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.
Community-acquired pneumonia (CAP) is one the most common infectious diseases addressed by clinicians. It is a major health problem in the United States and is an important cause of mortality and morbidity worldwide. CAP is defined as pneumonia acquired outside a hospital or long-term care facility.