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A Health Science Process Initiative

For The U.S. Global Healthcare Initiative

Presented to the College of Graduate Health Studies in partial fulfillment of the

requirements for the Doctor of Health Science Degree A.T. Still University

June 3rd, 2018 by John Barton MBA

Introduction

The successful implementation of a Health Science Process Initiative (HSPI) is

necessary for the U.S. Global Healthcare Initiative (GHI) to realize national improvements in the

quality and safety of care. "Country ownership" is to be modeled in the U.S. for developing

meaningful processes and outcomes for the reduction in cost associated with the GHI for global

recipients of HSPI. Increasing quality and safety while reducing the cost of healthcare is the

primary orientation of planning an HSPI and is the foundation of leading and managing the

new program which includes developing the mission, goals, objectives, and policies necessary

for successful program implementation and integration. Historically diagnostic errors have

plagued health cares ability to navigate the terrains of corrective whole body therapies but the

HSPI utilizes proven whole-body kinematic strategies for integrative intervention.

Background

In 2007 The Exercise is Medicine (EIM) Initiative was introduced by the American

College of Sports Medicine to institutionalize physical activity in healthcare. Lobelo,

Stoutenberg and Hutber (2014) states physical inactivity is the fourth leading global cause of

mortality and the past decade of research demonstrates physical activity can increase and

improve function and health when directed from the healthcare setting in the form of counseling,

exercise prescriptions and referrals. Physical activity though is a means to address the symptoms

of the much deeper and systemic issues of a body that is sedentary and out of equilibrium or

homeostasis (Mothes, Leukel, Jo, Seelig, Schmidt and Fuchs, 2017).

Homeostasis is the definition of biological health, function and the stable state of equilibrium between the

interdependent systems of the body; a property of cells, tissues, and organisms that allows the

maintenance and regulation of the stability and constancy needed to function properly. These

processes and systems of the body are mostly regulated by Ca2+ which is manufactured in the

skeletal system and subsequently transported throughout the body by systems for systems

(Schneider, Taboas, McCauley and Krebsbach, 2003). The Endogenous Cannabinoid System

(eCBs) regulates homeostatic mechanisms of the body and can be modulated primarily by

integrative physical activity, manual therapy, nutrition and engaging in intellectual activities.

Global initiatives already exist for physical activity, nutrition, education and a necessary

component of cultivating a healthier global community is implementing an initiative for

protocols cultivating structural homeostasis. The inference is that a skeletal system that is in

homeostasis is better able to provide homeostatic messengers for the aggregate when functioning

optimally and yet historically no emphasis has been placed on the importance of maintaining

systemic structural homeostasis by modulating the skeletal system towards a healthier

orientation (Heifets and Castillo, 2009). By reorienting national and global healthcare leadership

and management towards a HSPI global initiative, the GHI can experience a positive global

healthcare benefit and impact for the least amount of resources or cost. Benefits to the recipients

of HSPI are increased homeostasis represented by reduced nociception and increased function.

The development of an HSPI program is a resource and resolution for the GHI and a vital

addition to the emerging trend in healthcare initiatives. The World Health Organization lists the

125 health topics that it is invested in addressing from A-Z on its website and a HSPI is

positioned to provide field support for many of the topics listed.The GHI provides funding for

existing U.S. global health programs to increase efficiency and effectiveness from its current

budget and programs as opposed to creating new programs that require new funding and the

HSPI would be a way to maximize efficiencies associated with current projects designed to

address physical, physiological, psychological initiatives and topics. These perceived planning

and budget constraints present no challenges to implementing HSPI and are conducive to the

organizational environment shared by the GHI and the planners of HSPI.

The U.S. executive branch chiefly administers U.S. global health activities and would be

responsible for planning and making decisions associated with HSPI in conjunction with the

HSPI management committee. The Department of Health and Human Services (HHS) global

affairs division, particularly the Centers for Disease Control and Prevention would also provide

diplomatic support in Implementing U.S. global health efforts.

