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While changes are underway to order 75mg lyrica medicine jobs reverse these trends and rejuvenate the organization order 150 mg lyrica fast delivery 6 medications that deplete your nutrients, the Zoo needs direction purchase lyrica 150 mg with amex medications on airline flights. Staff and supporters recognize that now is the time to lyrica 75 mg otc symptoms right after conception develop a comprehensive, forward-looking strategic plan. A vision for the �nation�s zoo� In the broadest sense, the strategic plan for the Zoo hinges on two questions: What does it mean to be the �nation�s zoofi This need is even more urgent today: Animals and their habitats are disappearing while scientists continue to gather necessary information to conserve biodiversity. To be the �nation�s zoo� means setting and meeting the highest standards for animal care and exhibition, zoo-based education and research programs, national and international professional training programs, and field-based research and conservation activities. The Zoo�s animals are national treasures like the Hope Diamond and the Star-Spangled Banner � and yet they are not one-of-a-kind objects. Staff reach out to the whole world, working to inspire and teach others to discover and understand animals. Great zoos motivate people to care about animals and to take action to help them, rather than harm them. They collaborate with each other, and with non-governmental organizations involved in wildlife management, science and conservation all over the world. The Zoo is highly respected for its scientific discoveries, multidisciplinary research programs, and commitment to training the next generation of zoo and conservation professionals. Great zoos create exhibits that provide animals with modern homes, inspire and educate visitors. They provide naturalistic habitats that encourage natural behavior and breeding, and allow visitors the opportunity to see animals they might never see in the wild. Great exhibits also serve as laboratories, where long-term studies of animal health, reproductive biology and behavior yield results that help their management and conservation. Many of the National Zoo�s newer exhibits � Amazonia, Think Tank, Golden Lion Tamarins, Giant Panda Conservation Habitat, and the emerging Asia Trail � are excellent examples. Zoos have the potential to shape public opinion regarding the need to protect wildlife. If not for zoos, many people would never experience wild animals first-hand or develop the personal bonds that touch hearts and inspire minds. Just as all zoos strive to be great stewards of the animal world, the nation�s zoo must lead by example. The team members, nominated by their peers, represented the wide range of functions, tenures, and demographics of the Zoo�s large and diverse staff. The planning team did not work in a vacuum; it received extensive feedback from both internal staff and external stakeholders, including the public and members of the professional zoo, animal science and conservation communities. It outlines a challenging journey that will require a sustained effort on the part of many. And it includes performance measures designed to drive change and track the Zoo�s accomplishments. The nation�s zoo begins its second century with a new, bold vision � a vision with a global reach, inspired by the success of the first 100 years and crafted by the Zoo�s dedicated staff and supporters. Mission: the mission is the Zoo�s reason for being; what would be lost if it did not exist. Core Values: the core values are the set of beliefs that drive everyday behavior at the Zoo. Ten-Year Vision: the 10-year vision is what Zoo staff and supporters really want to achieve an exciting, compelling, and attainable future state. One and Five-Year Goals: the one and five-year goals are a description of results to be achieved at the Zoo by a particular point in time. Rather than develop strategies for every goal, the plan includes a small set of strategies, each of which addresses multiple goals; the limited number of strategies is intended to keep the strategic plan tightly focused. Performance Measures: the performance measures are the indicators used to determine if progress is being made toward the Zoo�s vision; these are the benchmarks that will be used during the first year of implementation of the plan. As unit plans are developed during implementation, each will include additional performance measures to determine progress within the unit toward the vision. We connect people with wildlife through exceptional animal exhibits, explore solutions through science-based programs, build partnerships worldwide, and share our discoveries. We educate and inspire diverse communities so they become part of this commitment to celebrate, study, and protect animals and their habitats. We value diversity and provide the resources, training, and skills needed to excel in our jobs. We ensure that the voices of our staff are heard and information is shared throughout all levels of the Zoo. We set the highest standard in caring for our animals and providing service to our visitors, communities, colleagues, and collaborators. We inspire, train, and empower each generation to care for animals and conserve wildlife. Exhibits will connect visitors with the natural world and immerse them in our real-life stories of wildlife conservation. Our professional internships and training programs will be sought-after by highly motivated individuals, locally and internationally. The National Zoo will be known for its long-term commitment to capacity building and training. Our staff will be respected as leaders and mentors in zoo and conservation sciences nationally and internationally. Number of exhibits (new and renewed) based on agreed-upon standards for animal care, scientific accuracy, interpretation and exhibitry. Number of training programs offered by Zoo staff covering topics related to zoo-related management, conservation and wildlife issues at various levels (K-12, undergraduate, graduate, professional).

