Here is a chart that can hopefully help with pronunciation of the Chamorro letters. While most Chamorros are very forgiving when someone mispronounces the words, there are some cases where mispronunciation leads to confusion and miscommunication, so I'll try to give some pointers on pronunciation.
Healthcare-associated pneumonia (nosocomial pneumonia) is pneumonia that you get when you are in a hospital or nursing home. Experts generally consider it a more serious illness than pneumonia that people get in daily life (community-associated pneumonia). This is because the person with healthcare-associated pneumonia may already have a serious illness. Healthcare-associated pneumonia is also often caused by bacteria other than Streptococcus pneumoniae, which causes most cases of pneumonia.
Pneumonia is a breathing (respiratory) condition in which there is an infection of the lung. This article covers community-acquired pneumonia (CAP). This type of pneumonia is found in persons who have not recently been in the hospital or another health care facility such as a nursing home or rehab facility. Pneumonia that affects persons in health care facilities, such as hospitals is called hospital-acquired pneumonia.