[Control of tuberculosis in Nepal. A project. Logistics, goals].

The aims of the anti-tuberculosis project are firstly to successfully conclude chemotherapy with few discontinuations of treatment and re-activations, and, secondly, via the determination of resistance, to identify problems in the fight against tuberculosis in Nepal, and to demonstrate therapeutic possibilities in problem patients.

[Adjuvant therapy of non-small cell bronchial cancer with mopidamol].

Between January 1982 and April 1986 a double-blind randomized placebo controlled study of mopidamol, employed as adjunct therapy to surgery in patients with non-small cell bronchial carcinoma, was performed at 7 hospitals. The main criteria were occurrence of metastases and survival. Mopidamol was given perioperatively at a dose of 2 x mg i.

Surveillance of diagnostic and treatment measures in Bavaria, 1974-1976. Results 2 and 5 years after the start of chemotherapy.

A central surveillance register for all bacillary pulmonary tuberculosis cases reported in Bavaria (population in excess of 10 million) was established from 1974 to 1976. The aim of the study was to discover the quality and efficiency of health services delivery to the population in the field of tuberculosis under routine conditions, and to find out the relapse rate after cessation of chemotherapy in expatients who were found to be negative 2 years after starting chemotherapy. A total of 7850 German patients with bacillary pulmonary tuberculosis were diagnosed in Bavaria from 1974 to 1976 corresponding to an average annual rate of 25.

[Current notes on the clinical aspects of tuberculosis].

First a review is given about the situation of tuberculosis in Western Germany in general. The knowledge about tuberculosis is diminishing together with falling numbers of incidence. Half of the general practicians do not see a case of tuberculosis by year.

[Scintigraphic studies of pulmonary ventilation].

Nuclear medical imaging of the lung after inhalation of Tc-labelled aerosols can be used instead of ventilation scintigraphy with Xe-133 in those cases, where the single-breath-period is essential for diagnosis. Especially for pulmonary embolism aerosols have some advantages compared with Xe-133: Scintigraphic images can be done in several views, aerosols are always available, there is no problem with room-contamination. In patients with obstructive lung disease or emphysema, where the wash-out-period is more essential for diagnosis than the single-breath-period, there is an advantage of xenon to aerosols.

[Computed tomography and densitometric pattern of pulmonary lesions (author's transl)].

Fifty-five peripheral pulmonary lesions in 46 patients were examined by computed tomography. The results were correlated with histologic diagnoses. The series comprised 26 bronchial carcinomas, 17 metastases, 4 chondromas, 5 tuberculomas and 3 echinacoccal cysts.

[Coincidence of pulmonary fibrosis and bronchial carcinoma (author's transl)].

Eight cases of endothoracal carcinoma associated with pulmonary fibrosis or with interstitial pneumonia are reported. The interstitial pneumonia and the fibrosis and carcinoma are confirmed in all cases. Statements on incidence cannot be made: they are more or less random observations in recent years.

[Death due to tuberculosis (author's transl)].

The records of autopsies performed during the last year were examined with the view of assessing the accuracy of the diagnosis: death from tuberculosis. The study showed that the infection was only rarely the cause of death. Subsequently, in collaboration with R.

[The problem "diagnosis" demonstrated on the example of farmer's lung].

Using the farmer's lung as an example, the various problems in establishing a diagnosis are discussed. The "instruments" of diagnosis such as history (exposition), functional parameters, macro- and micromorphology, and laboratory findings are described. The different criteria and their value, the compatibility of informations, and the quality of definitions ("fuzzy sets") are analytically evaluated--all this finally leading to the "quality" of diagnosis and of subsequent decisions.