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
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