U.S. global health initiatives have been implemented in at least 60 countries like Africa, Asia,

Latin America, the Caribbean, the Middle East, Europe and Eurasia through bilateral support.

Although more support is directed to countries with an increased burden of incidence,

other decision making factors include willing and able partner governments, positive relations

and goodwill with host countries.

(Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge).

Those mostly impacted by HSPI are human beings in one of the more than 60 countries

where U.S. Global initiatives are active, specifically those with increased nociception and

diminished skeletal function. Increased nociception and diminished skeletal function are

historically associated with human beings seeking and necessitating some type of corrective

therapy as opposed to surgical intervention.

Corrective therapies already exist in global health

initiatives but as of yet are not trained or educated to address increasing homeostasis and skeletal

function through a process approach. There are some therapies that possess elements of HSPI

but lack the primary ubiquitous protocols that make HSPI unique. The solution is to train the

already present practitioners to apply HSPI to what they are already doing, labor-intense

occupations dominate in third world countries and a HSPI designed to decrease nociception and

improve function is a necessary component of impacting global healthcare.

Mission Statement

The Health Science Process Initiative creates equality in human rights by providing improved

safety and quality for all.

Vision Statement

The Health Science Process Initiative vision is to develop integrative strategies to promote

systemic homeostasis; health and wellness for every country, community and human being.

Value Statement

The Health Science Process Initiative is guided by an unrelenting desire to globally promote:

Equality – healthcare excellence through a one earth, one body orientation.

Health – a synergistic effect of homeostasis through physical activity, nutrition, education and

integrative touch.

Goals And Objectives

Patient Care – all individuals who access GHI care will receive HSPI which is not limited to

touch therapy for reducing nociception and increasing function.

Education – all individuals or organizations currently providing patient care will be trained in the

Health Science Process Initiative and this knowledge will be explained during patient care.

Research – all individuals receiving or providing care will be part of the ongoing HSPI that

collects and disseminates data for information and information for knowledge.

Policies

The scope of service for HSPI are as follows:

 Integration of whole body kinematics into the current body of modalities to decrease

nociception and increase function

a. visually assess natural/genetic alignment and skeletal type

b. visually assess asymmetry of shoulder-girdle, pelvic girdle, axial complex,

cranium and extremities.

c. confirm visual observation by palpation while prone, supine, sideline and

standing

d. confirm visual observation and palpation with walking analysis

e. determine direction of correction and modulation for segmental deviations

causing increased nociception and decreased function.

f. provide a treatment plan of care for each individual based on diagnostic

measures

Conclusion

In a HSPI, dysfunctional patterns and segmental deviations are the primary issues to be

able to identify and resolve. These primary issues are the primary cause of increased nociception

and decreased function in deviations from structural homeostasis. The GHI and WHO have

qualified practitioners in the field providing patient care but are subjected to the diagnostic errors

that plague Western medicine and forms of corrective therapies and intervention. The ability to

address pain management intervention in third-world countries with improved safety and quality

is the objective of the HSPI . The U.S. GHI exhibits "Country ownership" to be modeled in the

U.S. for developing these meaningful processes and outcomes for the reduction in cost

associated with the GHI for global recipients of HSPI (Liebler, Gratto and McConnell, 2017).

Increasing quality and safety while reducing the cost of healthcare is the primary orientation of

planning a HSPI and is the foundation of leading and managing this new program for health

and equality for all. The U.S. GHI predicts that the outcomes of running a national HSPI will

provide situational leadership conducive for each region where a program is implemented and

integrated into the current body of knowledge and modalities.

References

Cooper, A. (2016). Governing Global Health: Challenge, Response, Innovation. Routledge.

Heifets, B. D., & Castillo, P. E. (2009). Endocannabinoid signaling and long-term synaptic

plasticity. Annual Review of Physiology, 71, 283–306.

Liebler, Joan Gratto, and Charles R. McConnell. Management Principles for Health

Professionals. Jones & Bartlett Learning, 2017.

Lobelo, F., Stoutenberg, M., & Hutber, A. (2014). The Exercise is Medicine Global Health

Initiative: a 2014 update. British Journal of Sports Medicine, 48(22), 1627–1633.

