1. From the Institute of Clinical Medicine, Department of Internal Medicine (J.T.T., V.W., M.J.J., M.R., E.H., O-P.L., H.V.H.) and the Institute of Diagnostics, Department of Forensic Medicine (M-L.K.), University of Oulu, Oulu, Finland; and Department of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland (O.A.).