Adolescence appears to be the next available critical period to improve inadequacies in nutrition, growth, and development from childhood. In this analysis, we describe the dietary and nondietary determinants of nutritional status among adolescent girls and adult women residing in rural areas of India. We used data pertaining to 3930 adolescents (10–19 years) and 11,058 adult women (20–49 years) from the National Nutrition Monitoring Bureau Survey, 2011–2012 database. Logistic regression analysis was conducted to understand the effects of various individual‐ and household‐level determinants of thinness and underweight among adolescents and adult women, respectively. Almost one‐third of the adolescents and adult women were undernourished. Factors other than dietary adequacy and diversity had a greater impact on undernutrition in both the adolescents and adult women. The nondietary determinants (e.g., higher age group, higher household wealth status, access to improved water, better maternal work status, and living in better type of houses) predicted good nutritional status in the adolescent girls. In addition, the women's own higher education and household occupation status and better sanitation facilities improved undernutrition in adult women. Therefore, India needs multipronged strategies along with dietary interventions and effective implementation programs to achieve good health and well‐being of adolescents and adult women.
Background: Otitis media is a common inflammatory disorder caused by the effusion of fluids or pathological changes in the tympanic membrane of middle ear that leads to hearing loss in all age groups which may be either temporary or permanent. Objective: The present study aimed to identify the risk factors responsible for the onset and progression of otitis media and its subtypes as well as its associated co-morbidities in the South Indian population. Subjects and methods: The study constituted 2602 subjects including children and adults affected with OM and the diagnosis was confirmed by ENT specialists using all the required otorhinolaryngological tests. The study was carried out by the institutional ethical clearance. The data were coded and evaluations were performed using the Statistical Package for Social Sciences, PASW STATISTICS 18.0 software (SPSS Inc., Chicago, IL, USA). Results: squamous-chronic suppurative otitis media was highly prevalent (47.3%) followed by mucosal-chronic suppurative otitis media (18.5%), acute suppurative otitis media (17.6%), and otitis media with effusion (16.6%). The multinomial logistic regression analysis showed significant association of tinnitus with squamous-chronic suppurative otitis media; bilaterality, tinnitus and vertigo with mucosal-chronic suppurative otitis media while bilaterality, adenoids, tinnitus and snoring with otitis media with effusion. Significant differences were observed in different forms of hearing loss at higher frequency within the subtypes of otitis media. Conclusions: The study has revealed that otitis media predominantly affects all age groups and has a serious health concern in cases affected with hearing loss and its associated co-morbidities.
Nowadays Internet is widely used by users to satisfy various information needs. However, ambiguous query/topic submitted to search engine doesn't satisfy user information needs, because different users may have different information needs on diverse aspects upon submission of same query/topic to search engine. So discovering different user search goals becomes complicated Analyzing user search goal is essential to provide best result for which the user looks for in the internet. Feedback sessions have been clustered to learn several customers explore objectives for a query. Number one, we propose a framework to solving the all existing problems very effectively. Number two, we propose a novel approach to solving the existing problems and develop pseudo documents very good way to represent that documents. Last one, we propose a new factor "Classified Average Precision (CAP)" to solving the existing problems and this method mainly use of the performance is very effective that's why this method using in this project.
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