We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
In This Issue of Archives of Internal Medicine |

In This Issue of Archives of Internal Medicine FREE

Arch Intern Med. 2008;168(5):448. doi:10.1001/archinte.168.5.448.
Text Size: A A A
Published online

It remains uncertain whether death can be predicted in type 2 diabetes mellitus. A prospective cohort study of 7583 patients with type 2 diabetes with 5.5 years of follow-up and a split-half approach was conducted to develop and validate a death risk score. Age, sex, peripheral arterial disease, cancer history, insulin use, blood hemoglobin and body mass index, urinary albumin-creatinine ratio, and estimated glomerular filtration rate were used in the risk score, which achieved good calibration and discrimination (area under the receiver operating characteristic curve, 0.85). The study concludes that death in patients with type 2 diabetes can be predicted using a risk score.

See Article

Despite the dramatic increase in women entering the medical profession over the past several decades, women have remained underrepresented in certain senior leadership positions in academic medicine. Because editorial positions at major medical journals are prestigious and influential, Jagsi et al sought to examine the representation of women on editorial boards as well as in the role of editor-in-chief. In their study, they examined the editorial membership of 16 major biomedical journals in 1970 and every 5 years thereafter through 2005. They found that the representation of women on the editorial boards of major medical journals has increased over the past 35 years. Nevertheless, women still composed a minority of the membership of the editorial boards for each journal considered in their study, and substantially so for some.

See Article

In this study of 1516 patients from the Prospective Registry Evaluating Outcomes After Myocardial Infarction: Events and Recovery (PREMIER) registry, Daugherty et al found that, in general, evidence-based medication use at 6 months was greater in patients receiving any form of early follow-up after acute myocardial infarction. Furthermore, collaborative follow-up care between a primary care provider and a cardiologist revealed a trend toward improved medication use compared with either alone. These results support current guideline recommendations for early follow-up after hospitalization for acute myocardial infarction and suggest a structure for this follow-up.

See Article

Qureshi et al evaluated the differences in risk for melanoma, squamous cell carcinoma (SCC), and basal cell carcinoma (BCC) in a prospective study of 84 836 female nurses living at varying geographic locations as assessed by the UV index in the United States. They found that the risk for SCC was independently affected by residence in medium and high UV index locations, the gradient of risk was weaker for BCC, and risk for melanoma did not change significantly across this UV gradient. For women who reported living in high UV index locations consistently, the multivariate risk for SCC was highest. These findings suggest that residence in high UV index locations is not associated with a uniformly elevated risk of all 3 skin cancers and that SCC seems to be the most UV-associated cancer. Recommendations for sun protection behaviors for skin cancer prevention should also promote vitamin D supplementation.

See Article

In this study, Pulte et al used period analysis to estimate trends in 5- and 10-year relative survival on a population level for patients diagnosed as having non-Hodgkin lymphoma (NHL) between 1990-1992 and 2002-2004, using data from the Surveillance, Epidemiology, and End Results database. Improvement was most pronounced for younger patients and patients with extranodal disease, but increases in 5- and 10-year relative survival rates were seen in all age groups, both sexes, nodal and extranodal disease, and both high- and low-grade NHL. When survival was examined by ethnicity, a greater increase was seen for white patients than for black patients, although survival improved in both groups. Improvements in treatment, including the addition of antibody therapy to chemotherapy, better supportive care, and a decrease in human immunodeficiency virus–related NHL may have led to the increases in survival observed.

See Article




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Related Content

Customize your page view by dragging & repositioning the boxes below.