This amount must be distributed in 2007 mmmmmmmmmmmmm 7 Amounts treated as distributions out of corpus to buy lyrica 75mg fast delivery symptoms 0f brain tumor satisfy requirements imposed by section 170(b)(1)(E) or 4942(g)(3) (see page 28 of the instructions) mmmmmmmmmmmmm 8 Excess distributions carryover from 2001 not applied on line 5 or line 7 (see page 28 of the instructions) mmmmmmmmmmmmmmmm 135 buy discount lyrica 150 mg on line medicine chest,729 buy lyrica 75mg amex symptoms 11 dpo,759 buy discount lyrica 75mg on line medications known to cause hair loss. Unrelated business income Excluded by section 512, 513, or 514 (e) Related or exempt (a) (b) (c) (d) function income Business Code Amount Exclusion code Amount (See page 29 of 1 Program service revenue: the instructions. Add line 12, columns (b), (d), and (e) mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm13 2,244,940,930. Do not complete any of the Parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc. AustinAvenue No 501(c)(3)Public Charity tosupportanew public high schoolonthewestsideof Chicagothatwillalsoserve $282,950. CharlesAve No 501(c)(3)Public Charity todevelop anddeliveram asterplanforOrleansParish Pre-K through 12th grade $900,000. F o u n d a t i o n S t a t u s P u r p o s e A m o u n t AfricanVirtualUniversity 71Maalim Jum aRd,K ilim ani No Public Charity Affidavitof toexpandbandwidth accesstom oreuniversitiesandnationalresearch and $417,700. F o u n d a t i o n S t a t u s P u r p o s e A m o u n t AllianceforM icrobicideD evelopm ent 8484GeorgiaAvenue,Suite940 No 501(c)(3)Public Charity tofundresearch andpolicy analysissupportof m icrobicidedevelopm ent $1,563,186. Box 382608 No 501(c)(3)Public Charity tosupportafieldarchaeologicaltraining projectinEgypt $50,000. 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This is then repeated on the Juvenile Primary Open-angle Glaucoma other side so that eventually the upper half of the canal wall is opened buy 150mg lyrica free shipping medications causing tinnitus. Surgical treatment is often successful generic lyrica 75 mg online useless id symptoms, although more than one operation may be necessary purchase lyrica 150mg on line symptoms 6 days after iui. Maximal tolerated medical therapy is one that may concentration of myocilin may increase resulting in a rise be used to cheap lyrica 150mg with visa medicine rock control intraocular pressure, yet allows the patient in intraocular pressure. If, however, this does not control the intraocular pressure adequately, laser trabeculo plasty as described earlier, or surgery may be required. The importance of treatment and regular follow-up must be explained and emphasized. To minimize or prevent further intraocular pressure by the establishment of a �fltering visual loss, the intraocular pressure must be constantly bleb�. This bleb is composed of spongy tissue, through controlled, and closely monitored. The initial treatment of glaucoma is generally instead of the normal drainage into the trabecular mesh medical or by laser procedures. This is into account the intraocular pressure at which damage oc much less likely to occur if there is a gap between the lips curred, the family history, the extent of damage to the optic of the wound which becomes flled with loose scar tissue nerve head, visual feld, and the presence of systemic risk resulting in a fltering cicatrix. Non-penetrating fltering surgeries that allow the drainage of aqueous through a window in the Medical Management Descemet�s membrane are also being evaluated. If the intraocular pressure mitomycin-C, which are used to slow down the healing is lowered by at least 15�20%, but is still above the �target process. Reformation of the of these medications is often applied during the primary anterior chamber with balanced salt solution, air or visco trabeculectomy. Cataract is a In the early postoperative period shallowing of the anterior common sequel, particularly if early changes are present chamber and hyphaema may be seen. The glaucoma progression analysis or In refractory glaucomas where a trabeculectomy has failed, the peridata programme analyse signifcant differences in or is likely to fail, valved or non-valved drainage devices threshold values at each location in the feld (Fig. All the results of operations undertaken for the control of of these statistical methodologies therefore need to be glaucoma can only control the factor of intraocular pres assessed in the light of the patient�s clinical picture. To determine the progression of