Please answer the following question: Information: - Eladio Romero Santos was a Dominican musician . Originally from Cenovi , a town outside of San Francisco de Macoris , Santos '' career spans over forty years . Santos started recording bachata in 1966 with his first song '' Tomando En Tu Mesa '' . Since he performed mostly in country social clubs and for patron saints '' festivals , he was not marginalized as were many of his fellow bachateros . Santos '' style was much simpler and more straightforward than that of other guitarists such as Edilio Paredes ; it was also rhythmic and danceable . He contracted arthritis in 1995 and was forced to stop playing the guitar . After 1995 , he only performed as a singer . Romero Santos retired in 1998 . He died three years later , in 2001 , of lung cancer . - Duarte is a province of the Dominican Republic. It is named after Juan Pablo Duarte, founder of the Dominican Republic. - The gittern was a relatively small gut strung round-backed instrument that first appears in literature and pictorial representation during the 13th century in Western Europe (Iberian Peninsula, Italy, France, England). It is usually depicted played with a quill plectrum, as we can see clearly beginning in manuscript illuminations from the thirteenth century. It was also called the guitarra in Spain, guiterne or guiterre in France, the chitarra in Italy and quintern in Germany. A popular instrument with court musicians, minstrels, and amateurs, the gittern is considered ancestral to the modern guitar; possibly other instruments like the mandore and gallichon. - Arthritis is a term often used to mean any disorder that affects joints. Symptoms generally include joint pain and stiffness. Other symptoms may include redness, warmth, swelling, and decreased range of motion of the affected joints. In some types other organs are also affected. Onset can be gradual or sudden. There are over 100 types of arthritis. The most common forms are osteoarthritis (degenerative joint disease) and rheumatoid arthritis. Osteoarthritis usually occurs with age and affects the fingers, knees, and hips. Rheumatoid arthritis is an autoimmune disorder that often affects the hands and feet. Other types include gout, lupus, fibromyalgia, and septic arthritis. They are all types of rheumatic disease. Treatment may include resting the joint and alternating between applying ice and heat. Weight loss and exercise may also be useful. Pain medications such as ibuprofen and paracetamol (acetaminophen) may be used. In some a joint replacement may be useful. Osteoarthritis affects more than 3.8% of people while rheumatoid arthritis affects about 0.24% of people. Gout affects about 1 to 2% of the Western population at some point in their lives. In Australia about 15% of people are affected, while in the United States more than 20% of have a type of arthritis. Overall the disease becomes more common with age. Arthritis is a common reason that people miss work and can result in a decreased quality of life. The term is from Greek "arthro-" meaning joint and "-itis" meaning inflammation. - The Dominican Republic is a sovereign state occupying the eastern two-thirds of the island of Hispaniola, in the Greater Antilles archipelago in the Caribbean region. The western one-third of the island is occupied by the nation of Haiti, making Hispaniola one of two Caribbean islands, along with Saint Martin, that are shared by two countries. The Dominican Republic is the second-largest Caribbean nation by area (after Cuba) at , and 3rd by population with 10.08 million people, of which approximately three million live in the metropolitan area of Santo Domingo, the capital city. - The guitar is a musical instrument classified as a string instrument with anywhere from four to 18 strings, usually having six. The sound is projected either acoustically, using a hollow wooden or plastic and wood box (for an acoustic guitar), or through electrical amplifier and a speaker (for an electric guitar). It is typically played by strumming or plucking the strings with the fingers, thumb and/or fingernails of the right hand or with a pick while fretting (or pressing against the frets) the strings with the fingers of the left hand. The guitar is a type of chordophone, traditionally constructed from wood and strung with either gut, nylon or steel strings and distinguished from other chordophones by its construction and tuning. The modern guitar was preceded by the gittern, the vihuela, the four-course Renaissance guitar, and the five-course baroque guitar, all of which contributed to the development of the modern six-string instrument. - The vihuela is a guitar-shaped string instrument from 15th and 16th century Spain, Portugal and Italy, usually with five or six doubled strings. - Osteoarthritis (OA) is a type of joint disease that results from breakdown of joint cartilage and underlying bone. The most common symptoms are joint pain and stiffness. Initially, symptoms may occur only following exercise, but over time may become constant. Other symptoms may include joint swelling, decreased range of motion, and when the back is affected weakness or numbness of the arms and legs. The most commonly involved joints are those near the ends of the fingers, at the base of the thumb, neck, lower back, knee, and hips. Joints on one side of the body are often more affected