Hepatic encephalopathy a fluid sample with a needle) may be required to identify spontaneous bacterial peritonitis (SBP). The severity of hepatic encephalopathy is graded with the West Haven Criteria; this is based on the level of impairment of autonomy, changes in consciousness, intellectual function, behavior, and the dependence on therapy. A classification of hepatic encephalopathy was introduced at the World Congress of Gastroenterology 1998 in Vienna. According to this classification, hepatic encephalopathy is subdivided in type A, B and C depending on the underlying cause. The term "minimal encephalopathy" (MHE) is defined as encephalopathy that does not lead to clinically overt cognitive
Adjective where English uses "to be hungry" ("hungry" being an adjective), Dutch, French, and Spanish use "honger hebben", "avoir faim", and "tener hambre" respectively (literally "to have hunger", the words for "hunger" being nouns). Similarly, where Hebrew uses the adjective זקוק "zaqūq" (roughly "in need of"), English uses the verb "to need". In languages which have adjectives as a word class, they are usually an open class; that is, it is relatively common for new adjectives to be formed via such processes as derivation. However, Bantu languages are well known for having only a small closed class of adjectives, and new