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Moreover, a randomized trial of a vaginal hydrogel packing system (BrachyGel) versus standard gauze packing in 20 patients undergoing HDR brachytherapy for locally advanced cervical cancer found minimal differences in bladder or rectum D 2cc mean differences of ~ 0.117 Gy for bladder and ~ 0.189 Gy for rectumand no difference in HR-CTV D 90 [159]

The surge reflects a unique challenge these patients face

Low Sun exposure and Vitamin D Deficiency as Risk factors for inflammatory bowel Disease, with a focus on Childhood Onset