1. Section of Pulmonary and Critical Care Medicine, Yale University School of Medicine, New Haven 06520;
2. Connecticut Veterans Affairs HealthCare System, West Haven, Connecticut 06516; and
3. Department of Pulmonary and Critical Care Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195
4. Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15213;