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.
The English language developed from the West Germanic dialects spoken by the Angles, Saxons, and other Teutonic tribes who participated in the invasion and occupation of England in the fifth and sixth centuries. As a language, Anglo-Saxon, or Old English, was very different from modern English. It had grammatical gender, declensions, conjugations, tense-forms, and case-endings. The language flourished in England until the Norman conquest, when French became for a time the language of the court and of literature.