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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of agricultural medicine and community health
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Korean Association of Agricultural Medicine and Community Health
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Volume & Issues
Volume 26, Issue 2 - Dec 2001
Volume 26, Issue 1 - Jun 2001
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A Survey on Clonorchis sinensis Metacercariae from Fresh- water Fishes in Four Rivers at Jeonbuk Province in Korea
Park, Hyun ; Park, Jeung-Ok ; Jeon, Hyun-Jin ; Park, Hyun-Mo ; Kwak, Hyo-Wang ; Han, Jong-Dae ; Kong, Woo-Hyun ; Kim, Suk-Il ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 1~6
To investigate which fresh-water fishes were infected with Clonorchis sinensis metacercariae, 13 species of the fishes in the Kum River, the Mangyong River, the Tongjin River, and the Sumjin River were surveyed from July to October 2001. The metacercariae of C. sinensis were found in Squalidus japonicus coreanus in the Kum River and the Mangyong River, Pseudorasbora parva in the Kum River, and Pungtungia herz i in the Sumjin River. The average number of the metacecariae in 1 gram of fish body weight was 12 in Squalidus japonicus coreanus, 26 in Pseudorasbora parva in the Kum River, 4 in Squalidus japonicus coreanus in the Mangyong River, and 7 in Pungtungia herz i in the Sumjin River. The C. sinensis egg-positive rates among the residents at the Sumjin River basin in 1999 and 2000 were 8.9% and 6.8%, respectively. In conclusion, C. sinensis infection was endemic in the above riverside areas.
Cases of Green Tobacco Sickness: Occupational Nicotine Poisoning in Tobacco Harvesters in Korea
Lim, Hyun-Sul ; Lee, Kwan ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 7~14
Cases of green tobacco sickness were described. During the cutting of tobacco plants throughout harvest, four cases of green tobacco sickness occurred in August 2001, Korea. The range of age was 42-55 years. The most frequent symptoms included dizziness, weakness, nausea, vomiting, abdominal cramps, headache, and difficulty breathing. All affected individuals worked in fields of wet tobacco, where their clothes became wet from moisture on the plants or sweating. They were all healthy, except one with hypertension. They are all non-smokers. They recovered after fluid and antiemetic administrations within two days. Most of doctors misdiagnosed their symptoms as a pesticide poisoning or heat injury. Green tobacco sickness is a condition that has long been known as an occupational health risk among tobacco harvesters. Nicotine poisoning by dermal absorption is reported to be the cause of green tobacco sickness. In Korea, there are many tobacco harvesters, and most of them may be sticken with green tobacco sickness. But, no case of green tobacco sickness has been reported. We report cases of green tobacco sickness occurred to the tobacco harvesters with a review of articles.
Recognition and Attitude to Implement at ion of Service Area Assigned System of Public Health Programs among the Health Officer
Kim, Mi-Soon ; Lee, Moo-Sik ; Kim, Nam-Song ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 15~41
Since medical clients and the community they live in are expected to be center of future public health and medical care system, new service programs must be developed with patients focused on in line with widening public access of information and social participation. Patients- focused service shall mean the area- oriented provision of public health service. In this study, health officers working at public health centers, public health sub- centers and medical offices in Jeonbuk- do area were taken for population in order to investigate their attitudes toward and knowledge about the service area assigning system under the public health programs. Findings from the survey to 260 health officers, divided by general category, are as follows : Government officers at public health organizations appeared to have high grade of understanding to the service area assigning system and also great appreciation for the necessity of it. Regarding the timing for the system to be introduced, they support the gradual implementation and, as for the type of service to be provided, they preferred home nursing and treatment of chronic diseases. Highly positive responses were centered on the health classes under the health promotion projects, and as far as health projects for the old are concerned, services for home nursing, for the disabled and for home- alone people are favored most. On the other hand, budgeting, manpower and reorganization are rated as prerequisite to establishment of the service area assigning system. From the viewpoint of system side, the improvement of working conditions is rendered as most urgent, while the information system for establishing the service area assigning system is conceived far from satisfactory. Proper assignment of specialists was noted as mostly important to establish the delivery system for medical service through the service area assigning system by team. As merits of the service area assigning system, it is pointed out that, through the system, health clients can better be managed and the nursing quality will be improved thank to the enhanced specialization. It is also perceived that the district health service is not well prepared to respond to the increased and diversified needs of community people and, furthermore, service programs of health centers have not been fully developed. The most serious problem standing in the way to expansion of health projects is, it is noted, uniformity (formality) of the project. Based on the results of the survey which suggest time has ripen to introduce the service area assigning system, following strategies are proposed to anchor down the system as soon as possible: First, we should introduce the system gradually, starting from the area selected, and in consideration of area specialities, refraining from the hitherto stereotyped way of providing health service. Second, we should seek to properly assign the specialists and improve the working conditions of the assigned officers by securing sufficient budget, since it is a most urgent step to lay foundation for the service area assigning system. Third, best service program should be developed to meet the satisfaction of community people by responding to their needs and solidifying the management of medical clients. Fourth, wide scope of study should further be conducted in order to help this system take roots in the central living of community residents since pilot project on the experimental base attended by specialists only can not win popularity among the masses.
