RT Journal A1 Elpern DJ T1 KEola and the kahuna JF JAMA JO JAMA YR 1989 FD March 3 VO 261 IS 9 SP 1333 OP 1333 DO 10.1001/jama.1989.03420090099040 UL http://dx.doi.org/10.1001/jama.1989.03420090099040 AB