Mothes, H., Leukel, C., Jo, H.-G., Seelig, H., Schmidt, S., & Fuchs, R. (2017). Expectations

affect psychological and neurophysiological benefits even after a single bout of

exercise. Journal of Behavioral Medicine, 40(2), 293–306.

Schneider, A., Taboas, J. M., McCauley, L. K., & Krebsbach, P. H. (2003). Skeletal homeostasis

in tissue-engineered bone. Journal of Orthopaedic Research: Official Publication of the

Orthopaedic Research Society, 21(5), 859–864.

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Your Heating and air conditioning device requires regular upkeep at the very least two times for each annually. The best action to take is always to already have it looked at from the drop and spring season so you're in a position to determine if things are all prepared for that cold and hot a few months. This type if protective maintenance is extremely necessary to defend against any costly issues from arriving towards you.

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Every year employ someone to provide your HVAC system routine upkeep. This can guarantee that it functions properly during the entire entire 12 months. It will permit you to have lower heating and air conditioning bills. Once your Heating and air conditioning is operating appropriately, it can take advantage of the least volume of energy and help you save money.

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John Barton | Advanced Rolfing Ft Worth Dallas | Fort Worths only Advanced Rolfer & Rolf Movement Practitioner. Experience a Lifted Quality of Life. Corrective therapist since 1997 specializing in whole person wellness. Over 2000+ 10 Series completed. Join the revolution and get lifted into a new reality. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Dallas Ten Series.

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Ensure your professional supplies a house examination. Not all the HVAC option would be for everyone. Your property could possibly have special requirements for heating and cooling. Your service provider should do a stroll all around of your own space to judge precisely what is greatest. When they aren't be sure you request 1.

Your Heating and air conditioning model requires regular servicing a minimum of twice for each every year. The perfect action to take is always to already have it looked at inside the tumble and spring season so you're able to figure out if things are all completely ready for that cool and popular a few months. This kind if preventative routine maintenance is very necessary to defend against any high-priced difficulties from arriving the right path.

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The installation of a huge-home fan may either great your property without having to use air-con or help make your air conditioning unit more effective. It blows out all of the heat which accumulates with your attic, and that air flow pulls in cool air out of your home or higher into the property.

Every year employ someone to give your Heating and air conditioning system schedule upkeep. This will make certain that it functions appropriately through the entire overall 12 months. It will allow you to have reduced heating and air conditioning monthly bills. Whenever your HVAC is operating properly, it will make use of the the very least volume of power and help you save money.

Take care of seems within your Heating and air conditioning. In the event the condenser enthusiast will begin to produce a grating or clicking sound, the rotor blades could possibly be striking an obstructions. If rotor blades get bent, don't try out straightening them. You could potentially unbalance them and make them struck the condenser coil. This might loosen the electric motor inside the fan. Attempt exchanging the curved rotor blades with brand new ones. Make sure the new cutting blades can easily rotate without the need of wobbling.

Whenever you can, find a way to create color over your exterior Heating and air conditioning device. This can actually save some costs as shaded air flow being dragged in from the HVAC model is typically 5 to 6 degrees much cooler than air flow that's warmed up by sunshine. It's a smart solution to reducing those energy expenses.

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In the Advanced Rolfing Fort Worth hour six the work begins to make another shift in the Rolfing® protocol: Palintonicity Adaptability/Support (6–7–8) Core expressing through the lower pole. This session will complete the leg work of 2–4–6 of support, and complete pelvic work of 4–5–6 of transmission. When looking at the back of the body it is important to recognize the posterior reflections of the fifth hour anterior work. "Adaptive capacity at the hips precedes order in the spine. Organization in the core and sleeve precedes order in the spine. Order in Axial complex precedes order in the head." The main goals are to balance the pelvic girdle by organizing legs and intra pelvic structures, and free the sacrum and the spine from any remaining drifts and rotations in posterior soft tissue. Establish horizontals in the legs by working the lines of tension to resolve rotations and counter rotations in posterior leg segments.

