Medical NPTE : National Physical Therapy Examination Exam
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The Federation of State Boards of Physical Therapy (FSBPT) administers the National Physical Therapy Examination (NPTE), the examination that every graduate of a physical therapy or physical therapist assistant education program must pass to become a licensed physical therapist or licensed/certified physical therapist assistant (or to regain licensure/certification if lapsed) in the United States (US). Foreign-educated candidates who wish to become licensed in the US must also take and pass this examination.
The NPTE is a computer-administered examination. The physical therapist licensure examination has five sections each with 50 questions. Of the 250 multiple choice questions, only 200 are scored. The other 50 questions are being pretested to see if they meet the standards to be included in future exams. The physical therapist assistant licensure examination has four sections with a total of 200 multiple choice questions. As in the physical therapist examination, 50 of these questions are being pre-tested and are not scored.
The scoring ranges from 200-800. The minimum passing score is 600 for both the PT and PTA exam.
Testing is administered at Prometric Testing Centers. Candidates are not required to test in the jurisdiction for which they are applying for licensure.
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Medical National information hunger
meals has lengthy been a weapon of battle, and the chance of hunger is a magnificent motivator for residents to soak up hands. The humanitarian disaster unfolding in Ethiopia, where well-nigh six million people face famine as each govt and Tigrayan forces weaponize meals access towards the Ethiopian people, is only one of many examples that necessitate the elevation of starvation as a U.S. country wide safety priority. in line with the latest country wide Intelligence Estimate food insecurity, together with different issues in a handful of countries “doubtless will exacerbate poverty, tribal or ethnic intercommunal tensions, and dissatisfaction with governments, expanding the possibility of social, economic, and political instability.”
The Biden administration, and future U.S. administrations will have to contend with meals protection and starvation as a country wide safety issue whether or not they want to or now not. Proactive steps these days to construct on the latest country wide Intelligence Estimate and combine meals protection into coverage and strategy can be inherently advisable down the road. Such steps will assist conclusion conflicts, stay away from new ones, and generate goodwill amongst overseas populations towards the us via U.S. efforts to enhance meals protection.
The unraveling circumstance in Ethiopia, the place the battle that started a 12 months ago now hazards humanitarian disaster, demonstrates the interconnected nature of conflict and starvation today. Renewed fighting is likely to trigger these numbers to spike further, as combating and famine method Addis Ababa. in response to the United nations, “the cascading effects of battle, including population displacements, circulation restrictions, limited humanitarian access, lack of harvest and livelihood property, and dysfunctional or non-existent markets” have also contributed to the existing condition.
in the past, governments and overseas corporations have neglected meals as a means to both stay away from and conclusion battle. As President Joe Biden’s team prepares its first national safety method, the team should still center of attention more on meals safety as a good pillar of safety, alongside efforts at nonproliferation, counter-terrorism, and climate change. creating food safety may also be a key tool to ward off future battle and assist conclusion ongoing conflicts. according to former country wide Intelligence Council professional Rod Schoonover, a more sophisticated thought of countrywide safety “would more suitable anticipate threats and not using a proximal actors, comparable to those from climate exchange, ecological disruption, and pandemics.” This may still include food insecurity, because it “is an important driver of political instability and other hostile protection outcomes.”
food security, for this reason, is more than a humanitarian situation. meals got handiest three mentions in the intervening time country wide protection Strategic advice, but as world deliver chains fail earlier than their eyes, meals insecurity is rising on account of COVID-19 and climate alternate. As their accurate report demonstrates, battle and food are intricately related. however as policymakers center of attention on meals as part of the U.S. executive’s broader idea of country wide safety, they should also prevent the risks of a nativist strategy or the weaponization of meals. The pandemic has handiest exacerbated the temptation to embark on a protectionist method to domestic food protection — with the aid of shutting borders to meals imports and exports or by using aggressive acquisition of farmland in poorer nations, for instance. as an alternative, the U.S. strategy should still be according to values of openness and an realizing of meals protection as a transnational issue that nationalist policies can't clear up.
