Hepatic encephalopathy Hepatic encephalopathy Hepatic encephalopathy (HE) is an altered level of consciousness as a result of liver failure. Onset may be gradual or sudden. Other symptoms may include movement problems, changes in mood, or changes in personality. In the advanced stages it can result in a coma. Hepatic encephalopathy can occur in those with acute or chronic liver disease. Episodes can be triggered by infections, GI bleeding, constipation, electrolyte problems, or certain medications. The underlying mechanism is believed to involve the buildup of ammonia in the blood, a substance that is normally removed by the liver. The diagnosis is typically made
Nominalized adjective elaborated by Noam Chomsky, it is suggested that inflected adjectives are more likely to be nominalized because they have overtly-marked φ-features (such as grammatical number and gender), which makes them suitable for use as the complement of a determiner. Determiners with unvalued φ-features must find a complement with a valued φ-feature to meet semantic comprehension. In the diagrams below, the determiner is "the", and its complement is either the noun phrase "poor people" or the nominalized adjective "poor". As the frequency of nominalized adjective use decreased, the frequency of structures using the prop-word "one" increased (phrases such as "the large"