[Development of a psychologically founded program for smoking cessation with adjuvant use of nicotine-containing chewing gum]. / Entwicklung eines psychologisch fundierten Raucherentwöhnungsprogrammes unter adjuvanter Anwendung von nikotinhaltigem Kaugummi.

This paper describes the development and testing of a quit-smoking programme employing the "clean-break" method and nicotine substitution. The first long-term results after 12 months show nicotine abstinence in 44.2% of all the participants, and thus confirm the therapeutic approach to quitting smoking.

[Applications and uses of pleurography in patients with spontaneous pneumothorax]. / Anwendung und Nutzen der Pleurographie bei Patienten mit Spontanpneumothorax.

In a group of 74 patients, it proved possible by pleurography to localise bronchopleural fistulae, subpleural vesicles and interpleural adhesions. A comparison of the diagnostic procedures, pleurography, pulmonary CT scan and thoracoscopy, revealed that pleurography was best suited for the detection of bronchopleural fistulae, computed tomography was best in revealing subpleural or intrapulmonary vesicles, and thoracoscopy was best to demonstrate the presence of adhesions. In our patient material, the expanded diagnostic workup of spontaneous pneumothorax led to a substantial reduction in the so-called idiopathic pneumothorax from 53% to 26%. By preparing a differentiated therapeutic means, it was possible to appreciably reduce the recurrence rate of pneumothorax from 41% to 22%.

[Pleurodesis using an acrylate glue in the treatment of therapy-resistant symptomatic pneumothorax]. / Pleurodese mittels eines Acrylatklebers in der Behandlung therapieresistenter symptomatischer Pneumothoraces.

In 7 patients with therapy-resistant pneumothorax and a contraindication of surgery in obstructive large-bullae pulmonary emphysema, pulmonary fibrosis in the terminal stage (in one case bilateral), extensive pulmonary cysts, cystic pulmonary fibrosis, and large-cavernous pulmonary tuberculosis, an acrylate tissue adhesive was applied on 8 occasions through a pleural catheter. Following the rapid withdrawal of the catheter, the lungs remained fully expanded in five cases. In two cases, the tissue adhesive had to be applied interpleurally a second time, and in one case on three occasions at one-day intervals. In none of these cases did any major complications occur.