇ ▇▇▇▇▇▇
                              By: /s/ ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
                                 -----------------------------------------------
                                       Name:  ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
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SCHEDULE I
CERTAIN NAMED INDIVIDUAL SHAREHOLDERS OF THL
▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
The 1995 Harkins Gift Trust
▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Money Purchase Pension Plan (▇▇▇▇▇)
▇▇▇▇▇ ▇. ▇▇▇▇▇▇
▇. ▇▇▇▇▇▇ ▇▇▇▇
▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
▇▇▇▇▇▇▇▇ Family Limited Partnership
▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
▇▇▇▇▇▇ ▇. ▇▇▇▇▇, ▇▇.
▇▇▇▇ ▇. ▇▇▇▇▇
▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇
▇▇▇▇ ▇. ▇▇▇▇▇▇
▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇
▇▇▇▇▇ ▇. ▇▇▇▇▇▇
▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇
First Trust Co. FBO ▇▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇
▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇
▇▇▇▇▇ ▇▇▇▇▇▇
▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