Hepatic encephalopathy get a liver transplant, the risk of death is less than 30% over the subsequent five years. The condition has been described since at least 1860. The mildest form of hepatic encephalopathy is difficult to detect clinically, but may be demonstrated on neuropsychological testing. It is experienced as forgetfulness, mild confusion, and irritability. The first stage of hepatic encephalopathy is characterised by an inverted sleep-wake pattern (sleeping by day, being awake at night). The second stage is marked by lethargy and personality changes. The third stage is marked by worsened confusion. The fourth stage is marked by a progression to
Nominalized adjective number and nominative case. "Den Alten" is a similar inflection but in the accusative case. The nominalized adjective is derived from the adjective "alt" and surfaces as it does by taking the appropriate inflection. Like in English, adjectival nouns are used as a plural definite ("the unemployed") and with nationality words ("the Swedish"). However, Swedish does not require "one or ones" with count nouns ("The old cat is slower than the new (one)"). The use of inflection, which incorporates the number and the gender of the noun, allows Swedish to avoid the need for a visible noun to describe a