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.

Example Input: Abstract: To better understand declining autopsy rates, data have been gathered prospectively on 1080 consecutive deaths over six years among patients admitted to a medical intensive care/coronary care unit. Overall autopsy rate was 36%. Autopsy rates declined sharply with age from 60% for those aged 16 to 34 years to 23% for those 85 and over (P less than .001). The highest rates by diagnosis were aortic aneurysm (70%), hepatic failure (52%), heart rhythm disturbance (48%), pulmonary embolism (45%), and sepsis (41%). Patients receiving major procedures had a significantly higher autopsy rate (38 versus 29%, P less than .05) but rates bore little relation to prognoses given at admission by house officers, suddenness of death, sex, marital status or year of admission. Even among intensively treated patients, autopsy rates decline strikingly with age, demanding honest re-appraisal to restore the place of autopsy in medical education, clinical research, and quality of care assessment for an increasingly elderly population.
Example Output: Adolescence

Example Input: Abstract: The clinical features of 66 patients with histologically defined mitochondrial myopathy are described. The age of onset of symptoms ranged from birth to 68 years, but was before 20 years in 61%. Nineteen patients had similarly affected relatives. Three groups of cases could be identified clinically: a combination of progressive external ophthalmoplegia and weakness of the limbs induced or increased by exertion (55%); such limb weakness alone (18%); and those with clinical features, such as ataxia, dementia, deafness, involuntary movements and seizures, predominantly or exclusively arising from the CNS (27%). There was considerable overlap between these groups, and pigmentary retinopathy, present in 36% of patients, occurred in all three. At a mean disease duration of twenty years, 9 patients (all from Group 3) were severely disabled but 42 were still able to work. In vitro studies of mitochondrial metabolism, performed in 33 cases, most commonly showed deficiencies of the mitochondrial respiratory chain localized to complex I (18 patients) or complex III (9). No typical clinical picture emerged for any of the identifiable biochemical defects.
Example Output: Adolescence

Example Input: Abstract: Forty male and 40 female rats were randomly assigned to 1 of 4 experimental groups. Half of the animals of each gender were exercised by jumping (weighted by a vest with up to 70% body weight) to a height of 16 cm 20 times X d-1 (30 s between jumps) 5 d X wk-1 for 8 wk. Half of the exercised animals and half of the sedentary animals were injected with the anabolic steroid durabolin (0.2 mg in 0.1 ml sesame seed oil) 6 d X wk-1 for the last 3 wk of the 8-wk exercise program. The other animals were injected with 0.1 ml of sesame seed oil (as a placebo) on the same schedule. At the end of the 8-wk program, blood was drawn from the right atria of the anesthetized animals. Plasmas were analyzed for total cholesterol (TC) and high density lipoprotein cholesterol (HDL-C) concentrations. Low density lipoprotein cholesterol (LDL-C) concentration was estimated as the difference between these two parameters (TC - HDL-C). A three-factor analysis of variance (2 X 2 X 2) demonstrated that there was a significant (P less than 0.05) gender effect (males greater than females), but no steroid or exercise main effects for TC. There were significant (P less than 0.05) steroid and exercise main effects for both HDL-C and estimated LDL-C, as well as a significant gender main effect for estimated LDL-C (but not HDL-C).(ABSTRACT TRUNCATED AT 250 WORDS)
Example Output:
Anabolic Steroids