الفهرس 
Introduction and Aim of the work
Definition of smokingOnly 14 pages are availabe for public view
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Abstract
Tobacco use is among the leading preventable causes of death. Each year, the global tobacco epidemic kills nearly 6 million people, including more than 600,000 who die from exposure to second-hand smoke. It is on track to kill more than 8 million by 2030, by which time approximately 80% of the deaths would occur in low- and middle-income countries.(WHO, Statistical and Health Information System,2009).
Diseases caused by smoking includes chronic obstructive pulmonary disease (COPD, coronary heart disease, stroke, abdominal aortic aneurysm, acute myeloid leukemia, cataract, pneumonia, periodontitis, and bladder, esophageal, laryngeal, lung, oral, throat, cervical, kidney, stomach, and pancreatic cancers. Smoking is also a major factor in a variety of other conditions and disorders, including slowed healing of wounds, infertility, and peptic ulcer disease (National Cancer Institute,2004).
The costs of tobacco use are measured in its enormous toll of disease, suffering and family distress. Economies also suffer from increased health-care costs and decreased productivity (WHO, Statistical and Health Information System,2009).
Quitting smoking has two major components; making an attempt and maintaining cessation once quit. (Hyland et al, 2006).
Quitting smoking often requires multiple attempts. the combination of counseling and medication increases the chance of a quit attempt being successful; (Fiore et al ,2008).
This study aimed to evaluate the smoking cessation program in Aswan Chest Hospital .
It included: 25smokers (Group 1) treated with behavioral therapy alone and 25 smokers (Group 2) treated with behavioral therapy plus(Nicotine replacement therapy) Nicotine patches 14-15mg/24-hr for 6 weeks, and 25 smokers (Group 3) treated with behavioral therapy plus (Bupropion SR) tablet,150 mg once a day for three days and then twice a day for 12 weeks.
All smokers in this study were subjected to:
1. Full history taking with particular attention to history of smoking .
2. Fagerstrom test questionnaire was used to determine the degree of nicotine dependence.
3. Full clinical examination.
4. Plain chest X- ray (post-anterior view).
Then Cessation programs were applied with either behavioral therapy alone or combined with pharmacotherapy (NRT) or(Bupropion).
The result revealed that:
• Higher successful cessation rate in Bupropion group 86.0% and NRT group 64.0 were recorded versus behavioral therapy group 40.0%.
• No significance of personal characters(age ,sex) in success of quit trials. However occupation and education had significant effect on success of quitting smoking.
• No significant relation statistically between successful cessation and the presence of other family member smoker.
• The success of quitting smoking had been significantly affected by the smoking habit as number of cigarette per day and age of onset of smoking.
• The success of quitting smoking had been significantly affected by the previous trials of quit smoking.
• No significant relation statistically between successful cessation and the level of nicotine dependence.