visual feld defects the glaucomas are broadly classified as open or closed in glaucoma, one must establish a baseline by doing at angle glaucomas. Open angle glaucomas can be managed least three chartings of the visual feld in a newly diagnosed medically, but surgery may be necessary if not adequately patient of glaucoma. Angle closure glaucomas need an initial laser iri if the follow-up programmes and all parameters are the dotomy followed by medical or surgical therapy. If a change in the visual optic nerve head imaging and serial perimetry are parameters used to monitor the effect of treatment which is often lifelong. Glaucoma: Color Atlas and Synopsis of Clinical Ophthal available in the form of box plots which analyse changes in mology. Chapter 20 Diseases of the Retina Chapter Outline Anatomy and Physiology 309 Detachment of the Retina 330 the (Systemic) Vascular Retinopathies 310 Pathophysiology 331 Hypertensive Retinopathy 311 Predisposing Factors 331 Diabetic Retinopathy 312 Clinical Features 331 Retinopathy of Prematurity 317 Diagnosis and Management 331 Acquired Immune Defciency Syndrome 319 Congenital Abnormalities of the Retina 336 Retinopathy in Toxaemia of Pregnancy 319 Congenital Pigmentation of the Retina 336 Sickle Cell Retinopathy 319 Medullated Nerve Fibres 336 Lupus Erythematosus Retinopathy 320 Coloboma of the Retina and Choroid 336 Vascular Disorders of the Retina 320 Albinism 336 Obstruction/Occlusion of the Retinal Arteries 320 Phakomatosis 336 Obstruction of the Arterial Circulation 320 Angiomatosis of the Retina (von Hippel Lindau Disease) 337 Obstruction of the Venous Circulation 321 Tuberous Sclerosis (Bourneville Disease) 337 Coats Disease 323 Neurofbromatosis (von Recklinghausen Disease) 337 Medical Therapy in Retinal Vascular Diseases 324 Hereditary Dystrophies of the Central Retina and Choroid 337 Infammation of the Retina (Retinitis) 324 Sex-Linked Juvenile Retinoschisis 337 Purulent Retinitis 324 Stargardt Disease 337 Cytomegalovirus Infection 324 Dominant Foveal Dystrophy 338 Syphilis 324 Inverse Retinitis Pigmentosa 338 Sarcoidosis 325 Progressive Cone Dystrophy 338 Toxoplasmosis 325 Vitelliform Dystrophy of the Fovea 338 Toxocariasis 325 Reticular Dystrophy of the Retinal Pigment Epithelium 338 Periphlebitis Retinae 325 Butterfy-Shaped Pigment Dystrophy of the Fovea 338 Retinitis from Bright Light (Photoretinitis) 326 Fundus Flavimaculatus 338 Degenerations of the Retina 326 Grouped Pigmentation of the Foveal Area 338 Myopic Chorioretinal Degeneration 326 the Hyaline Dystrophies 339 Age-Related Macular Degeneration 326 Pseudo-infammatory Foveal Dystrophy (Sorsby) 339 Macular Holes 327 Central Areolar Choroidal Atrophy 339 Pigmentary Retinal Dystrophy (Retinitis Pigmentosa) 327 Leber Congenital Amaurosis 339 Angioid Streaks 329 Lysosomal Storage Disorders 339 Benign Peripheral Retinal Degenerations 329 Degenerations Associated with Retinal Breaks 329 the retina is a component of what is clinically viewed divided into a number of zones for convenience of record as the fundus, and contains the photoreceptors that permit ing clinical fndings and to permit a precise localization of vision. Examination of the posterior the neurosensory retina is transparent, the background co part of the retina is undertaken with the use of a direct oph lour being provided by the retinal pigment epithelium and thalmoscope and by slit-lamp indirect biomicroscopy if vascular choroid, as described in Chapter 12. The venous or a more magnifed view with stereopsis by the use of a pressure is lowest near the disc, and there is a certain three-mirror contact lens. Within the macular re a momentary impedance to the outfow of blood during gion is a small, central depression called foveola, measuring systole, but the venous circulation recovers itself during the approximately 0. This pressure occurs during the diastolic area of a deeper red than the surrounding fundus, and in its phase and therefore has been called the negative venous centre there is nearly always a foveal refex, seen as an in pulse. Occasionally, Retinal affections in general give rise to the following small arteries (cilioretinal) originating from the short symptoms, only some of which need be present in individ posterior ciliary arteries run inwards to enter the eye ual cases. There may be metamorphopsia, micropsia or mac and vein, which usually divide into two branches at or near ropsia. The arteries pregnancy�are usually associated with pronounced are distinguished from the veins by being brighter red and