instruction:
Given an abstract, generate a keyword (a noun phrase) that best describes the focus or contribution of the paper. Such keywords can be directly from the given abstract or outside it.
question:
Abstract: One hundred forty-four patients were prospectively followed through our Asplenic Registry for the development of late septic complications following splenectomy for trauma. There were 114 males and 30 females with a mean age of 28.6 years. The total time of followup was 8,810 patient months with a mean followup of 61 months (range, 12-144 months). Indications for splenectomy were blunt trauma, 111 patients; penetrating trauma, six patients; and intra-operative injury, 27 patients. During the followup to date, 15 late major septic complications requiring hospitalization have occurred in 13 patients (9%). Fulminant pneumococcal sepsis resulted in the death of a 27-year-old male, 3 years after splenectomy. Septicemia occurred in four patients, pneumonia in five, abscess in two, infection of a prosthetic heart valve in one, meningitis in one, and fever of unknown origin in one. All but two of these infections were due to encapsulated organisms. Minor septic complications occurred in 44 patients (30%), and consisted of infections which required outpatient medical care. Major late septic complications occurred more frequently following incidental splenectomy than following splenectomy for blunt or penetrating trauma (18.5% and 5.9% respectively; p less than 0.05). The mortality from major septic complications in this series (7%) is lower than previously reported by other investigators (30-80%). Our data suggest that adults undergoing splenectomy for trauma are at an increased risk of developing late major septic complications. This risk is significant enough to warrant attempts at splenic salvage, especially when injury is incidental to an elective operative procedure.(ABSTRACT TRUNCATED AT 250 WORDS)
answer:
Abscess

question:
Abstract: Histopathologic studies of dermal dog bites revealed changes identical with those observed in distant gunshot skin entrance wounds and in a presternal skin stab wound made by a screwdriver. The similarity of the epithelial and collagen changes produced by these three totally different traumatizing, perforating agencies indicate that it is the bullet's penetrating and crushing power, and not its caloric content, that is responsible for the characteristic dermal collagen changes noted in these common injuries.
answer:
Animal

question:
Abstract: Twenty-three male Black African and 23 male Caucasian subjects, ascertained as sedentary, participated in this study designed to determine whether there were differences in skeletal muscle histochemical and biochemical characteristics between racial groups. Muscle fiber type proportions (I, IIa, and IIb), fiber areas and activities of several enzyme markers of different energy metabolic pathways were determined from a biopsy of the vastus lateralis. Results indicated that Caucasians had a higher percent type I (8%, P less than 0.01) and a lower percent type IIa (6.7%, P less than 0.05) fiber proportions than Africans. No significant differences were observed between the two racial groups in the type IIb fiber proportion or in the three fiber type areas. Enzymes catalyzing reactions in phosphagenic [creatine kinase (CK)] and glycolytic [hexokinase (HK), phosphofructokinase (PFK), and lactate dehydrogenase (LDH)] metabolic pathways had significantly higher activities (about 30-40%) in the Black African group than in the Caucasian group (P less than 0.01). No significant difference was noted in the activities of oxidative enzymes [malate dehydrogenase (MDH), oxoglutarate dehydrogenase (OGDH), and 3-hydroxyacyl-CoA dehydrogenase (HADH)]. Consequently, the PFK/OGDH ratio was significantly elevated in Africans (P less than 0.05). The racial differences observed between Africans and Caucasians in fiber type proportion and enzyme activities of the phosphagenic and glycolytic metabolic pathways may well result from inherited variation. These data suggest that sedentary male Black individuals are, in terms of skeletal muscle characteristics, well endowed for sport events of short duration.
answer:
Adult