The primary tilters and shifters are different from left to right side so special attention should be given to working the asymmetry in a way that is congruent. This Rolfing Fort Worth session travels from the plantar fascia all the way up superficial back line over the calcaneus, gastroc, soleus, knee, hamstrings, rotators, sacro-tuberous and sacro-spinous ligaments. When observing the posterior axial fascia, side bends with rotations are to be worked in the direction of correction so that the organization in the whole structure from toe to head can emerge. Neck work should be with client supine for mobility and translation in flexion/extension Seated work is assisted movement through all three functional planes depending on the amount of integration that has occurred thus far so G or G' tendency should be obvious and observed. Pelvic lift or pull will end in hour six the work begins to make another shift in the Rolfing® protocol: Palintonicity Adaptability/Support (6–7–8) Core expressing through the lower pole.

This Advanced Rolfing session will complete the leg work of 2–4–6 of support, and complete pelvic work of 4–5–6 of transmission. When looking at the back of the body it is important to recognize the posterior reflections of the fifth hour anterior work. "Adaptive capacity at the hips precedes order in the spine. Organization in the core and sleeve precedes order in the spine. Order in Axial complex precedes order in the head." The main goals are to balance the pelvic girdle by organizing legs and intra pelvic structures, and free the sacrum and the spine from any remaining drifts and rotations in posterior soft tissue. Establish horizontals in the legs by working the lines of tension to resolve rotations and counter rotations in posterior leg segments. This completes the Advanced Rolfing Fort Worth sixth hour. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.

John Barton | Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas |

Certified Rolf Movement ® Practitioner

The Advanced Rolfing Fort Worth Fourth hour is a session of Support and Palintonicity (4–5–6). Transmission and support are goals for the client that is running concurrently in sessions four and six. By the Ten Series fourth session the sleeve should be at ease so that a deeper layer can be affected.

Support is vital in the structure and should be resourceful after this Advanced Rolfing Fort Worth session. Support from the second and third hour should be observable, so going into a third opportunity of working with the feet is optimal. With the lateral line established we can further the bi-Lateral and pre-vertebral support initiated in the second hour by working the internal midline including pelvic floor. Work to resolve tilt and shift in the pelvic girdle by addressing the primary contributors in the midline.

The main Advanced Rolfing Fort Worth goals are to lengthen the midline and to initiate support of the legs through the pelvis by releasing lines of tension at the ramus of the ischium, perineum, and peritoneal cavity, thereby affecting pelvic floor. By de-rotating the tissue of the femur it is possible to normalize and balance this segment at the pelvis. The fascia of the rami of the pelvis must also be addressed to normalize the fascia of the femur. Horizontals at knees and ankles could be resolved by the end of this session.

The direction of correction switches between most segments and must be understood and observed for the palintonic line to emerge. It should include differentiating the peronials from gastroc/soleus and quadriceps from adductors for hip extension. The sacro-tuberous ligament extending off hamstring attachment on both sides of the coccyx will be addressed to create space for the sacrum to breathe. Continue Rolfing the primary contributors to shift in the pelvic girdle. The back work will further consider side bends with rotations and develop the integration of the pelvis/spinal relationship in seated work by working LDH and trapezius.

The first half of a two-part indirect diaphragm release can be done in this session and completed in session five so that potential in core by breath can emerge. This release is done with the client on their side and practitioner's hands gamma contacting pelvic and respiratory diaphragms with awareness on breath cycle. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.

John Barton, Certified Advanced Rolfer ® & Rolfing ® Fort Worth-Dallas

Certified Rolf Movement ® Practitioner

The Advanced Rolfing Fort Worth Fourth hour is a session of Support and Palintonicity (4–5–6). Transmission and support are goals for the client that is running concurrently in sessions four and six. By the Ten Series fourth session the sleeve should be at ease so that a deeper layer can be affected.

Support is vital in the structure and should be resourceful after this Advanced Rolfing Fort Worth session. Support from the second and third hour should be observable, so going into a third opportunity of working with the feet is optimal. With the lateral line established we can further the bi-Lateral and pre-vertebral support initiated in the second hour by working the internal midline including pelvic floor. Work to resolve tilt and shift in the pelvic girdle by addressing the primary contributors in the midline.

