Households' preferences for hydrological services in Veracruz, Mexico: The importance of outcomes vs. program design.

Payments for Ecosystem Services (PES) are transfer payments that incentivize natural resource owners and managers to carry out environmental conservation efforts that promote ecosystem service provision. A common issue that PES programs face is long-term financial sustainability. In the case of payments for hydrological services (PHS), this may be achieved by introducing fees in the water bill of water users and using the money to pay landowners to conserve their forests and the hydrological services they provide. However, these fees are often minuscule and chosen arbitrarily without assessing households' preferences for the outcomes and design of the programs that manage them. While programs that improve water quality and regularity are universally desired, we know less about household preferences for who administers the program and who is eligible to enroll. We design a choice experiment survey to study preferences for attributes of a PHS program in Xalapa and Coatapec, Mexico. Expectedly, both cities' residents are willing to pay more to support a PHS program that improves water quality and water quantity regulation. Trust in the municipal government in the case of Xalapa and watershed awareness in Coatepec increase the likelihood of selecting the proposed alternative PHS programs. Households in both cities are willing to pay a premium if an NGO is involved in managing the program. While residents of Xalapa prefer keeping the PHS program land eligibility restricted to forests, the residents of Coatepec are willing to pay significantly more for a program that expands land eligibility to include shade-grown coffee. Overall, the WTP for a PHS program is estimated to be 16% of the current average monthly water bill for Xalapa households and 70% of the current water bill for Coatepec households. Our findings suggest that downstream water users can serve as a viable option for financing a PHS program to conserve forestland upstream. Attention needs to be paid to differences in WTP magnitudes and the population characteristics that affect differences in WTP across cities, such as trust in the government and watershed awareness.

Epidemiology of Boys' Club Lacrosse Injuries During the 2018 Summer Lacrosse Season.

CONTEXT: In the past 10 years, participation in boys' youth and high school lacrosse has increased by 33%. Among many club teams and tournaments, athletes may not have access to medical coverage. Additionally, these athletes face a higher volume of play than in traditional scholastic sport settings. OBJECTIVE: To describe the injury characteristics of boys' nonscholastic youth and high school club lacrosse athletes over the course of a summer season. DESIGN: Descriptive epidemiology study. PATIENTS OR OTHER PARTICIPANTS: Boys' nonscholastic youth and high school lacrosse athletes, aged 8 to 18 years, who competed in tournaments. MAIN OUTCOME MEASURE(S): Athletic trainers at tournaments were given standardized injury report forms to document patient encounters. These reports were then entered into the Datalys Injury Surveillance Tool. RESULTS: Over the summer tournament season, 233 injuries were reported in 109 342 athlete-exposures (AEs) for an injury rate of 2.13 per 1000 AEs (95% confidence interval = 1.87, 2.42). The most frequently injured body parts were the head and/or face (n = 51, 22%), arm and/or elbow (n = 34, 15%), and hand and/or wrist (n = 29, 12%). The most common diagnoses were contusions (n = 63, 27%), concussions (n = 44, 19%), fractures (n = 39, 17%), and sprains (n = 35, 15%). The most often injured position was midfielder (n = 65, 41%), followed by defense (n = 48, 30%), attack (n = 36, 23%), and goalkeeper (n = 9, 6%). The concussion rate was 0.4 per 1000 AEs (95% confidence interval = 0.28, 0.52). CONCLUSIONS: The injury rate experienced by boys' nonscholastic club lacrosse athletes was similar to the rates of their high school counterparts as well as school-sponsored football and wrestling athletes. Because of the risk of injury, athletic training services should be available for youth and high school club lacrosse tournaments.

The Effect of Target Speed and Verbal Instruction on NPC Measures in a Young, Healthy, and Active Population.

Purpose: Evaluate the effect of target speed and verbal instruction on near point of convergence (NPC) measurements in a young, healthy, and active population. Methods: NPC was measured in 20 individuals with three target speeds and two sets of verbal instruction. The target speeds used were 1 cm/s, 3 cm/s, 5 cm/s, and participant self-paced. The verbal instruction given was either to indicate when the target became "double" or "blurry". Results: Paired-samples t-tests revealed significant differences between 5 cm/s (5.44 ± 2.01) and 1 cm/s (6.72 ± 2.39, p = .003), 3 cm/s (6.10 ± 2.36, p = .030) and self-paced (6.63 ± 2.26, p = .005). A significant difference (p < .001) was also found between the "double" (6.72 ± 2.39) and "blurry" (10.82 ± 3.08) conditions. Conclusion: For young, healthy and active individuals, target speed and verbal instruction matter when measuring NPC.