Rising starvation gained’t Abate on its own
people today produce extra food than the realm wants ordinary, however essentially one thousand million americans, at a minimum, are malnourished. The exceptional confluence of worsening anthropogenic climate exchange and the COVID-19 pandemic has exacerbated the circumstance: folks that have been already hungry have faced disproportionate harm as a result. in line with the United countries, the number of meals insecure americans on the earth improved by an estimated 318 million in 2020, due in colossal part to the impacts of the pandemic. In may additionally 2021, world meals expenses rose at their fastest expense in more than a decade, and the food fee index hit its maximum stages on account that September 2011. local weather exchange, and the need to end this pandemic, are two of essentially the most urgent country wide security considerations for the Biden administration. meals safety relates to each.
better temperatures, changing precipitation patterns, and extra common intense weather hobbies all pressure improved meals insecurity. A doubling within the number of intense events within the last 30 years poses issues across varied areas. here is in particular disconcerting in the event you consider that the world depends “on 4 key crops with high geographic concentration of production”: rice, wheat, corn, and soy. The chance of a couple of of those geographic regions experiencing a production failure on the identical time is starting to be. Likewise, trade in these key crops is “expanding force on a small number of ‘chokepoints’ — critical junctures on transport routes wherein incredible volumes of trade move.” The problem is also cyclical: meals systems are themselves liable for just about 25 p.c of global greenhouse fuel emissions. This includes deforestation, transport and storage, and livestock emissions, amongst different drivers.
The COVID-19 pandemic, for its part, vividly demonstrates how disease outbreaks and linked public fitness protocols have a right away, and serious, effect on food protection. It has hit meals programs in techniques now not originally obvious. for example, lockdowns and border closures now not handiest cause severe disruptions in the distribution of meals, but they also restrict individuals from producing meals, promoting food, or earning adequate cash to buy meals. additionally, curfews have resulted in food loss in lots of African nations, as drivers that constantly transported sparkling produce during the cooler dead night hours can no longer achieve this.
hunger Is both a cause and final result of conflict
meals security, instability, and battle are obviously linked and operate in tandem. Their negative outcomes are mutually reinforcing. conflict drives meals insecurity in a lot of methods, while starvation can also act as a massive trigger for instability and battle. “Of the 200+ million americans who've perished in wars between nation states because the 1850s, it's estimated that over half — a hundred and five million — have died of starvation,” based on one student. people and businesses caught in the midst of combating find it more durable to cozy the requisite meals to preserve in shape day by day diets, and many become meals insecure.
probably the most obtrusive means conflict drives food insecurity is that combating drives people and agencies from their land, destroys vegetation and livestock, makes entry to materials reminiscent of water extra intricate, and factors delays in planting or harvesting. in a roundabout way, battle also disrupts farmers’ entry to feed and fertilizers mandatory for height crop yields, and may cut off agricultural funding. however there is some meals construction to be sold, mostly combating “disrupts commonplace commerce, without delay cutting back flows of food through market channels.” Researchers have discovered that in Ethiopia, for instance, “when battle onset on the native degree, there's a big and critical relationship between the onset of violence and reduced agricultural construction.” in accordance with the Africa core for Strategic reviews, “battle continues to be the primary driver of acute food insecurity on the continent. Twelve out of the 15 African countries dealing with the most excellent food insecurity presently are additionally experiencing battle.”
unfortunately, the weaponization of food access is increasingly a defense force tactic. entry to food can force conflict over elements and land, and is itself a device to perpetuate battle. From provide chain blockages that resulted in spikes in food prices in the principal African Republic, to dozens of Houthi checkpoints in Yemen that sluggish food distribution, warring parties have weaponized food access to leverage their own political or safety agendas, to aid loyalists, and to fund their fight.
we will see how battle causes meals insecurity and famine, but recently, new qualitative and quantitative work has proven that the inverse can even be true: food insecurity can and does drive instability or battle. no matter if fighting erupts over food sources, as a result of individuals have lost their livelihoods and seem to be to income or without difficulty find meals by way of becoming a member of a military neighborhood, or as a result of economic mismanagement or corruption pushed food prices out of reach for some residents, there are a couple of approaches meals insecurity can spur instability and/or conflict. a world meals software u . s . file found that “approximately 95% of [the 53] peer-reviewed experiences examined…were able to set up an empirical link between food insecurity and instability.”
