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 "private" placed in post-object position only creates one interpretation. The structure of adjective phrases (and of all other phrase types) can be represented using tree structures. There are two modern conventions for doing this, constituency-based trees of phrase structure grammars and dependency-based trees of dependency grammars. Both types of trees are produced here. The important aspect of these tree structures—regardless of whether one uses constituency or dependency to show the structure of phrases—is that they are identified as adjective phrases by the label on the top node of each tree. The following trees illustrate head-final adjective phrases, i.e. adjective phrases