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.
Pennsylvania Dutch is an American language that developed from the immigration of German speakers to colonial Pennsylvania. Many scholars and some speakers of the language call it Pennsylvania German in order to emphasize its historical connection with German rather than the Dutch (Netherlandic) language. Though it is widely believed that the Dutch in Pennsylvania Dutch is due to a mistranslation of the word Deitsch (or Deutsch, in standard German), that is not correct. In earlier forms of British and American English, both Dutch and German could refer to speakers of what we would today call German.