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.
Identification. The English word Dutch derives from the German deutsch (German). Dutch referred originally to both Germany and the Netherlands but came to be restricted to the people and language of the Netherlands when that country became independent in the seventeenth century.utch is also the official language in Flandres, Belgium, where it is called Flemish. Creole languages are increasingly replacing Dutch in Suriname and the Netherlands Antilles as decolonization progresses. Afrikaans, which is widely spoken in South Africa, is related to Dutch.