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Just about everyone who's played with a projectile toy has gotten a version of the warning "You'll shoot your eye out!"But in a report published Monday in the medical journal BMJ Case Reports, doctors warn that popular toy Nerf guns really can put eyes at risk.The case report details three unrelated cases within three months treated in the Moorfields Eye Hospital accident and emergency department in London. Two adult patients had pooling of blood and inflammation in the eye after being shot with a Nerf gun. One 11-year-old patient had pooling of blood, inflammation and damage to the outer retinal layers of the eye."Significant Nerf gun ocular injuries are not reported in the literature, as far as we know," the researchers write.In the emergency room at the eye hospital, doctors are used to attending to traumatic injuries. It was the extent of the injury from a children's toy that surprised Dr. Mukhtar Bizrah, the lead author of the study."Nerf guns are used by children, and I was not expecting to see blood," he said. All the patients complained of blurred vision and red eyes and were treated to reduce pressure inside the eye, and their symptoms resolved after a few weeks.Injuries to the cornea are common and are not that dangerous, Bizrah said, but the injury sustained in the space between the iris and the pupil is far more dangerous. "One of the patients had angle recession, which is a risk factor for developing glaucoma down the line," he said.All the injuries documented in the case study involved Nerf guns shot from a close distance.One of the patients had been shot by "bullets" from an unlabeled brand, which have firmer heads than branded ones, the researchers said, noting that unbranded bullets are cheaper and tend to be preferred by parents. However, the authors said they could not verify whether branded bullets would have had caused less trauma.Julie Duffy, senior vice president for global communications for Nerf's maker, Hasbro Inc., wrote in an email that Nerf foam darts and foam rounds are not hazardous when used properly. The guns should never be aimed at a person's eyes or face, and the products should never be modified, she said.She added that darts that claim to be Nerf-compatible may not meet safety standards and regulations."NERF products are designed based on years of consumer insights and research, and undergo rigorous reviews and testing to assure that they are safe and fun to play with, and meet or exceed global standards and regulations."Duffy urges parents to read product packaging and note age recommendations: "Ultimately, a parent or caregiver knows his or her child best and is best equipped to make decisions on what forms of play and entertainment are most appropriate for his or her child," she said.Dr. Paul Kivela, president-elect of the American College of Emergency Physicians, said that the study raises concerns."Parents typically afraid of pellet guns. So soft-bullet guns give them a false sense of security that kids are safe. That is clearly not the case," said Kivela, who was not involved in the study. "The pressure of the projectile is important."His advice: If you are going to play with projectiles of any kind, it's best to wear protective eyewear, even though that could be especially tough for children younger than 5."It's best to not have this toy around small children, even if there are older kids in the house," Kivela said. "It is also important to tell children to not shoot at a person's face or from a relatively close distance."Pediatric ophthalmologists at Nationwide Children's Hospital in Columbus, Ohio, were not at all surprised by the report. "We see eye injuries from projectile toys all the time, including Nerf guns. We know that there is always a risk of projectile toys hitting the eye," Dr. Marylou McGregor said. She also recommends using eye protection all the time when playing with such toys.Patients with these kinds of eye injuries have to be monitored for the first week to ensure that there is no rebleeding, said Dr. Cate Jordan of Nationwide Children's Hospital. If pain and blood clotting persists, the entire anterior chamber has to be washed out. Jordan recommends the patient lay low and participate only in quiet activities for the first few weeks. Even after vision returns to normal, they have to be monitored every three months for the first year and then every year for longer-term risks like cataracts or glaucoma. 4457

LA JOLLA, Calif. (KGTV) - After serving the beach communities of Pacific Beach and La Jolla for more than 60 years, Pernicano’s Family Restaurant will be closing.Johnny Pernicano Sr., the restaurant's enigmatic founder, still comes every night, singing to patrons with his piano and accordion.“I learned how to play all the instruments just by being here every night,” said Pernicano.He and his nine brothers began opening restaurants across San Diego after World War II. As the youngest son, he started off making pizzas in his older brother’s restaurant. But by the mid ’50s, he went off on his own to build the restaurant that’s now on Turquoise Street on the southern edge of La Jolla.Since then, it’s served as the reliable home for birthdays, reunions, fundraisers and family dinners across San Diego.It’s one of three surviving Pericano’s in the county. Two of his nephews, now in their 70's, operate locations in El Cajon and Poway. They will remain open for the foreseeable future.The location on Turquoise Street will have its last day on Sept. 15.Johnny says he has leased the space out to a new family who plans on opening a new restaurant at the location. 1186

Just weeks ahead of the midterm elections, U.S. election databases are coming under attack.A new report finds election hacking attempts have been building since April. One troubling note: the government does not know who is behind the attacks.“Well, it is worrisome. The more we know, the better,” says John Fortier, with the Bipartisan Policy Center. “But I also do think, in the world that we have, we are going to have unknown actors, whether foreign or domestic, making attempts to get into systems.”The good news is that, so far, Homeland Security says none of the attacks have been successful.Fortier thinks that's a sign of enhanced election security and better communication between election officials.“I think we are in a better place now to identify those threats and communicate those threats between federal and local and state election officials, and I think that's a step up,” Fortier says.As the midterms approach, the head of Homeland Security says the government will also be using other security tools, including sensors that allow federal officials to see inside state computer systems in order to detect if there are signs of hacking attempts.“Our network security sensors will cover 90 percent of registered voters,” says Secretary of Homeland Security Kirstjen Nielsen. “And on election day, we'll be in full force and hosting a virtual nationwide situation room to assist our partners.Experts continue to insist that voter databases, like registration information, is more at risk than hackers being able to change actual votes. 1559

Judge ruled she will stay in detention where she is getting therapy ... next court date is September. Mother and daughter both visibly upset https://t.co/4VK0biBtWE— Jennifer Ann Wilson WXYZ (@JennaWils) July 20, 2020 225

Kroger is making another big push into online groceries, this time by opening a digital business in China.America's largest grocery chain said Tuesday that it will start selling its Simple Truth-brand products on Alibaba's Tmall Global site.By partnering with Alibaba, Kroger can battle its biggest rivals on two fronts: It will expand its fledgling online business and will venture abroad for the first time. Tmall is internet giant Alibaba's e-commerce platform for foreign brands."E-commerce enables Kroger to quickly scale to reach new customers and markets where we don't operate physical stores, starting with China," Yael Cosset, Kroger's chief digital officer, said in a statement.Simple Truth is Kroger's line of natural and organic goods. The brand reached billion in sales earlier this year, the company said.It's the latest attempt by Kroger to compete with Amazon and Walmart as online shopping for groceries becomes increasingly popular.The company launched "Kroger Ship," a direct home delivery service, in four US cities earlier this month.And in May, Kroger signed an exclusive deal with UK online supermarket Ocado to use its technology in the United States.Partnering with Alibaba also gives Kroger a gateway into China's huge consumer market.More and more Western companies have been using this playbook. Starbucks recently announced that it is joining forces with Alibaba to launch coffee delivery services in September.Kroger's competitors also want to increase their presence in the region.Walmart and Alibaba competitor JD.com have reportedly decided to invest 0 million in Dada-JD Daojia, a Chinese online grocery delivery company. Walmart first took a position in JD.com in 2016.That partnership could get some new muscle from Silicon Valley. Google bought a 0 million stake in JD.com in June. The two tech firms plan to join forces to sell goods online across Southeast Asia, the United States and Europe. Google still can't offer its main services in China. 2067

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