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 ......
Article |


Kenneth M. Weiss, PhD
JAMA. 1983;249(17):2328. doi:10.1001/jama.1983.03330410026015.
Text Size: A A A
Published online


To the Editor.—  "She was a fine car in her day, but the next time something breaks...." Anyone who has said this at one time or another (and who hasn't?) should have no trouble accepting Kohn's main points regarding the certification of death in the elderly (1982;247:2793 and 1982; 248:2449). The fact that a tire was the next thing to break carries only limited information beyond the knowledge that the car was old. When a multitude of parts are wearing, sooner or later one of them will be the first to fail, and which one this is may be mostly a matter of chance. Whether a mechanic can or will bother to diagnose the difficulty accurately is also a good question.Yet, the use of fender, door, and fuel-pump explants from salvage yards demonstrates a serious point that researchers in biologic aging have traditionally misunderstood, yet one well known to


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this 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

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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