Making connections and promoting the profession: social media use by World Federation of Occupational Therapy member organisations

BACKGROUND: World Federation of Occupational Therapists (WFOT) member organisations comprise 77 national occupational therapy organisations across the world. Each national organisation interacts with its members and the public using diverse methods. Increasingly, national organisations are broadening their communication methods. OBJECTIVE: The objective of this study was to examine if and how occupational therapy organisations are using social media for communication, and if so, the types of concerns or barriers they experience and what role they anticipate social media might play in the near future. METHODS: An online survey was developed; 57 of 77 WFOT member organisations responded. FINDINGS: This study identified that WFOT national organisations are using social media, to varying degrees, with or without an individual formally assigned to manage social media. Respondents reported that they used social media to: communicate with members, promote the organisation and promote the profession. Commonly expressed needs included assistance with guide- lines for ethical social media use, developing technical expertise, and recognition of limits of time and competing priorities. Recommendations arising from this research are at the global, national, local and individual levels and incorporate active dissemination and pure diffusion approaches. Taking steps to increase the use of social media could indirectly impact occu- pational therapy practice through enhancing organisations’ abilities to support practitioners to enhance their practice. LIMITATIONS AND RECOMENDATIONS FOR FURTHER RESEARCH: Although 57% of WFOT member organisations returned usable responses, there may be some additional perspectives that were not captured. It would be helpful to contact non-responding organisations to explore their social media use and plans. Further research could examine how future initiatives put in place by WFOT impact social media use by member organisations.Published versio

Satellite Cells Derived from Obese Humans with Type 2 Diabetes and Differentiated into Myocytes In Vitro Exhibit Abnormal Response to IL-6

Obesity and type 2 diabetes are associated with chronically elevated systemic levels of IL-6, a pro-inflammatory cytokine with a role in skeletal muscle metabolism that signals through the IL-6 receptor (IL-6Rα). We hypothesized that skeletal muscle in obesity-associated type 2 diabetes develops a resistance to IL-6. By utilizing western blot analysis, we demonstrate that IL-6Rα protein was down regulated in skeletal muscle biopsies from obese persons with and without type 2 diabetes. To further investigate the status of IL-6 signaling in skeletal muscle in obesity-associated type 2 diabetes, we isolated satellite cells from skeletal muscle of people that were healthy (He), obese (Ob) or were obese and had type 2 diabetes (DM), and differentiated them in vitro into myocytes. Down-regulation of IL-6Rα was conserved in Ob myocytes. In addition, acute IL-6 administration for 30, 60 and 120 minutes, resulted in a down-regulation of IL-6Rα protein in Ob myocytes compared to both He myocytes (P<0.05) and DM myocytes (P<0.05). Interestingly, there was a strong time-dependent regulation of IL-6Rα protein in response to IL-6 (P<0.001) in He myocytes, not present in the other groups. Assessing downstream signaling, DM, but not Ob myocytes demonstrated a trend towards an increased protein phosphorylation of STAT3 in DM myocytes (P = 0.067) accompanied by a reduced SOCS3 protein induction (P<0.05), in response to IL-6 administration. Despite this loss of negative control, IL-6 failed to increase AMPKα2 activity and IL-6 mRNA expression in DM myocytes. There was no difference in fusion capacity of myocytes between cell groups. Our data suggest that negative control of IL-6 signaling is increased in myocytes in obesity, whereas a dysfunctional IL-6 signaling is established further downstream of IL-6Rα in DM myocytes, possibly representing a novel mechanism by which skeletal muscle function is compromised in type 2 diabetes

Lithospheric Extension near Lake Mead, Nevada: A Model for Ductile Flow in the Lower Crust

Small variations in gravity anomalies and topographic elevation observed in areas that have undergone highly variable amounts of upper crustal thinning can be satisfactorily explained by ductile flow of lower crustal material under the proper conditions. In this study we examine the boundary between the unextended Colorado Plateau and a strongly extended domain in the Basin and Range Province in the Lake Mead (Nevada) region. Bouguer gravity and topography data suggest that both present and preextensional variations in crustal thickness between the unextended and extended regions are small. Analytic channel flow models show that viscosities required for ductile flow in a lower crustal channel to reduce discontinuities in crustal thickness associated with variable amounts of extension are highly dependent on the channel thickness and on the length scale of flow required. Finite element modeling of Newtonian flow and power law creep shows that flow over the length scale of the eastern Basin and Range (500 km or more) corresponding to upper crustal extension by a factor of 1.4–3 over 10 m.y. requires effective viscosities less than 1018–1020 Pa s for ductile channels 10–25 km thick. Flow over shorter length scales (150 km) may be accommodated with effective viscosities as high as 1021 Pa s. Modeling suggests that these effective viscosities may be sustained by lower crustal material deforming at laboratory-derived power law creep rates. The longer-scale flow may require elevated crustal temperatures (more than 700°C), depending on the composition and material properties assumed. Under the boundary conditions assumed in this study the linear viscous flow models yield a satisfactory approximation to deformation by power law creep. This work suggests that flow in the lower crust may be a viable mechanism for producing small variations in total crustal thickness between strongly extended and less extended regions, and thereby explaining the relative uniformity in gravity and topography between such regions