1. VA Nebraska-Western Iowa Health Care System, Research Service, Omaha, Nebraska;
2. Pulmonary, Critical Care, Sleep & Allergy Division, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska;
3. Division of Geriatrics, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, Nebraska; and
4. Department of Environmental, Agricultural, & Occupational Health, University of Nebraska Medical Center, Omaha, Nebraska