[1] YALE UNIV, SCH MED, DEPT INTERNAL MED, NEW HAVEN, CT 06510 USA
[2] UNIV MUNICH, KLINIKUM GROSSHADERN, DEPT MED 2, D-81377 MUNICH, GERMANY
[3] UNIV MUNICH, KLINIKUM GROSSHADERN, DEPT SURG, W-8000 MUNICH, GERMANY
[4] MED COLL GEORGIA, DEPT MED, AUGUSTA, GA 30912 USA