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 English is that an attributive adjective alone generally precedes the noun, e.g. "a proud man", whereas a head-initial or head-medial adjective phrase follows its noun, e.g. "a man proud of his children". A predicative adjective (phrase), in contrast, appears outside of the noun phrase that it describes, usually after a linking verb, e.g. "The man is proud of his children". There is a tendency to call a phrase an "adjectival phrase" when that phrase is functioning like an adjective phrase, but is not actually headed by an adjective. For example, in "Mr Clinton is a man of wealth", the prepositional