Risk Factors of Cervical Cancer and Results of Cervix Cytology Screening in Chungnam Province, Korea, 1995-1999
Lee, Moo-Sik ; Lim, Yeon-Hwan ; Kim, Eun-Young ; Lee, Choong-Won ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 43~57
The purpose of this study was to evaluate results of cervix cytology screening in the community and to determine the risk factors of cervical abnormality. Branch of Daejeon city and Chungnam Province, The Planed Parenthood Federation of Korea had conducted cervical cancer screening of 146,848 married women in Chungnam province from 1995 to 1999. Cervical cancer screening was Pap smear using cytolgic brush swab by trained nurse. Women who had abnormal finding of 1st Pap smear screening were followed re- examination and 2nd close examination. Crude prevalence rate of cytologic abnormalities for 1st screening results was 0.63% in 1995- 1999(1995 0.68%, 1996 0.59%, 1997 0.70%, 1998 0.56%, 1999 0.62%). Crude prevalence rate of above class III for 1st screening results was 0.61%, but crude prevalence rate of above class III for the results of re- examination and 2nd close examination was 2.2/ 1000. The false-positive rate of class III, IV and V for positive findings were defined above class II(cervicitis) results were 52.6%, 26.9% and 19.0%, respectively. And the false- positive rate of class III, IV and V for positive findings were defined above class III(dysplasia) results were 75.3%, 46.2% and 47.6%, respectively. Major predictors of risk factors for abnormal results of cervix screening on the multiple logistic regression were age, educational attainment and living area. The false-positive rate of cervix cytology screening in the community were highest result so cervix cytology screening should be improve for better diagnostic power. And the finding of logistic regression would be understand within the limit of experimental trials on the relationship between cervical disease and risk factors.
