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Increased Integrated Pest Management (IPM) adoption hinges not only on the future of innovative research, but also on the willingness of growers to adopt new IPM technologies. Adoption and diffusion of innovations can encounter many different challenges. By better understanding the drivers of and barriers to IPM adoption, future research, extension, and education can better target behavior change. This study sought to better understand the IPM adoption drivers and barriers, along with the impacts of IPM, from the perspective of state IPM coordinators via an online Qualtrics survey. These professionals have a statewide perspective on IPM adoption. There were 37 completed surveys out of 56 email survey invitations, a 66% response rate. Overall, the participants ranked 'high cost of practice' as the most critical barrier to IPM adoption. 'Difficulty of implementation' and 'lack of awareness' were also highly ranked as critical barriers to adoption. When asked about ways to increase IPM adoption, participants ranked 'improved cost-benefit analysis' as the most critically important. Overall, these findings demonstrate the importance of providing improved IPM economic cost-benefit analyses to accompany the promotion of new and existing IPM innovations. Furthermore, even though the results of this study suggest that the impact of the Regional IPM Centers has been increasing regional IPM coordination, communication, collaboration, and cooperation. These findings also suggest a need for more comprehensive extension and education programs to specifically address the perceived 'high cost of practice,' 'difficulty of implementation', and 'lack of awareness' by communicating improved IPM cost-benefit analyses. [ABSTRACT FROM AUTHOR]

This paper empirically examines the relations between homicide rates by age (adults 18 to 24 and adults 25 or older), the tattoo shop density, on-site and off-site alcohol outlets, and disadvantage. It offers an additional explanation for the relation between alcohol outlets and homicide besides alcohol availability and consumption being facilitators of such lethal violence, suggesting that these businesses are a proxy for attracting those most prone to violent behavior. The analysis estimated linear pooled cross-sectional time series models to test the relations between age-specific homicide rates and tattoo shop density, on-site alcohol density, off-site alcohol density, and a multidimensional measure of disadvantage. These relations were examined among 88 of the largest cities in the United States for the years 1998 to 2006 (city-years = 792). The findings showed positive relations between homicides rates involving young adults 18 to 24 years of age, off-site alcohol outlets, tattoo shops, controlling for disadvantage. Findings suggest business establishments that attract young adults increase the likelihood of lethal violence not solely because of the availability and consumption of alcohol, but by increasing the convergence in space and time of motivated offenders and suitable targets, with limited or absent capable guardianship. [ABSTRACT FROM AUTHOR]

The U.S. military has recently been involved in many humanitarian assistance and disaster response missions around the world. This newfound role is in response to the U.S. government's desire to use "medical diplomacy" rather than "military might" to shape its relationship with foreign governments. With each of these humanitarian assistance and disaster response missions, the U.S. military has learned how to more rapidly insert desperately needed services and skill sets into disaster-struck communities, how to arrange for in-country services (translation services, transportation, etc.) that cannot be readily brought in. and how to work closely with foreign governments and nongovernmental organizations to determine their needs and expectations without the U.S. military appearing as if it were trying to establish a permanent presence. [ABSTRACT FROM AUTHOR]

The article provides information concerning the joint medical command in the U.S. In response to the broad set of complex national security challenges of the 21st century, the Quadrennial Defense Review (QDR) report of February 2006 has advised that all the organizations, processes, and practices within the Department of Defense should be given a high degree of agility, flexibility, responsiveness, and ultimately effectiveness in supporting the joint war fighter and future national defense goals.

