Hepatic encephalopathy the encephalopathy; it is suspected that this means that more ammonia has already been absorbed into the brain in those with severe symptoms whose serum levels are relatively low. Other waste products implicated in hepatic encephalopathy include mercaptans (substances containing a thiol group), short-chain fatty acids, and phenol. Numerous other abnormalities have been described in hepatic encephalopathy, although their relative contribution to the disease state is uncertain. Loss of glutamate transporter gene expression (especially EAAT 2) has been attributed to acute liver failure. Benzodiazepine-like compounds have been detected at increased levels as well as abnormalities in the GABA neurotransmission system.
Adjective phrase An attributive adjective (phrase) precedes the noun of a noun phrase (e.g. "a very happy" man). A predicative adjective (phrase) follows a linking verb and serves to describe the preceding subject, e.g. "The man is very happy". The adjective phrases are underlined in the following example sentences. The head adjective in each of these phrases is in bold, and how the adjective phrase is functioning—attributively or predicatively—is stated to the right of each example: The distinguishing characteristic of an attributive adjective phrase is that it appears inside the noun phrase that it modifies. An interesting trait of these phrases in