Trends of Cancer Mortality in Gyeongsangbuk - do from 1991 to 1998
Kim, Byung-Guk ; Lee, Sung-Kook ; Kim, Tea-Woong ; Lee, Do-Young ; Lee, Kyeong-Soo ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 59~78
Data on reported cancer mortality in the Gyeongsangbuk- do province from 1991 to 1998 were collected and analyzed using the existing mortality reporting system as well as the public health network to furnish accurate data on reported cancer death and to collect data to establish a high quality district health plan. The overall crude death rate in Gyeongsangbuk province in 1991 was 74.56 deaths per 100,000-person but this rate increased to 79.22 in 1998. Among the deaths, the overall death rate of cancer was 16.7% in 1991, which increased to 19.3% in 1998; specifically the death rate of men increased from 19.4% in 1991 to 22.3% in 1998 while that of women increased from 12.4% in 1991 to 15.5% in 1998, showing a more increase among women. The types of cancer and associated death rates in 1991 were gastric cancer(41.5%), followed by liver cancer (28.8%), and lung and bronchogenic carcinoma(8.7%) and in 1998, gastric cancer (24.7%), followed by liver cancer(22.7%), lung and bronchogenic carcinoma(19.3%), showing the same order. For men and women, gastric cancer(40.2% and 44.7%, respectively) was the most common cancer death, followed by liver cancer(33.7% and 16.7%, respectively), and lung and bronchogenic carcinoma(10.2% and 5.0%, respectively) in 1991. However, in 1998, gastric cancer(27.8%) was still the most common type among both men and women, followed by liver cancer (18.5%) and lung and bronchogenic carcinoma(12.7%), showing the most decrease in gastric cancer but most increase in lung and bronchogenic carcinoma. The age- adjusted mortality rates by gastric cancer, hepatoma, laryngeal carcinoma were decreased in both male and female, and also uterine cancer was decreased in female. The age- adjusted mortality rates by lung and bronchogenic carcinoma, pancreatic cancer, rectal cancer were increased in both male and female, and also breast cancer was increased in female. The calculated overall age-adjusted death rate based on the 1995 population was 84.25 in 1991, which decreased to 77.67 in 1998. Male death rate decreased significantly from 119.81 in 1991 to 101.82 in 1998 while the female death rate increased from 48.64 in 1991 to 53.80 in 1998. A census of cancer death rate using accurate death records is important for the establishment of proper and high-quality district health and medical plan and policy. The effort to improve the accuracy of death reports using the health facility network, as had been attempted by this study, can be continued. Furthermore, there must be a way for the Health and Welfare Department to use the death reports to improve the present reporting system. Lastly, additional studies need to be conducted to investigate how much the accuracy was improved by the supplemented death reports in this study.
Utilization Pattern and Percept ion and Attitude of Rural Residents towards Primary Health Post
Park, Chun-Na ; Park, Jae-Yong ; Han, Chang-Hyun ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 79~96
In order to ascertain the utilization patterns and Perception and attitudes of Primary Health Post(PHP) by rural residents in farm areas, a survey was conducted of 753 households(1,803 persons) in 24 PHPs in Sangju-si, Gyeongsangbuk- do, from December 10, 2000 to January 15, 2001. The morbidly rate of acute illnesses for last two weeks for all households was 29.6%, and the rate of use of medical facilities to treat acute illness was 98.3%. The morbidly rate was highest between the ages of 60 and 69, with a rate of 35.4%. The higher their ages and the lower their educational levels were, the higher the morbidly rate was. The morbidly rate of chronic illnesses for one year for all households was 19.2%, and the rate of use of medical facilities to treat chronic illness was 92.8%. The elderly over 70 years old had the highest morbidly rate of 37.2%. The higher their ages and the lower their educational levels were, the higher the chronic illnesses rate was. For the rate of use of medical facilities to treat acute diseases, the use of PHPs was 89.5%, accounting for the majority of the time. However, for chronic diseases, hospitals and clinics were used more often, with a rate of 48.9%, compared to the use of PHPs, 40.2%. Their previous experiences on the use of PHPs one year before the survey showed that 94.8% used PHPs, 72.2% just visited them, not for the purpose of getting any medical assistance, and 73.3% received health education from PHPs. 98.5% remembered the locations of PHPs, 98.6% thought that PHPs were helpful for their health management, and 84.3% said that PHPs were playing great roles in development of their communities. 97.4% said that they found PHPs necessary. They understood the main job of PHPs as in the order of disease treatment, vaccination and health counseling. The work that they mostly wanted PHPs to do was health counseling and health management, which 31.6% answered. 88.9% said the examination fee was not expensive, 98.4% said CHPs were kind, and 97.0% said they were satisfied with the services at PHPs. Complaints about PHPs included a lack of a variety of medications, said by 42.9%, and poor facilities, by 15.8%. According to the above results, it is concluded that local residents on survey were frequently using PHPs due to their geographical and economical conditions. Also, the residents appeared to be satisfied with the services at PHPs, and they had a high demand for public health service as well as disease treatment. Considering the complaints about medications and medical facilities and equipment, active supports are required to manage PHPs in a way it can provide desirable services to the residents in remote villages through the readjustment of PHPs' functions, reinforcement of facilities and equipment and enhancement of CHPs ' training.
