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JAPATUL VALLEY (CNS) -- Firefighters today worked toward full containment on the smoldering remains of the Valley Fire, which was 87% contained after blackening 17,665 acres in rural eastern San Diego County, authorities said."Fire activity was minimal overnight as firefighters continue to mop up hot spots and secure the fire perimeter," according to a U.S. Forest Service news statement. "Structure defense remains a priority for values at risk. Every day the fire stays within its current perimeter, the threat to the adjacent communities continues to diminish. High pressure over Southern California will result in a warming trend into the middle of the week."The Valley fire, southeast of Alpine, has destroyed 30 residences and 31 outbuildings, damaged 11 other structures and injured three firefighters.RELATED: Resource event gets Valley Fire victims back on their feetAs of Sunday evening, the resources dedicated to battling the fire included 48 engines, four water-dropping helicopters, two bulldozers, 15 water tenders, 13 hand crews and a total of 609 personnel, according to Cal Fire.At noon Friday, Cal Fire announced that all evacuations and road closures necessitated by the conflagration, dubbed the Valley Fire, had been lifted.Saturday morning, the county announced the reopening of the Lake Morena and Potrero campgrounds that had been closed during the evacuation orders.Campsites were available to book at http://reservations.sdparks.org.However, the Cleveland National Forest remained closed to the public until further notice "to protect natural resources and provide for the safety of the public and firefighters," Cal Fire advised."This closure will stay in place until conditions improve and we are confident that national forest visitors can recreate safely," officials with the state agency said.The blaze erupted for unknown reasons early Sept. 5 off Spirit Trail and Carveacre Road and spread rapidly through tinder-dry vegetation amid sweltering heat and high winds, Cal Fire officials said.The agency cautioned those returning to the fire-ravaged area to "use extreme caution around trees, power poles and other tall objects or structures that may have been weakened" by the blaze.The San Diego County Sheriff's Department was increasing its patrols in the area to ensure public safety and prevent looting.Officials advised that motorists in the area could face traffic disruptions due to the continued presence of firefighters, law enforcement personnel and utility workers still in the area.Non-residents were asked to avoid locales in and around the burn zone if possible.Gov. Gavin Newsom declared a state of emergency for San Diego County on Sunday Sept. 6 due to the Valley Fire, a move intended to free up federal relief funds.County officials encouraged people who have lost their homes or other property to the wildfire to call for assistance at 858-715-2200 or email valleyfirerecovery.@sdcounty@ca.gov.Additionally, a county assistance center for victims of the blaze will be in operation at Rancho San Diego Library, 11555 Via Rancho San Diego, on Saturdays and Sundays from 10 a.m. to 6 p.m. and Mondays from 11 a.m. to 7 p.m. until further notice.Those who would like to help victims of the fire can make donations to a disaster-relief fund implemented by the San Diego Foundation, which can be accessed online at sdcountyrecovery.com. 3392

KANSAS CITY, Mo. — More and more women are seeking help getting pregnant. With that help has come an increase in the number of women freezing eggs and embryos.The Centers for Disease Control recently released preliminary numbers for 2016, the latest data available for assisted reproductive technology, or ART, because it takes two years to finalize births and verify data.The data was collected from 463 reporting clinics in the US.There were 76,930 babies born in 2016 as a result of fertility treatments. About 11,000 of those were sets of twins.Of the 263,577 ART cycles (the two-week process of stimulating egg production with the intent to transfer embryos), 65,840 were done so to freeze all resulting eggs or embryos for future pregnancy attempts.The CDC points out the use of assisted reproductive technology is relatively rare, “its use has doubled over the past decade” resulting in 1.7 percent of all infants born in the United States every year are conceived using ART.One of the reporting clinics is Midwest Reproductive Center in Olathe, Kansas.Dr. Dan Gehlbach started the practice in 2004 and has been a reproductive endocrinologist for 25 years. He says he’s moved to almost exclusively freezing all embryos.“Once the data was clear that transferring an embryo soon after egg retrieval was not the optimum time for a transfer, and we could freeze an embryo and allow the uterus to recover from all the hormonal changes that had occurred, and then place the woman on a much lower dose of hormones that just prepare her uterus for an embryo to attach…then we were able to show an improvement in pregnancy rates by transferring a single embryo that had been frozen and thawed verses where we used to transfer two fresh embryos almost routinely,” said Dr. Gehlbach.Gehlbach says this is not only increasing the chances of a successful pregnancy, it is also lowering the risk of twins or triplets. He’s now been following this plan for three years at his clinic.The doctor said advances in medicine may also keep costs down. If a couple can commit to even one round of in-vitro fertilization, fertility doctors can freeze multiple eggs or embryos so the future costs are for thawing and implantation, verses more rounds of IVF.An IVF cycle typically runs ,000 to ,000 when all costs are considered. If no embryos are frozen, the full IVF cycle must be repeated for another attempt.If embryos are frozen after one IVF cycle, thawing an already frozen embryo and implanting it in a woman’s uterus is significantly cheaper than a full IVF cycle. One doctor’s office quoted us about ,000. 2623

Kathie Lee Gifford is paying tribute to her mother, Joan Epstein.The "Today" co-host tweeted Tuesday that her 87-year-old mother had passed away."My precious mother, JOANNIE went home to JESUS & my DADDY this morning," Gifford tweeted. "We praise God for His promise of eternal life & we thank God for her." 323

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

Just after Secretary of State Rex Tillerson's sudden firing Tuesday morning, American diplomats at posts spanning the globe were then increasingly surprised -- and in some cases disturbed -- to receive guidance from Washington telling them not to post or retweet the statement from Undersecretary of State Steve Goldstein on how Tillerson was fired by President Donald Trump, according to multiple diplomats who spoke to CNN about the guidance.Goldstein, part of Tillerson's tight inner circle of aides, had released a statement to the press and then tweeted words that he says came from Tillerson himself on his firing: "The secretary did not speak to the President this morning and is unaware of the reason, but he is grateful for the opportunity to serve, and still believes strongly that public service is a noble calling and not to be regretted." 859

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