changes in the retinal vessels, refecting the vascular status narrower. Choroidal ves with ill-defned margins�soft exudates or cotton-wool sels, when visible (see Chapter 18, the Lens), are broader patches, usually seen in the superfcial layers of the retina. Choroidal vessels are most easily visible in albinos tions larger than the disc, and, since they disappear rapidly, and in high myopes. In some 80�90% of people, however, retinal Other manifestations result from the extravasation of venous pulsation may be seen at or near the edge of the fuid. The vascular signs just described are augmented nipping and a perpendicular placement of the veins�Gunn by localized constrictions and dilatations of the vessels sign. They are narrow and tortuous with nicking at the arteriove l Grade 2: Moderate to marked narrowing of the retinal nous crossings; multiple haemorrhages are present with, in arterioles; exaggeration of the light reflex; changes at the early stages, oedema and cotton-wool patches and, in the arteriovenous crossings. If the patient survives, these changes in striction, prominent arteriovenous crossing changes, the fundus may regress and although blindness does not retinal oedema, cotton-wool spots, flame-shaped haem occur, the vision may be seriously impaired. Microvascular complications appearances may ameliorate dramatically and the vision due to microangiopathy have been directly linked to gly improves but the ultimate prognosis is unsatisfactory. As therapy of the retinopathy will at best stabilize vision or decrease the rate of visual loss, it is important to screen all diabetics annually by examining the fundus after dilating the pupil so as to institute therapy as early as possible. In which appear as minute round dots occasionally arranged addition, there is an increased aggregation of platelets, like clusters of grapes at the ends of small vascular twigs; causing capillary non-perfusion. Extensive closure of the these are an early sign of background diabetic retinopa capillaries leads to ischaemia of the retina. Poor control of diabetes mellitus is the diabetes, together with any attendant renal problems or associated with an earlier onset of diabetic retinopathy, as systemic hypertension. Both are caused by and has become much more common since the use of leakage from dilated capillaries. Clinically signifcant mac insulin, which has prolonged the life span of diabetics.

Patients are selected for their fitness rather than the presence of a morbidity that requires surgical intervention buy lyrica 150 mg visa treatment xanax withdrawal. Donor surgery cheap 150mg lyrica otc medicine hat college, other than the potentially significant psychological benefits of performing an act of altruism cheap 75 mg lyrica overnight delivery medications during childbirth, can only lead to cheap lyrica 150mg mastercard medicine 7253 the potential for harm. A number of studies have attempted to demonstrate superiority of one technique over another, but the differences or advantages between the techniques are small and surgery should be performed using whichever technique the operating surgeon has been trained to perform safely (33). One randomised trial comparing right and left laparoscopic donor nephrectomy showed no difference in complication rates but a shorter operating time for right nephrectomy. The decision on the side of donor nephrectomy should be documented and ideally made at a multi-disciplinary meeting which includes a review of the vascular imaging. The potential donor should be informed of any increased risk associated with this decision. When assessed in the context of a paired exchange programme, the donor and recipient surgeons should communicate directly to discuss which kidney is selected for nephrectomy. The role of Enhanced Recovery pathways has yet to be established in donor nephrectomy; however, the enhanced recovery principles eschewed by other surgeons performing major intra-abdominal surgery are readily transferrable to donor nephrectomy. A number of stages in the donor assessment pathway allow for expectation management, and repeated education at each of these steps aids with information retention. Information given to the potential donor should be detailed and should concentrate on each step of their pre and post-operative journey. Emphasis should be placed on what is expected of the patient so that they may aid their own recovery, and the reasons for each recommendation. The pre-operative consent process should be performed by the operating surgeon and