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.
There are about 80 million people who speak German as a second language, and many others study it as a foreign language. The earliest known examples of written German date from the 8th century AD and consist of fragments of an epic poem, the Song of Hildebrand, magical charms and German glosses in Latin manuscripts.