1. Pulmonary and Critical Care Medicine Section, University of Nebraska Medical Center, Omaha 68198-5125;
2. University of Milan, Milan 20122, Italy;
3. Veterans Affairs Medical Center, Omaha, Nebraska 68105;
4. First Department of Pathology, Nippon Medical School, Tokyo 113-0022; and
5. Third Department of Internal Medicine, University of Tokushima, Tokushima 770-8503, Japan