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.
(Middle English is not a dialect of German, but is still a Teutonic language.)In 1066 the Norman French invaded England from Normandy (a part of north west France that had been settled by Vikings calling themselves Normans at the end of the raiding period). However, the great majority of Latin words in German were adopted from the time of the Renaissance onwards.   English is also a Germanic language. Many similarities can be seen between German and English, espcially with cognates.