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
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"