A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)
A state of prolonged irreversible cessation of all brain activity, including lower brain stem function with the complete absence of voluntary movements, responses to stimuli, brain stem reflexes, and spontaneous respirations. Reversible conditions which mimic this clinical state (e.g., sedative overdose, hypothermia, etc.) are excluded prior to making the determination of brain death. (From Adams et al., Principles of Neurology, 6th ed, pp348-9)
Here are entered works on the shared management of natural resources between government agencies and local communities, including joint research projects
Comanche Indians -- Folklore. : The life of Ten Bears : Comanche historical narratives / collected by Francis Joseph Attocknie ; edited and with an introduction by Thomas W. Kavanagh
Comanche Indians -- History -- Sources. : The life of Ten Bears : Comanche historical narratives / collected by Francis Joseph Attocknie ; edited and with an introduction by Thomas W. Kavanagh
Comanche Indians -- Pictorial works : The North American Indian : being a series of volumes picturing and describing the Indians of the United States, the Dominion of Canada, and Alaska Volume 19, The Indians of Oklahoma, the Wichita, the southern Cheyenne, the Oto, the Comanche, the peyote cult / written, illustrated, and published by Edward S. Curtis ; edited by Frederick Webb Hodge ; foreword by Theodore Roosevelt ; field research conducted under the patronage of J. Pierpont Morgan
