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Thoracic Aorta01:15

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The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
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Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
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Interdisciplinary Care: The Health Care Team-II01:18

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An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
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Making the Evidentiary Case for Universal Multidisciplinary Thoracic Oncologic Care.

Raymond U Osarogiagbon1

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|June 24, 2018
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Summary

Implementing multidisciplinary thoracic oncology programs is widely recommended but poorly supported by evidence. More prospective studies with clear definitions and structures are needed to demonstrate the value of this care model.

Keywords:
Cancer care delivery researchCare delivery modelEvidence-based practiceOutcomesQuality improvement

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Area of Science:

  • Oncology
  • Healthcare Management
  • Clinical Research

Background:

  • Multidisciplinary care is frequently recommended for lung cancer patients.
  • There is a significant gap between the recommendation and actual practice of multidisciplinary care.
  • Barriers to implementation suggest challenges in evidence-based practice.

Purpose of the Study:

  • To review the evidence for and challenges of implementing multidisciplinary thoracic oncology programs.
  • To highlight issues with the current evidence base for multidisciplinary care.
  • To identify needs for future research in this area.

Main Methods:

  • Analysis of the current literature on multidisciplinary care in thoracic oncology.
  • Examination of two specific articles addressing multidisciplinary lung cancer clinics.
  • Review of existing studies on multidisciplinary cancer clinics.

Main Results:

  • The evidence supporting multidisciplinary care is currently poor and lacks standardization.
  • Methodological flaws, including a lack of prospective studies, weaken existing research.
  • A recent retrospective study suggested a survival benefit from colocated multidisciplinary lung cancer clinics.

Conclusions:

  • Better-quality, prospective evidence is required to validate multidisciplinary care.
  • Standardized definitions and clear program structures are essential for future studies.
  • Further research, including cost-effectiveness analyses, is needed to support implementation.