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
The Great Australian Adjective The Great Australian Adjective The Great Australian Adjective is a humorous poem by English writer and poet W. T. Goodge. It was first published in "The Bulletin" magazine on 11 December 1897, the Christmas issue of that publication, and later in the poet's only collection "Hits! Skits! and Jingles!". The poem was originally published with the title "-----!", a subtitle of "The Great Australian Adjective" and was signed as by "The Colonel", a regular pseudonym of Goodge's. The poem is written with a number of words "blanked out", allowing the reader to substitute whatever they choose. For example: <poem> The