[1] Univ Nebraska Med Ctr, Dept Internal Med, Pulm Crit Care Sleep & Allergy Div, Omaha, NE 68198 USA
[2] Univ Nebraska Med Ctr, Dept Environm Agr & Occupat Hlth, Omaha, NE 68198 USA
[3] VA Nebraska Western Iowa Hlth Care Syst, Omaha, NE 68105 USA
[4] Colorado State Univ, Dept Environm & Radiol Hlth Sci, High Plains Intermt Ctr Agr Hlth & Safety, Ft Collins, CO 80523 USA
[5] Univ Nebraska Med Ctr, Dept Pathol & Microbiol, Omaha, NE 68198 USA