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 the Anglo-Frisian dialects and was brought to Britain by Germanic invaders (or settlers) from what is now called north west Germany and the Netherlands.It uses a vocabulary unlike other European languages of the same era.iddle English differed from Old English because of two invasions, which occurred during the Middle Ages. The first invasion was by people who spoke North Germanic languages. They conquered and colonised parts of Britain during the 8th and 9th centuries AD.