than those on the other. Usually the symptoms come on over years. It can affect work and normal daily activities. Unlike other types of arthritis, only the joints are typically affected. Causes include previous joint injury, abnormal joint or limb development, and inherited factors. Risk is greater in those who are overweight, have one leg of a different length, and have jobs that result in high levels of joint stress. Osteoarthritis is believed to be caused by mechanical stress on the joint and low grade inflammatory processes. It develops as cartilage is lost and the underlying bone becomes affected. As pain may make it difficult to exercise, muscle loss may occur. Diagnosis is typically based on signs and symptoms, with medical imaging and other tests occasionally used to either support or rule out other problems. In contrast to rheumatoid arthritis, which is primarily an inflammatory condition, in osteoarthritis, the joints do not typically become hot or red. Treatment includes exercise, efforts to decrease joint stress, support groups, and pain medications. Efforts to decrease joint stress include resting and the use of a cane. Weight loss may help in those who are overweight. Pain medications may include paracetamol (acetaminophen) as well as NSAIDs such as naproxen or ibuprofen. Long-term opioid use is generally discouraged due to lack of information on benefits as well as risks of addiction and other side effects. If... - Italy, officially the Italian Republic, is a unitary parliamentary republic in Europe. Located in the heart of the Mediterranean Sea, Italy shares open land borders with France, Switzerland, Austria, Slovenia, San Marino and Vatican City. Italy covers an area of and has a largely temperate seasonal climate and Mediterranean climate; due to its shape, it is often referred to in Italy as "lo Stivale" (the Boot). With 61 million inhabitants, it is the fourth most populous EU member state. - The Renaissance was a period in European history, from the 14th to the 17th century, regarded as the cultural bridge between the Middle Ages and modern history. It started as a cultural movement in Italy in the Late Medieval period and later spread to the rest of Europe, marking the beginning of the Early Modern Age. - San Francisco de Macoris is a city in the Dominican Republic located in the northeast portion of the island, in the Cibao region. It is the capital of the Duarte Province, and the sixth most populated city in the country. The name "San Francisco de Macoris" comes from a fusion of the name of Saint Francis, patron saint of the Franciscan Order (a religious organization from Italy that had come to this territory during colonization) and the territory's old name, which is "Macorix". - Cibao, usually referred as "El Cibao", is a region of the Dominican Republic located at the northern part of the country. As of 2009 the Cibao has a population of 5,622,378 making it the most populous region in the country. - Fibromyalgia (FM) is a medical condition characterised by chronic widespread pain and a heightened pain response to pressure. Other symptoms include feeling tired to a degree that normal activities are affected, sleep problems, and troubles with memory. Some people also report restless legs syndrome, bowel or bladder problems, numbness and tingling, and sensitivity to noise, lights or temperature. Fibromyalgia is frequently associated with depression, anxiety, and posttraumatic stress disorder. Other types of chronic pain are also frequently present. The cause of fibromyalgia is unknown; however, it is believed to involve a combination of genetic and environmental factors with half the risk attributed to each. The condition runs in families and many genes are believed to be involved. Environmental factors may include psychological stress, trauma, and certain infections. The pain appears to result from processes in the central nervous system and the condition is referred to as a "central sensitization syndrome". Fibromyalgia is recognized as a disorder by the US National Institutes of Health and the American College of Rheumatology. There is no specific diagnostic test. Diagnosis involves first ruling out other potential causes and verifying that a set number of symptoms are present. The treatment of fibromyalgia can be difficult. Recommendations often include getting enough sleep, exercising regularly, and eating a healthy diet. Cognitive behavioral therapy may also be helpful. The medications duloxetine, milnacipran, or pregabalin may be used. Use of opioid pain medication is controversial with some stating their use is poorly supported by evidence and others saying that weak opioids may be reasonable if other medications are not effective. Dietary supplements also lack evidence to support their use. While fibromyalgia can last a long time, it does not result in death or tissue damage. Fibromyalgia is estimated to affect 28% of the population. Females are affected about twice as often as males. Rates appear... After reading the paragraphs above, we are interested in knowing the entity with which 'eladio romero santos' exhibits the relationship of 'country of citizenship'. Find the answer from the choices below. Choices: - american - australia - austria - dominican republic - england - haiti - italy - portugal - san marino - spain - switzerland - vatican city
A:
dominican republic