Treatment of malignant pleural effusion is a complicated algorithm which depends on the longevity of the patient, the cell type and the primary cancer, the control of the tumor in the rest of the body, symptomatic benefit from therapeutic thoracentesis, and other comorbidities including general debility and COPD.
German language, German Deutsch, official language of both Germany and Austria and one of the three official languages of Switzerland. German belongs to the West Germanic group of the Indo-European language family, along with English, Frisian, and Dutch (Netherlandic, Flemish). The recorded history of Germanic languages begins with their speakersâ first contact with the Romans, in the 1st century bc.
English is a West Germanic language that originated from Anglo-Frisian dialects brought to Britain in the mid 5th to 7th centuries AD by Germanic invaders and settlers from what is now northwest Germany, west Denmark and the Netherlands, displacing the Celtic languages that previously predominated. The Old English of the Anglo-Saxon era developed into Middle English, which was spoken from the Norman Conquest to the late 15th century. A significant influence on the shaping of Middle English came