Hepatic encephalopathy get a liver transplant, the risk of death is less than 30% over the subsequent five years. The condition has been described since at least 1860. The mildest form of hepatic encephalopathy is difficult to detect clinically, but may be demonstrated on neuropsychological testing. It is experienced as forgetfulness, mild confusion, and irritability. The first stage of hepatic encephalopathy is characterised by an inverted sleep-wake pattern (sleeping by day, being awake at night). The second stage is marked by lethargy and personality changes. The third stage is marked by worsened confusion. The fourth stage is marked by a progression to
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