Total Cholesterol Level and Its Related Factors of the Adult Population in the Rural Area and the Sea-Board Area
Bae, Do-Ho ; Chun, Byung-Yeol ; Kam, Sin ; Ahn, Soon-Gi ; Jin, Dae-Gu ; Kim, Jong-Yeon ; Lee, Kyung-Eun ; Woo, Kuck-Hyeun ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 97~109
To investigate the total cholesterol level and its related factors in the rural and sea-board, 2,840 adults who participated voluntarily were examined during the study period December 1999 to February 2000. The height, weight, and fasting serum total cholesterol were measured. Body mass index was calculated. Information on age, gender, smoking, alcohol, and menopausal status in women were collected using a questionnaire by interviewing method. The mean value of total cholesterol was 191.6mg/ dl in sea- board and 173.6mg/ dl in rural men, respectively, and 206.9mg/ dl and 186.9mg/ dl in sea-board and in rural women. By simple analysis, in men, area, BMI and smoking were significant risk factors(p<0.01). Area(p<0.01), age(p<0.01), BMI(p<0.01), smoking(p<0.05), and menopausal status (p<0.01) were significant. In multiple linear regression analysis, the significant factors for total cholesterol in men were area(sea-board versus rural area; p<0.01), body mass index(the more obese; p<0.01), and smoking (non-smoker versus smoker ; p<0.05). Those in women were area(sea-board versus rural area; p<0.01), body mass index(the more obese; p<0.01), and menopausal status(menopause versus normal; p<0.01). Thus, in both gender, the significant factors related with total cholesterol were area and body mass index, and in addition to those, menopausal status was proved as a significant risk factor in women.
Therapeutic Compliance for Calcium Supplements and Its Related Factors in Rural Osteoporotic Women
Chun, Byung-Yeol ; Kam, Sin ; Lee, Young-Ja ; Lee, Sang-Won ; Lee, Kyung-Eun ; Lee, Young-Seok ; Kim, Bong-Kee ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 111~132
This study was conducted to examine the therapeutic compliance and its related factors in rural women with osteoporosis. A questionnaire survey was performed from April to May in 2000 for 140 osteoporotic patients who were diagnosed from April to June in 1999 through community health program. The study employed the health belief model for predicting and explaining sick role behavior. The analysis techniques employed included contingency table analysis and path analysis using LISREL. The major results of this study were as follows: Of the subjects, 12.1% were continuously complaint, 53.6% were intermittently compliant, and 34.3% were non- compliant to calcium supplement therapy. As the result of path analysis, the therapeutic compliance was significantly higher(
>2.0) as patients had higher perceived severity of disease, lower perceived barriers of treatment, and when patients thought their disease status as severe. As the patients had higher educational level, more experience of mass media contact or health education about osteoporosis, and when family had more concern for patient treatment, they had higher perceived susceptibility of complication(bone fracture)
>2.0). The patients had higher perceived severity(
>2.0) as they had more educational level, more advice for treatment from their doctors, and when family had more concern for their treatment. As the patients had more advice for treatment from their doctors and when family had more concern for their treatment, they had higher perceived benefit of treatment and lower perceived barriers to treatment(
>2.0). In order to improve the therapeutic compliance in rural osteoporotic women, it would be necessary that the patient should recognize their disease severity properly. And the perceived barriers should be removed through supportive environments for osteoporosis treatment such as doctor 's more advice and family 's more concern for treatment. In addition, effective and continuous management system for osteoporotic patients should be established.