The main Advanced Rolfing Fort Worth goals are to lengthen the midline and to initiate support of the legs through the pelvis by releasing lines of tension at the ramus of the ischium, perineum, and peritoneal cavity, thereby affecting pelvic floor. By de-rotating the tissue of the femur it is possible to normalize and balance this segment at the pelvis. The fascia of the rami of the pelvis must also be addressed to normalize the fascia of the femur. Horizontals at knees and ankles could be resolved by the end of this session.

The direction of correction switches between most segments and must be understood and observed for the palintonic line to emerge. It should include differentiating the peronials from gastroc/soleus and quadriceps from adductors for hip extension. The sacro-tuberous ligament extending off hamstring attachment on both sides of the coccyx will be addressed to create space for the sacrum to breathe. Continue Rolfing the primary contributors to shift in the pelvic girdle. The back work will further consider side bends with rotations and develop the integration of the pelvis/spinal relationship in seated work by working LDH and trapezius.

The first half of a two-part indirect diaphragm release can be done in this session and completed in session five so that potential in core by breath can emerge. This release is done with the client on their side and practitioner's hands gamma contacting pelvic and respiratory diaphragms with awareness on breath cycle. Chiropractic, Physical Therapy, or Massage Therapy are not substitutes for an Advanced Rolfing Fort Worth Ten Series.

You may think that anything with regards to HVAC is really complex. This is anything you should do your research on. The greater number of you find out about it, the less difficult it will be to know the information and facts.

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Be sure the equipment you might be acquiring is Power Legend certified. It might appear a little point, but it isn't. Products which are Electricity STAR certified can save you a lot of money in power charges across the year. It may be around $100 quickly, occasionally much more.

Ensure your licensed contractor provides a home analysis. Not all the HVAC option would be for everyone. Your own home could possibly have specific needs for cooling and heating. Your service provider need to do a walk about of your area to judge what is finest. If they aren't be sure to demand one particular.

Your Heating and air conditioning model needs standard upkeep at least 2 times every each and every year. The ideal move to make would be to already have it examined inside the slip and early spring so you're equipped to understand if all things are prepared to the chilly and warm months. This sort if preventative maintenance is extremely necessary to defend against any pricey issues from emerging your way.

Try to stay away from HVAC companies that require in advance payments just before they are prepared to get yourself started on the work they were chosen to do. Oftentimes, consequently they may be a lot more worried about obtaining paid for compared to they are about making certain the task is done nicely.

Setting up an entire-residence fan may either amazing your property without using air conditioning or make your air conditioner better. It blows out every one of the hot air which gathers in your attic space, which air-flow attracts in awesome oxygen through your home or higher to your home.

Every year employ someone to give your HVAC model schedule servicing. This will likely guarantee that it really works correctly through the entire whole calendar year. It is going to let you have decrease heating and air conditioning bills. When your HVAC is jogging properly, it would utilize the minimum amount of vitality and save you money.

Be careful of appears to be inside your Heating and air conditioning. If the condenser supporter commences to produce a grating or clicking on sound, the blades could be hitting an obstructions. If cutting blades get curved, don't try out straightening them. You could potentially unbalance them and cause them to struck the condenser coil. This could release the engine in the enthusiast. Consider replacing the curved cutting blades with brand new ones. Make sure the new rotor blades can openly turn without wobbling.

When you can, try to make color above your backyard HVAC unit. This could basically save you money as shaded air flow getting dragged in from the HVAC model is normally 5 to 6 levels cooler than atmosphere that's heated up by direct sunlight. It's a smart means to fix decreasing those energy monthly bills.

LOOKING FOR A QUALITY TECHNICIAN PROVIDING HVAC WHITEHALL PA

Getting knowledgeable about HVAC techniques is a thing this article will have helped you with. Sometimes it can be hard if you are not determined to understand, so you will need to keep that in mind. You will be glad once you get it!