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The incorporation of novel cross-linking agent, TFDMSOS and non-ionic surfactant, Rhodasurf CET-2, (ethoxylated-cetyl-oleyl alcohol) improved the dimensional stability of hydrophilic Exp-VPS in DW and 1% NaOCl. These materials merit further research in producing accurate casts of the patient's anatomy following disinfection. Patients with ovarian cancer from smaller cities and rural communities face unique challenges in accessing comprehensive care. This study compares management strategies, outcomes, and access to care for patients in a