Hepatic encephalopathy An imbalance between aromatic amino acids (phenylalanine, tryptophan and tyrosine) and branched-chain amino acids (leucine, isoleucine and valine) has been described; this would lead to the generation of false neurotransmitters (such octopamine and 2-hydroxyphenethylamine). Dysregulation of the serotonin system, too, has been reported. Depletion of zinc and accumulation of manganese may play a role. Inflammation elsewhere in the body may precipitate encephalopathy through the action of cytokines and bacterial lipopolysaccharide on astrocytes. The diagnosis of hepatic encephalopathy can only be made in the presence of confirmed liver disease (types A and C) or a portosystemic shunt (type B), as its
Adjective phrase I’ve never met a dancer more beautiful than Mary This example showed then entire adjective phrase moving, creating the same ambiguity as example 1. Therefore, the placement of the adjective relative to the subject is important for creating unambiguous statements. a. Ambiguous sentence: All the short blessed people were healed. b. Unambiguous sentence: All the short people blessed were healed. The adjective blessed is ambiguous in pre-nominal position because it creates a restrictive and a nonrestrictive interpretation (1a), while in post-nominal position it only displays a restrictive interpretation (1b). Plus, when the main adjective of the adjective phrase is moved