food insecurity, or the possibility of it, is a key driver of conflict in the Sahel, as an instance. There, pastoral systems are notably at risk of climate trade. home to close to a hundred million americans, and with that inhabitants anticipated to double within the next decade, researchers on the core for protection and foreign reports observe that “many families within the Sahel rely on subsistence agriculture and pastoralism for his or her livelihoods and depend heavily on natural supplies like land and water,” which is a vastly reducing regional commodity as desertification enlarges the Sahara barren region by “greater than a mile every year.”
This desertification has consequences, as pastoralists stream extra south for longer durations every 12 months, clashing with extra average agriculturalists. because the Institute for the examine of Diplomacy highlighted in their 2017 file on migration and human protection, in 2014 Fulani herders killed an estimated 1,200 americans over disputes relating to farmland, grazing areas, and water. From 2012 to 2014, the conflict between the herders from the north and farmers in crucial Nigeria charge the financial system more than $14 billion and led to profound ethnic rifts between the farming and herding communities. meals insecurity and the lack of livelihoods in the Sahel are using people to join terrorist companies like Boko Haram, with implications for U.S. counter-terrorism efforts in the region.
within the Western Hemisphere, prolonged meals insecurity because of climate exchange and violence in central the united states’s Northern Triangle drives migration to the U.S.. Residents there are facing a as soon as-in-a-decade drought that started in 2014 and intermittent torrential rains that break any plants that live on. well-nigh two million people in significant the us alone are liable to going hungry. As they now have considered in different areas and countries, rising food insecurity has led many to be part of the violent gangs that operate in countries like El Salvador, Guatemala, and Honduras to at ease funds or supplies to feed their households. whereas vp Kamala Harris’ trip to the location in June extended the interlocking issues of meals insecurity, local weather change, COVID-19, and forced migration, the administration should still go additional by way of specifically the use of food safety as a device for peace in the area. This may still embody greater direct work with local actors to create particular agricultural initiatives and local weather mitigation thoughts that ensure a good food provide.
The dangers of ‘Securitization’
however, in spite of these myriad examples of the protection implications of starvation everywhere, elevating food protection into the countrywide protection method isn't with out its abilities pitfalls. initially, it is crucial to have in mind the delicate difference in emphasis between the language of meals safety, and that of hunger. food safety, usually defined through its obverse, meals insecurity, encompasses researchers’ and policymakers’ ability to measure entry to nutritious food as the foundation for a suit life. The surely trigger is economic difficulty or deprivation, which itself has many underlying drivers, together with conflict and political instability. hunger, in contrast, refers to the “very own, physical sensation of discomfort” that an individual might also event because of bad access to nutritious food, something the underlying cause. Their analysis makes use of both terms, in order to emphasize that to obtain food security requires each an appreciation of the coverage landscape and size of the problem, but also the human affect. this is reflected in U.N. Sustainable construction goal #2, “Zero hunger: end hunger, achieve food security and increase foodstuff and promote sustainable agriculture.”
Secondly, partly as a result of the slight difference in emphasis, and partly due to a wariness of analyzing all problems through a “protection” lens, some analysts, similar to Adriana Abdenur of the Brazilian coverage institute Plataforma CIPÓ, are searching for to de-emphasize the safety implications of hunger. They view a country wide protection approach to food, equivalent to on the broader however linked challenge of “climate safety,” as an invitation for a securitized and even militarized method, one which pulls meals security into the realm of tough vigor. within the most intense circumstances, a protection-pushed method to hunger can provoke a nationalist response from governments. Arab Gulf states’ incursions into East Africa to make certain their own food protection, or different nativist procedures to free exchange of agricultural products, symbolize the incorrect strategy to this problem.
