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
Nominalized adjective "headwind" is then assumed. The third type is known as the "permanent" adjectival noun and has an adjective that stands alone as a noun. Such adjectives have become nouns over time, and most speakers are aware of their implicit adjectival meaning. Nominalized adjectives occur frequently in both Classical Arabic and Modern Standard Arabic. An example would be "things (that are) Islamic", which is derived from the adjective "Islamic" in the inanimate plural inflection. Another example would be "the big one" (said of a person or thing of masculine gender), from "big" inflected in the masculine singular. Nominalized adjective A nominalized