not be rushed. Overnight fasting has been demonstrated to increase insulin resistance associated with the surgical stress response, presumably as an adaptation to increase the bioavailability of glucose for consumption during the �fight or flight� response. Insulin resistance is related to increased peri-operative morbidity and length of hospital stay for patients undergoing cardiac and major gastro-intestinal surgery. Reversing the �fasting� state of the patient by administration of an oral carbohydrate drink pre-operatively can increase insulin sensitivity by 50%, a state which continues into the post-operative period. There have been no studies to date looking at the effect of insulin resistance in donor nephrectomy; however, extrapolating the results achieved from gastrointestinal surgery, it would seem reasonable to consider pre-operative carbohydrate loading in patients undergoing donor nephrectomy. The pre-operative dosing regimen is 4 x 200 mL cartons between 9 pm and midnight before the operation with a further 2 x 200 mL 2 hours pre-operatively. In addition, allowing clear fluids up to 2 hours pre-operatively improves patient comfort by reducing thirst and allows black tea or coffee to be consumed by habitual caffeine drinkers who may be susceptible to withdrawal headache. Post-operative fasting should be avoided and early and unrestricted resumption of fluid and solid food is recommended in the immediate post-operative period. Peri-operative complications in gastrointestinal surgery increase when the post-operative weight gain exceeds 2. Evidence from one randomised control trial (46) and one series has demonstrated improved cardiovascular stability and reduced sub-clincal renal injury respectively when such pre-operative hydration strategies are applied (47). However, balancing the level of analgesia with the unwanted side effects of analgesic agents requires thought, observation and an individual, tailored approach to each patient. Epidural Anaesthesia Epidural anaesthesia can achieve excellent post-operative analgesia as well as significantly attenuate the surgical stress response. In early Enhanced Recovery protocols, epidural anaesthesia was the preferred method of choice to minimise the use of opiates in the peri-operative period. However, the side effects (hypotension, headache, potential for infection, urinary retention, reduced mobility) are well documented and other opiate sparing strategies have now superseded epidural use. There is now little place for epidural use within the domain of donor nephrectomy, especially when performed laparoscopically (48,49). In-Dwelling Nerve Catheters the anatomical basis of the nerve supply to the abdominal wall has been well described. Blockade of the nerve supply to the wound with local anaesthesia is therefore a very straightforward and attractive option as an �opiate sparing� technique. Indwelling nerve catheters have been in use for around 15 years and can provide safe and effective analgesia to a variety of surgical wounds in the thorax and abdomen as well as upper and lower limbs. Their use as a potential �opiate sparing� strategy within Enhanced Recovery programs is gaining popularity. Their use in donor nephrectomy surgery is novel but they have been shown to reduce opiate requirements in hand assisted laparoscopic donor nephrectomy (using an upper abdominal transverse extraction scar) and in fully laparoscopic donor nephrectomy (using a Pfannenstiel incision to extract the donor kidney) (50-55). Correct anatomical placement of the catheter is paramount to achieving success and there is a short learning curve to achieve expertise of use. The infusion can be administered via an elastomeric pump or a battery run infusion pump (52). Opiates Opiates are an effective analgesic and remain a common treatment of post operative pain control worldwide. Drowsiness, nausea, vomiting, pruritis and lack of appetite all work against the principles of Enhanced Recovery surgery aiming for early mobilisation and return to oral intake. More recently, multimodal strategies have been attempting to introduce �opiate sparing� regimens to ameliorate the early unwanted side effects of these drugs (55). Opiates also have an effective role for breakthrough pain when opiate sparing strategies have not been effective. Impact of renal artery multiplicity on outcomes of renal donors and recipients in laparoscopic donor nephrectomy. Living donor kidney transplantation using laparoscopically procured multiple renal artery kidneys and right kidneys.

