Todays child care CO

It has been found that distortion product otoacoustic emissions (DPOAE’s) have provided the most information for detecting mild hearing loss in high frequencies when compared to transient evoked otoacoustic emissions (TEOAE).[13] This is an indication that DPOAE’s can help with detecting an early onset of noise-induced hearing loss. A study measuring audiometric thresholds and DPOAEs among individuals in the military showed that there was a decrease in DPOAEs after noise exposure, but did not show a shift in audiometric threshold. This supports OAEs as predicting early signs of noise damage.[14]
My licensed home childcare will incorporate the experience and knowledge I have gained while working 13 years as a preschool teacher most of which was at a NAEYC accredited 4 Star Qualistar rated program. I am CPR/First Aid certified. I have a fenced in backyard and there is a park nearby. I absolutely LOVE spending my days watching children learn, grow, and experience the world around them, to me there is no other job as rewarding!

Otoacoustic emissions are clinically important because they are the basis of a simple, non-invasive test for hearing defects in newborn babies and in children who are too young to cooperate in conventional hearing tests. Many western countries now have national programmes for the universal hearing screening of newborn babies. Periodic early childhood hearing screenings program are also utilizing OAE technology. One excellent example has been demonstrated by the Early Childhood Hearing Outreach Initiative at the National Center for Hearing Assessment and Management (NCHAM) at Utah State University, which has helped hundreds of Early Head Start programs across the United States implement OAE screening and follow-up practices in those early childhood educational settings.[8][9][10] The primary screening tool is a test for the presence of a click-evoked OAE. Otoacoustic emissions also assist in differential diagnosis of cochlear and higher level hearing losses (e.g., auditory neuropathy).

OAEs are considered to be related to the amplification function of the cochlea. In the absence of external stimulation, the activity of the cochlear amplifier increases, leading to the production of sound. Several lines of evidence suggest that, in mammals, outer hair cells are the elements that enhance cochlear sensitivity and frequency selectivity and hence act as the energy sources for amplification. One theory is that they act to increase the discriminability of signal variations in continuous noise by lowering the masking effect of its cochlear amplification.[4]
​​"Miss Laura's" has been a wonderful second home for my daughter Helena.  Helena was undergoing a rough transition this year, it being the first year she was to be cared for without big sis right by her side.  Laura has made her home feel like a second home for Helena, and she makes nutrition important for the kids which I really like.  She also follows whatever requests nutritionally that I have, and she is super careful.  Helena's big sis has a severe peanut allergy, so Laura makes sure Helena never eats peanuts because she doesn't want to risk a problem when the two girls play in the afternoon.  And I Didn't even have to ask her to do that!! That's great!  Helena is really transitioning well and I think that is because of how Laura is helping it to feel like another home. My older daughter even constantly wants to stay with"Miss Laura." - Laura
Perhaps the first sign that this book would be a let down were the typos throughout the pages (such as "hunbands" for husbands p 211, "sores" for scores p 104). The carelessness of the authors was reflected in the poor quality of the content and its presentation. This book lacked a coherent voice, and others have noted the contradictory statements found throughout its pages.
An otoacoustic emission (OAE) is a sound which is generated from within the inner ear. Having been predicted by Thomas Gold in 1948, its existence was first demonstrated experimentally by David Kemp in 1978[1] and otoacoustic emissions have since been shown to arise through a number of different cellular and mechanical causes within the inner ear.[2][3] Studies have shown that OAEs disappear after the inner ear has been damaged, so OAEs are often used in the laboratory and the clinic as a measure of inner ear health.
My name is Kara Downing but now days I go by Miss Kara. I grew up in south eastern Colorado on a 2500 acre farm with my brother and sister. I was the youngest sibling and always wanted a younger brother or sister. As a young child I was always helping take care of my younger cousins and I loved babysitting. My grandma was an elementary teacher and I remember going to help in her classroom and the idea of teaching seemed like so much fun. I believe all of these factors helped my find my passion with working with children.
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