To Get to food security, speak more about hunger
moreover, the terminology of food security can confuse more that it elucidates. This language may additionally ring naturally for an English-talking viewers, however in Spanish, as an instance, the term seguridad alimentaria can result in misunderstanding, the Guatemalan educational and organizer Bibi La Luz Gonzalez advised us in a contemporary interview. The connotation of meals “safety,” in preference to “protection,” she argues, is one more reason why the attainable, human-founded language of “hunger” tied to human rights and values may also be a greater productive strategy.
on the other hand, even with the talents pitfalls, the Biden administration should thread the needle between a very securitized approach and one that downplays the countrywide protection essential to address hunger — domestically and somewhere else — altogether.
A wealth of proof elements to future increases in food insecurity and starvation in the with reference to medium time period, as the world grapples with recuperation from the pandemic and worsening local weather exchange and environmental degradation. These examples, and more, reveal that food insecurity and starvation will proceed to force instability and conflict, and be created with the aid of instability and conflict, and the two — battle and hunger — will perpetuate each and every other.
A wholesale rethink of what constitutes food protection is essential. This includes their skills round it, and how leaders, policymakers, and the public speak about the concern. In that regard, the centrality of human littered with starvation should still be a powerful motivator to translate an evaluation of the difficulty into superior action. That americans’ journey of COVID-19 has blanketed empty keep cabinets, as an instance, perhaps gives multiplied impetus for an administration that seeks to focus on a international policy for the middle category. Viewing meals protection via this new lens is a step towards comprehensive “reform” of the meals system as they realize it, an integral to end starvation, and a way to assist conclusion latest conflicts and blunt future ones.
in the conclusion, food security Is Human security
First, the administration may still include both the language of meals security but additionally that of starvation into its approaching method, to maintain a focus on the human charge of the problem, and to prevent an excessively securitized method to implementation. U.S. and overseas policymakers need to shift their frame of mind and vocabulary to understand that food is tons more than simply humanitarian aid — anything to be supplied after a crisis hits, as opposed to a cause of disaster — and that an end to starvation is as a whole lot about safety as social insurance policy and human rights. placing this shift in thinking in key approach files, such as the U.S. countrywide safety method, would go an extended approach toward making this a truth.
2nd, there are key gaps in their collective capabilities in a few areas, starting from land degradation, water ranges, to vulnerabilities within the distribution community, to identify a number of. If they are going to take food greater seriously, researchers and policymakers should still focus on analysis of true time tips and gathering real time data, which can be tricky in definite cases. extended technical competencies will permit diplomats and other policymakers to effort directed interventions in places like the Northern Triangle.
substantial reforms on earth’s food methods may still additionally ensure resilience in the future. When a government doubts its capacity to acquire meals in hard times, it is greater apt to make harmful overseas land purchases or undertake protectionist meals policies at the first signal of distress. food insecurity arises as a result of single aspects of failure — regularly foreseeable — which require humanitarian interventions. a vital first step is for governments to work more to construct up healthy meals construction on the native level to mitigate supply chain disasters and ensure livelihoods. an additional is to broaden meals consumption past the 4 main meals vegetation the area uses today, and to create a circumstance where they are extra geographically dispersed the place feasible, and more key regional plants are grown in the neighborhood.
constructing resilience into all elements of the meals equipment — from plant to pantry — would allow the equipment to face up to certain degrees of disruption. A food equipment this is extra resilient to deliver chain disruptions from pandemics or worsening local weather alternate will imply more advantageous meals security, and that means fewer conflicts driven via hunger and fewer people starving because of conflict. The interwoven nature of the issue is exactly the reason why hunger must be expanded to a countrywide security priority.
Kelly M. McFarland is a U.S. diplomatic historian and the director of programs and research at Georgetown university’s Institute for the look at of Diplomacy. He currently authored ISD’s latest New world Commons Working neighborhood record, “Peace through food: Ending the starvation-Instability Nexus.” He also hosts ISD’s Diplomatic Immunity podcast. previous to Georgetown, he served in the U.S. department of State as an intelligence analyst. comply with him on Twitter @mcfarlandkellym
Alistair Somerville is the publications editor on the Institute for the look at of Diplomacy and editor of ISD’s weblog on diplomacy and world issues, The Diplomatic Pouch. follow him on Twitter @apsomerville.
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