Hepatic encephalopathy treatment may benefit people with hepatic encephalopathy. LOLA lowers ammonia levels by increasing the generation of urea through the urea cycle, a metabolic pathway that removes ammonia by turning it into the neutral substance urea. LOLA may be combined with lactulose and/or rifaximin if these alone are ineffective at controlling symptoms. In those with cirrhosis, the risk of developing hepatic encephalopathy is 20% per year, and at any time about 30–45% of people with cirrhosis exhibit evidence of overt encephalopathy. The prevalence of minimal hepatic encephalopathy detectable on formal neuropsychological testing is 60–80%; this increases the likelihood of developing overt
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