Hepatic encephalopathy An imbalance between aromatic amino acids (phenylalanine, tryptophan and tyrosine) and branched-chain amino acids (leucine, isoleucine and valine) has been described; this would lead to the generation of false neurotransmitters (such octopamine and 2-hydroxyphenethylamine). Dysregulation of the serotonin system, too, has been reported. Depletion of zinc and accumulation of manganese may play a role. Inflammation elsewhere in the body may precipitate encephalopathy through the action of cytokines and bacterial lipopolysaccharide on astrocytes. The diagnosis of hepatic encephalopathy can only be made in the presence of confirmed liver disease (types A and C) or a portosystemic shunt (type B), as its
Adjective phrase to post-nominal position, only one interpretation is possible. There is cross-linguistic validity, according to the multiple articles referenced in Cinque's article, which studied this adjective placement in Italian as well. Cinque discovered that exactly the same pattern was seen in Italian, because ambiguous interpretations only appeared when the adjective phrase was placed in pre-nominal position. Next, other research articles also confirm that this word order phenomenon exists in Mandarin Chinese, creating ambiguous interpretations. For example, an adjective phrase with the head adjective "private" in pre-object position, creates two interpretations. On the other hand, an adjective phrase with the head adjective