Radiation therapy which is known for its antiproliferative effect has been proposed as a treatment for in-stent restenosis discount 150mg lyrica with mastercard medications varicose veins. Over the past six years order lyrica 150mg mastercard symptoms thyroid cancer, studies on the use of various techniques to buy 75 mg lyrica otc symptoms 2016 flu apply intracoronary radiation which is known as intracoronary brachytherapy have been showing encouraging results purchase 75mg lyrica fast delivery symptoms viral infection. This effect can be measured by angiograms performed six months after the procedure. Brachytherapy requires a multidisciplinary team to deliver it including an interventionist cardiologist, a radiation oncologist, physicist and safety officer. In two of the studies, intracoronary brachytherapy tended to increase the risk of late thrombus formation, but this was statistically insignificant. Brachytherapy may also cause acute damage in the coronary arteries including aneurysm, pseudoaneurysm, arterial dissection, or rupture of the artery. In addition, radiation may lead to a long-term damage on the surrounding tissue and have adverse effects on the clinical personnel. Localized Intracoronary Gamma-Radiation Therapy to Inhibit the Recurrence of Restenosis After Stenting. Intracoronary Gamma -Radiation Therapy After Angioplasty Inhibits Recurrence In Patients With In-Stent Restenosis. Circulation 2000; 101: 2165-2171 See Evidence Table � 1998 Kaiser Foundation Health Plan of Washington. Back to Top Date Sent: 4/24/2020 165 these criteria do not imply or guarantee approval. Criteria | Codes | Revision History the use of Coronary Artery Brachytherapy for the treatment of restenosis of stent passes all Kaiser Permanente Medical Technology Assessment Criteria. However, approximately 75% of the patients present with locally advanced non resectable disease at the time of diagnosis. The treatment options for these patients are chemotherapy and / or external irradiation therapy, which have low survival rates, and high rates of local recurrence. With brachytherapy, radioactive sources usually iridium 192 are placed at the tumor site in the involved branch of the tracheobronchial tree. These will deliver a radiation dose that rapidly and progressively declines with the increasing distance from the source. Any adverse effects on normal tissue should be confined to the immediate vicinity of the bronchus, sparing the lung parenchyma and the esophagus. Bronchoscopy is performed under topical anesthesia to determine the field of treatment. A guidewire is then placed in the instrumentation channel of the endoscope, and the bronchoscope is removed. An after-loading catheter is passed on the guidewire, the guidewire is removed, and an applicator for placement of the radiation source is inserted in the catheter. Depending on the number of airway branches involved, 1 to 4 catheters may be placed. The applicator is then connected to the iridium192 afterloading unit and the irradiation source advanced to the intended position under computer control. The application time ranges from 2 to 15 minutes depending on the dose, and length of the irradiated area. After removing the radioactive source, the catheters are removed, and the patient is observed for 30 minutes. High-dose brachytherapy may be delivered in fractionated doses by repeating the procedure at weekly or biweekly intervals, or twice a day until the entire dose is delivered. In conclusion, the efficacy and safety of endobronchial brachytherapy cannot be fully determined from the available evidence. Reviews, editorials and comments were reviewed, but no evidence tables were created. External Irradiation Plus Endobronchial Brachytherapy in Inoperable Non-small Cell Lung Cancer: a Prospective Study. Radiotherapy and Oncology 2001; 58: 257-268 See Evidence Table Stout R, Barber P, Burt P, et al. Clinical and Quality of Life Outcomes in the First United Kingdom Randomized Trial of Endobronchial Brachytherapy Treatment of Inoperable non-small Cell Lung Cancer. Radiotherapy and Oncology 2000; 56: 323-327 See Evidence Table the use of endobronchial brachytherapy in the treatment of lung cancer does not meet the Kaiser Permanente Medical Technology Assessment Criteria 2 for effectiveness. High-Dose Rate Brachytherapy for Prostate Cancer � 1998 Kaiser Foundation Health Plan of Washington. Back to Top Date Sent: 4/24/2020 166 these criteria do not imply or guarantee approval. The standard management options for localized disease included surgery, radiotherapy, and watchful waiting. Both surgery and radiation therapy are reported to have equivalent outcomes, and each approach has its advantages and disadvantages. However, dose escalation to >70 Gy is associated with an increase in genitourinary and gastrointestinal side effects. Several techniques have been developed to deliver high doses of radiation to the prostate while sparing surrounding normal tissue. Prostate brachytherapy was introduced in the late 1980s after the development of transrectal ultrasonography and sophisticated treatment planning software. Monotherapy is usually reserved for low-risk cancer, and the combined therapies are used for high-risk disease (Nelson 2007). The latter entails the temporary placement of higher energy radioactive sources in and near the tumor. An automated machine called an afterloader sequentially moves a high-intensity radioactive source to and from a set of catheters in and around the prostate to deliver a pre-determined radiation dose to the patient�s tumor. This has the potential of better target volume coverage and a greater sparing of neighboring organs at risk (Chin 2006).

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