Motivation and Obesity Care.

Motivation is essential to maintain achieved targets in the long-term management of chronic diseases like obesity. Moreover, the role of motivation becomes even more important when the physiological set point tries to act against the achieved targets. In this brief communication the authors propose a rubric that should assist health care professionals in enhancing the quality of their communication skills, improving the delivery of obesity management, and optimizing therapeutic outcomes by helping their patients with obesity to manage their motivation drive.

Women's awareness of perinatal mental health conditions and the acceptability of being asked about mental health in two regions in India: a qualitative study.

BACKGROUND: Mental health conditions are common during pregnancy and the first year after childbirth. Early detection allows timely support and treatment to be offered, but identifying perinatal mental health conditions may be challenging due to stigma and under-recognition of symptoms. Asking about symptoms of mental health conditions during routine antenatal and postnatal appointments can help to identify women at risk. This study explores women's awareness of perinatal mental health conditions, their views on the acceptability of being asked about mental health and any preference for specific assessment tools in two regions in India. METHODS: Focus group discussions (FGDs) were conducted with pregnant, post-partum and non-perinatal women in Kangra, Himachal Pradesh (northern India) and Bengaluru, Karnataka (southern India). Settings included a hospital antenatal clinic and obstetric ward, Anganwadi Centres and Primary Health Centres. FGDs were facilitated, audio-recorded and transcribed. Narratives were coded for emerging themes and analysed using thematic analysis. RESULTS: Seven FGDs including 36 participants were conducted. Emerging themes were: manifestations of and contributors to mental health conditions; challenges in talking about mental health; and the acceptability of being asked about mental health. Difficult familial relationships, prioritising the needs of others and pressure to have a male infant were cited as key stressors. Being asked about mental health was generally reported to be acceptable, though some women felt uncomfortable with questions about suicidality. No preference for any specific assessment tool was reported. CONCLUSIONS: Women face many stressors during the perinatal period including difficult familial relationships and societal pressure to bear a male infant. Being asked about mental health was generally considered to be acceptable, but questions relating to suicidality may be challenging in a community setting, requiring sensitivity by the interviewer. Future studies should assess the acceptability of mental health assessments in 'real world' antenatal and postnatal clinics and explore ways of overcoming the associated challenges in resource-constrained settings.

Disrupting Density-Dependent Property Scaling in Hierarchically Architected Foams.

Creating lightweight architected foams as strong and stiff as their bulk constituent material has been a long-standing effort. Typically, the strength, stiffness, and energy dissipation capabilities of materials severely degrade with increasing porosity. We report nearly constant stiffness-to-density and energy dissipation-to-density ratios─a linear scaling with density─in hierarchical vertically aligned carbon nanotube (VACNT) foams with a mesoscale architecture of hexagonally close-packed thin concentric cylinders. We observe a transformation from an inefficient higher-order density-dependent scaling of the average modulus and energy dissipated to a desirable linear scaling as a function of the increasing internal gap between the concentric cylinders. From the scanning electron microscopy of the compressed samples, we observe an alteration in the deformation modality from local shell buckling at a smaller gap to column buckling at a larger gap, governed by an enhancement in the number density of CNTs with the increasing internal gap, leading to better structural stiffness at low densities. This transformation simultaneously improves the foams' damping capacity and energy absorption efficiency as well and allows us to access the ultra-lightweight regime in the property space. Such synergistic scaling of material properties is desirable for protective applications in extreme environments.