Hepatic encephalopathy required and intubation of the airway is often necessary to prevent life-threatening complications (e.g., aspiration or respiratory failure). Placement of a nasogastric tube permits the safe administration of nutrients and medication. The treatment of hepatic encephalopathy depends on the suspected underlying cause (types A, B or C) and the presence or absence of underlying causes. If encephalopathy develops in acute liver failure (type A), even in a mild form (grade 1–2), it indicates that a liver transplant may be required, and transfer to a specialist centre is advised. Hepatic encephalopathy type B may arise in those who have undergone a
Proper adjective as "chauvinistic". In addition, over time, an adjective can lose its capitalization by convention, generally when the word has overshadowed its original reference, such as "gargantuan", "quixotic", "titanic", or "roman" in the term "roman numerals". An adverb formed from a capitalized adjective is itself capitalized. For example: Verbs such as "Canadianize" are written with a capital letter, although not generally described as "proper verbs". Proper adjective In English orthography, the term proper adjective is sometimes applied to adjectives that take initial capital letters, and the term common adjective to those that do not. For example, a person from Boston is