Treatment Status and Its Related Factors of the Hypertensives Detect ed Through Community Health Promotion Program
Kam, Sin ; Kim, In-Ki ; Chun, Byung-Yeol ; Lee, Sang-Won ; Lee, Kyung-Eun ; Ahn, Soon-Ki ; Jin, Dae-Gu ; Lee, Kyeong-Soo ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 133~146
The purpose of this study was to investigate the treatment status and its related factors of the newly detected rural hypertensives through community health promotion program. A questionnaire survey and blood pressure measurement were performed to 6,977 residents of a rural area, and 282 hypertensives detected by blood pressure measurement were selected as subjects of the study. The study employed the health belief model as a hypothetical model. The major results of this study were as follows: The proportion of person experienced treatment among hypertensives was 12.0%. Treatment experience rate was significantly related with age and educational level(p<0.01). That is, if they were older, lower educational level, the treatment experience rate was higher. The major reasons of no treatment were 'they had not hypertensive symptoms ' (45.6%), 'their blood pressure was not high so much that they received treatment ' (43.2%). The chief facilities for treatment were public health institutions(57.9%) such as health center and health subcenter, and hospital/ clinics(29.8%). The treatment experience rate was higher when they had higher perceived severity for hypertension, lower perceived barrier to treatment, although statistically not significant. Treatment experience rate was significantly related with cues to action and health education experience(p<0.05). That is, if they had hypertension related symptoms such as headache previously, patients suffered from hypertension complication and health education experience for hypertension, the treatment experience rate was higher. In multiple logistic regression analysis for treatment experience, having a cerebrovascular patient in their acquaintance and the experience of health education for hypertension were significant variables. On consideration of above findings, it would to be essential to provide knowledge about hypertension and its treatment, and severity of hypertension complications through health education.
Practice Rate of Breast Self- examination and Its Related Factors among Women in a Rural Area
Lee, Eun-Il ; Kang, Pock-Soo ; Yun, Sung-Ho ; Kim, Seok-Beom ; Lee, Kyeong-Soo ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 147~159
A questionnaire survey of 568 women over the age of 30 in 11 dongs of Goryeong- gun was performed to identify the practice rate of breast self- examination and its related factors. It was found that the practice rate of breast self- examination was 28.2%, with 9.7% of those surveyed performing breast self- examinations more than once a month. The practice rate of breast self- examination showed significant differences according to factors, such as age, presence of spouse, educational level, occupation, economic status, smoking, regular exercise and chronic disease. According to age, the highest practice rate of breast self-examination was between the ages of 40-49 and the lowest over the age of 60. The practice rate increased with higher the educational level and presence of spouse. According to occupation, administrative and managerial occupations presented the highest practice rate of breast self- examination. Higher economic status, regular exercise and positive family history of breast cancer each presented high practice rates of breast self- examination. The practice rate revealed higher in those who did not smoke and who had no chronic diseases than others. The greatest reason for performing breast self- examination was decided by myself for health reasons, followed by effect of mass media and promotion by health center. The most common reasons for not performing breast self- examination were don't feel the need, followed by don't know how to perform the exam and don't know about the exam itself. Multiple logistic regression analysis showed that factors, such as over the age of 60, less education, and no experience with mammography all lowered the practice rate of self-breast examination. Inconclusion, the rates of breast self- examination and regular check-ups of people in rural areas, who are characteristically older and have low educational backgrounds, were 28.2% and 9.7%. These results show the immediate need for the education of the methods for breast self- examination to be carried out by health centers in these areas. Such efforts and programs could increase the practice rate of breast self- examination and thereby improve health and enhance the quality of life of women in rural areas.
