TELETHERAPY- AN INNOVATIVE WAY OF TREATMENT IN THE FIELD OF OCCUPAIONAL THERAPY IN PAKISTAN

Teletherapy is an emerging and enlarging tool for having treatment in occupational therapy in rehabilitation sciences among occupational therapists all over the world mainly in Pakistan, especially during the era of COVID-19. A lot of studies have been done already highlighting the paramount of teletherapy around the world but it is a new rising mode of treatment in Pakistan coming to light. Therapists and Patients throughout the country making the most of this treatment way respectively and hence this method of treatment while using of technologies is highly being appreciated. The aim of this study is to foster and encourage the use of this technology in third-world countries like Pakistan. It is the most used treatment tool during COVID-19 among occupational therapists all over the country and is highly appreciated in order to cut-down the negative circumstances of a one-to-one session in which therapist and patient is in highly close contact to each other. This course of action has advocate the on-going rehabilitation treatment and has kept away people from COVID-19 expansion to the most extent. In this study, a 5years old boy was included with an under-diagnostic process within the umbrella term of genetic disorder. Having genetic disorder, his sessions were taken in tele-clinic using video call technology during COVID-19. In this process, AOTA Occupational Therapy Tele-Health Decision Guide, AOTA Occupational Profile Template, AOTA Advisory Opinion for the Ethics Commission Teletherapy, i-PiCS-Internet-Based Parent-Implemented Communication Strategies Program, and modeling strategy were followed.

Nutritional Potentials of Moringa Oleifera As Avian Feed

The feasibility of using Moringa oleifera leaf meal (MOLM) as an ingredient in basic diets fed to commercial egg laying and meat purpose strains had been investigated. Different experiments with successive increase of MOLM in feed were conducted to evaluate the potentials of this diet on selected birds. Adequate group of meat purpose and laying birds were assigned to five dietary treatments and the diets were comprised of various MOLM combinations. Diet 1 (T1), which was designated to serve as the control diet and contained basic meal as the main feed source with no MOLM. In addition to other ingredients, Diet-2 designated as T2; Diet-3 as T3; Diet-4 as T4 and Diet-5 as T5 contained MOLM at the rate of 5%, 10%, 15% and 20% respectively. For data collection, different growth enhancement and egg laying parameters were studied. In each pen, 20-25% more feed by weight was provided to cover the dietary losses during feed intake. Data were collected on daily and weekly basis and analyzed by using CRD statistical design. In all experiments, birds in T2 (5% MOLM) and T3 (10% MOLM) fed on Moringa based diet performed significantly (P < 0.05) better than the birds of the control T1 group in terms of higher feed intake. This result also suggests that the addition of MOLM at levels up to 10% does not negatively affect the feed intake. In egg laying birds, laying percentage significantly increased in birds fed on 5% (T1) and 10% (T2) MOLM. The layer birds in T2 and T3 also excelled (P<0.05) in terms of egg mass production, albumen proportion, Roche colour fan score, egg shape index and egg shell percentage as compared to control treatment while birds in T4 and T5 fed on 15 and 20% MOLM diets performed significantly better in terms of shell thickness and Roche colour fan band number and got higher numerical mean values of yolk index percentage among all treatments. The FCR values of layer birds in T2 and T3 for egg production were significantly better than control which was a desirable trait that’s why egg laying birds grouped under T2 and T3 performed economically and significantly better and generated more profit than all other treatment groups. Data regarded to haematological indices of layer birds showed that there was no statistical difference (P>0.05) in mean values of Eosinophils, Lymphocyte, Monocyte, Blood glucose, Serum albumen and Serum globulin ratios while addition of MOLM in diets of layer birds significantly (P<0.05) effected mean values of RBC, WBC, Haemoglobin, Total protein, A/G ratio, Cholesterol, Triglyceride, HDLC, LDLC and VLDL concentrations. In case of broiler birds there was no statistical difference in mean values of Eosinophils, Lymphocyte and Monocyte Blood glucose, Total protein, Serum albumen, Serum globulin and A/G ratio while addition of MOLM in diets of layer birds significantly affected mean values of RBC, WBC, Haemoglobin, Cholesterol, Triglyceride, HDLC and LDLC. In other experiments performed on meat purpose bird it was found that the birds in T2 and T3 treatment group recorded the highest final body weights followed by other treatments. The FCR values of meat purpose birds (broiler and quail) were significantly better in T2 and T3. Addition of MOLM in diets of birds significantly reduced per Kg feed cost and increased (P<0.05) net profit. There was non-significant effect of MOLM inclusion in diets birds on CP, CF and ME of diets in all experiment but the values of crude protein, crude fat and moisture contents (%) in thigh meat were significantly affected by addition of MOLM in diets of layer and broiler birds. It was concluded that MOLM should be incorporated in diets of egg laying and meat purpose avian strains up to 5-10% for accelerating egg and meat production and for generating more profit from flocks. There are not any ill effects of MOLM at any inclusion level, higher levels only reduces performance of chicken birds in terms of growth parameters.