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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

JUNEAU, Alaska — The U.S. Bureau of Land Management plans to hold an oil and gas lease sale for land in Alaska’s Arctic National Wildlife Refuge next month. Meanwhile, banks around the world are publicly saying they will not finance oil and gas development in the Arctic.The land agency says it plans to hold a lease sale on Jan. 6. It comes just weeks before President-elect Joe Biden is set to take office, and he has said he opposes drilling in that region.The refuge is home to migrating caribou, polar bears and other wildlife."Congress directed us to hold lease sales in the ANWR Coastal Plain, and we have taken a significant step in announcing the first sale in advance of the December 2021 deadline set by law," said a statement Thursday from Chad Padgett, the Alaska state director for the Bureau of Land Management.In 2017, the Republican-led Congress approved legislation to open up the coastal Arctic National Wildlife Refuge for oil development. The measure required two lease sales within seven years, with the first sale no later than the end of 2021.Conservation groups criticized news of the sale as rushed and based on environmental reviews that are currently being challenged in court as flawed. Conservation groups, the Indigenous Gwich'in people, and a coalition of 15 states have filed lawsuits challenging the environmental reviews.Alaska politicians say opening the area for exploration would boost oil production, create jobs and generate royalties.However, even if a lease sale is held, there are questions about which companies could afford to drill in the refuge.Just this week, Bank of America said they are ruling out financing for oil and gas development in the Arctic, including in the Arctic National Wildlife Refuge. They are the latest U.S. bank to publicly commit to not financing oil and gas development in the region.“There’s been misunderstanding around our position, but we have not historically participated in project finance for oil and gas exploration in the Arctic,” Larry Di Rita, the bank’s head of public policy and strategy in Washington, told Bloomberg.“But given that misinterpretation, we’ve determined that it’s time to codify our existing practice into policy.”Bank of America joins Goldman Sachs, JPMorgan Chase, Wells Fargo, Citi and Morgan Stanley and nearly 30 major banks from around the world have committed to not fund oil and gas development in the Arctic. 2427

JULIAN, Calif. -- There was a light dusting of snow on Mt. Laguna and temperatures below freezing Tuesday.Tom is a co-owner of Laguna Mountain Lodge co-owner.  He told 10News, "Well, it got really cold, dropped down to about 22 and wind was just howlin' and then I got up about 5 this morning and the wind had died and there was a coating of snow; beautiful."It hasn't been exceptionally busy at the lodge; it usually takes a heavier snowfall to bring the crowds.It's also dangerous, he told us."It was pretty icy this morning; the roads were real bad." A pick-up truck slid off the road on hiway 79 near Santa Ysabel.  No one was hurt.The light storm left the area with nice scenery. "It's fun. I like the snow; like weather you can see." 767

Kamala Harris is making history as the first Black woman elected vice president of the United States, shattering barriers that have kept men — almost all of them white — entrenched at the highest levels of American politics for more than two centuries. The 56-year-old California senator is also the first person of South Asian descent elected to the vice presidency.She represents the multiculturalism that defines America but is largely absent from Washington’s power centers.Her Black identity has allowed her to speak in personal terms in a year of reckoning over police brutality and systemic racism.During a speech Saturday night, Harris had a strong message for women and girls who were watching."While I may be the first woman in this office, I will not be the last," Harris said, in her first speech as Vice President-elect. Harris learned about the Associated Press calling Pennsylvania and Nevada, and ultimately the presidency, for the Biden-Harris ticket, while she was out for a run. She tweeted video of her talking to Biden on the phone, holding her earbuds wearing workout gear, saying "we did it, Joe." 1128

KANSAS CITY, Mo. — A mother is outraged after seeing a photo of her 7-month-old son tied up in a sleep sack at day care.Tanya, who asked her last name not be used because of her job with the government, said she got phone call from the Kansas Department of Children and Families (DCF) in late March. The department told her it was investigating a report involving a photo of her son at Miss Anne's Daycare in Leavenworth, Kansas.The DCF worker couldn’t send her the photo, so Tanya drove directly to the DCF offices in Leavenworth.“It was a picture of him in a sleep sack with his arms bound down and the sleeves of the sleep sack tied to the back with a ponytail holder, and he was laid face down with his face pretty much in the corner,” she said, shaking. Tayna drove directly from the DCF office that day to the day care, picked up her son, and he hasn’t been back.Tanya said she’s not really an emotional person, but the situation has been difficult.“You know, I was in the military for 22 years. I don’t shake easily…” she said. “This shook me to my core.”She wasn’t the only person to get a phone call.Deirdre Engle said she got a call, too. Someone had reported her daughter, Elora, being put down the same way — in a sleep sack, face down, with the sack pulled tight with a hair band. Engle said DCF had a photo and was investigating. “First, I thought there's no way that's my baby, she looks so small! She's laying on her tummy like she always does, but she looks uncomfortable. She's tied up. My baby is tied up," Engle said in a phone call. "She can't roll over, she can't sit up, if she were to cough up any of her formula, she'd choke. I got scared for her. She's been at this day care since she was 5 weeks old. I've trusted these people for her entire life and I was wrong,” wrote Engle.Engle pulled her daughter from the day care March 27. She has not taken her child back to the facility.Another mother, Jennifer New, also got a call from DCF in late March. According to her, DCF assured New her daughter wasn’t in any photos they’d received, but they wanted her to check on things and report back.When reached for comment, Miss Anne's referred Scripps station KSHB to a statement they’d posted on Facebook earlier in the day on April 17.The Department of Children and Families said it could not comment specifically on investigations. However, DCF did say it follows the American Academy of Pediatrics recommendation that babies be put to sleep on their backs.The Kansas Department of Health and Environment released the following statementt:  2626

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