Changing Patterns of Infect ions with Digenetic Larval Trematodes from Fresh-water Fish in River Taega, Gyeongsangbuk-do Province, Korea
Joo, Kyung-Hwa ; Kim, Tae-Hyoung ; Joo, Chong-Yoon ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 161~179
Recent patterns of infections with digenetic larval trematodes from fresh-water fish were studied in five locations of the river Taega during the period from October, 1998 to September, 2000, and compared with the data reported previously in the same river. The fish were collected using following techniques ; fishing, throwing a castnet, and using a bait of crushed oil cake in a transparent plastic bowl. Of 19 species of fish examined, eight species of encysted larvae, Clonorchis sinensis, Cyathocotyle orientalis, Centrocestus armatus, Clinostomum complanatum, Exorchis oviformis, Metagonimus species, Metacecaria hasegawai, and Metorchs orientalis, and two kinds of undetermined cyst A and C were found. The encysted larvae of Exorchis oviformis were found most frequently from 12 species of fresh-water fish, followed by Metacercaria hasegawai larvae from 9 species, the cyst of Clonorchis sinensis and Cyathocotyle orientalis from 7 species, Centrocestus armatus from 3 species, Clino- stomum complanatum from 2 species, and Metorchis orientalis from 1 species. The infection rates of fish with Clonorchis sinensis larvae were lower than those reported in 1993, whereas their intensity of infection was found lowered in 3 species, Pungtungia herz I, Saurogobio dabry i, and Squalidus jap onicus coreanus. The infection rates and intensity of 6 species of fish with Metagonimus sp ecies larvae were lower than the results in 1993, while the rates in several species of fish with Exorchis oviformis rather higher. The encysted larvae of Cyathocotyle orientalis, Metacercaria hasegawai, and Metorchis orientalis showed variations in infection rates of fish in 1993 and in the present study. However, It was impossible to compare the infection rates for the encysted larvae on the scales, fins and tail as they varied so considerably in both 1993 and 2000 surveys. This study indicate that the rate of infection with digenetic larval trematodes in fresh-water fish was still relatively high in the river Taega, and the metacercarial burden in the fish varies greatly by different fish in 1993.
Seroprevalence Rate of Toxocariasis in Keoje-Island and Inchon City of Korea
Chung, Myung-Sook ; Quan, Fu-Shi ; Lee, Haeng-Sook ; Cho, Sung-Weon ; Joo, Kyoung-Hwan ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 181~191
Toxocariasis is produced by the migration of Toxocara canis larvae into the extra- intestinal tissue of unnatural hosts or natural hosts under unsuitable conditions. Soil contaminated with T. canis embryonated eggs in the main source of infection of man. In the present study, ELISA with T. canis adult crude antigen was used for determination the seroprevalence of T. canis infection in two areas of Korea. It was found that antibody positive rate was 15.7% in Keoje- Island. In the analysis according to sex, female group presented significantly higher positive rate than male group (23.8% in female and 7.4% in male, p<0.05). In Inchon city, the positive rate was 13.1%, and there was no significant difference between female and male group. Immunoblot analysis was performed to some positive patient sera. As the results, 9 cases of 15 cases were positive in Keoje-Island, and 22 cases of 27cases were positive in Inchon city by immunoblotting.
The Correlation between Depression and Physical Health in the Elderly
Kim, Hyo-Jung ;
Journal of agricultural medicine and community health, volume 26, issue 2, 2001, Pages 193~203
The purpose of this study was to identify the relationship between depression and physical health of the elderly and to provide fundamental data for programs which improve the health of this population. The subjects were 168 elderly people(55 years and older) who resided at home in Taegu. They were surveyed by interview using a closed- ended questionnaire. The survey was done from September 16 to October 16 in 2000. The instruments used in this study were general characteristics, Short form Geriatric Depression Scale(SGDS), Barthel Index, Muscular skeletal symptoms scale, Northern Illinois University's Health Self Rating Scale. The data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient, multiple regression with SPSS PC 10.0 version for Windows. The findings were as follows: 1. As compared 65-74 years elderly group, 75-84 years group was significantly higher score for depression(F=3.17, p=.026). As compared elderly group who has own spouse, the group who has no own spouse was significantly higher score for depression(t=- 2.44, p=.016). 2. The aged who have more limitation of Activities of Daily Living(ADL)(t=3.93, p=.000), pain of muscular skeletal symptoms(F=5.33, p=.002) and poor perceived health state(F=17.04, p=.000) showed the higher severity of depression than the aged who have not. 3. ADL correlated negatively with depression(r=- .293, p=.000), pain of muscular skeletal symptoms correlated positively(r=.251, p=.001), perceived health status correlated negatively(r=-.522, p=.000). 4. The combination of perceived health status and ADL explained 29.1% of the varience of depression. On the basis of the above findings the following recommendations are made; 1. Developing health programs is needed considering ADL, pain of muscular skeletal symptoms, perceived health status, demographic variables (age, spouse status) which have an significant effects on depression of the elderly. 2. In the following study, the use of the various scale is needed which reflects physical status of the elderly in home.