Purpose: To determine how often practicing physicians use the customarily recommended quantitative methods that include sensitivity, specificity, and likelihood ratio indexes; receiver operator characteristic (ROC) curves; and Bayesian diagnostic calculations.Participants and Methods: A random sample of 300 practicing physicians (stratified by specialty to include family physicians, general internists, general surgeons, pediatricians, obstetrician/gynecologists, and internal medicine subspecialists) were briefly interviewed in a telephone survey. They were asked about the frequency with which they used the formal methods, the reasons for non-use, and if they employed alternative strategies when appraising tests' diagnostic accuracy.Results: Of the 300 surveyed physicians, 8 (3%) used the recommended formal Bayesian calculations, 3 used ROC curves, and 2 used likelihood ratios. The main reasons cited for non-use included impracticality of the Bayesian method (74%), and nonfamiliarity with ROC curves and likelihood ratios (97%). Of the 174 physicians who said they used sensitivity and specificity indexes, 165 (95%) did not do so in the recommended formal manner. Instead, the physicians directly estimated tests' diagnostic accuracy by determining how often the test results were correct in groups of patients later found to have, or to be free of, the selected disease.Conclusions: The results indicate that most practicing physicians do not use the formal recommended quantitative methods to appraise tests' diagnostic accuracy, and instead report using an alternative direct approach. Although additional training might make physicians use the formal methods more often, the physicians' direct method merits further evaluation as a potentially pragmatic tool for the determination of tests' diagnostic accuracy in clinical practice. [ABSTRACT FROM AUTHOR]

Objectives: The Council of Emergency Medicine Residency Directors (CORD) introduced the standardized letter of recommendation (SLOR) in 1997, and it has become a critical tool for assessing candidates for emergency medicine (EM) training. It has not itself been evaluated since the initial studies associated with its introduction. This study characterizes current SLOR use to evaluate whether it serves its intended purpose of being standardized, concise, and discriminating., Methods: This retrospective, multi-institutional study evaluated letters of recommendation from U.S. allopathic applicants to three EM training programs during the 2011-2012 Electronic Residency Application Service (ERAS) application cycle. Distributions of responses to each question on the SLOR were calculated, and the free-text responses were analyzed. Two pilots, performed on five applicants each, assisted in developing a strategy for limiting interrater reliability., Results: Each of the three geographically diverse programs provided a complete list of U.S. allopathic applicants to their program. Upon randomization, each program received a list of coded applicants unique to their program randomly selected for data collection. The number of applicants was selected to reach a goal of approximately 200 SLORs per site (n = 602). Among this group, comprising 278 of 1,498 applicants (18.6%) from U.S. allopathic schools, a total of 1,037 letters of recommendation were written, with 724 (69.8%) written by emergency physicians. SLORs represented 57.9% (602/1037) of all LORs (by any kind of author) and 83.1% (602/724) of letters written by emergency physicians. Three hundred ninety-two of 602 SLORs had a single author (65.1%). For the question on "global assessment," students were scored in the top 10% in 234 of 583 of applications (40.1%; question not answered by some), and 485 of 583 (83.2%) of the applicants were ranked above the level of their peers. Similarly, >95% of all applicants were ranked in the top third compared to peers, for all but one section under "qualifications for emergency medicine." For 405 of 602 of all SLORs (67.2%), one or more questions were left unanswered, while 76 of all SLORs (12.6%) were "customized" or changed from the standard template. Finally, in 291 of 599 of SLORs (48.6%), the word count was greater than the recommended maximum of 200 words., Conclusions: Grade inflation is marked throughout the SLOR, limiting its ability to be discriminating. Furthermore, template customization and skipped questions work against the intention to standardize the SLOR. Finally, it is not uncommon for comments to be longer than guideline recommendations. As an assessment tool, the SLOR could be more discerning, concise, and standardized to serve its intended purpose., (© 2013 by the Society for Academic Emergency Medicine.)

Although often credited with prompting a paradigm shift in social comparison theory, T. A. Wills's (1981) downward comparison (DC) theory has received some criticism recently. In particular, several recent studies have failed to find support for T. A. Wills's (1981) contention that threat and accompanying negative affect lead to a desire for DC. These apparent failures have led some investigators to question basic principles of the theory. To resolve this controversy, 5 studies were conducted examining preferred comparison level (PCL) after performance; 4 of the studies also assessed change in this preference. Results supported DC theory, but with modifications. Specifically, individuals who performed poorly lowered their PCLs. Under some circumstances, this "downward shift" included an increased interest in "true" DC--comparing with worse-off others. A reconciliation of these results with those of previous studies is offered.