There are myriad sections without references. At other times the authors reference secondary sources (in discussing toilet training they note that "Pediatrician Lindy Woodard believes that a child can and should be trained by thirty months; in her professional experience, children who are trained at an older age have more problems learning to use the toilet." p. 168). Often the subject of a section would lack focus and context, such as p. 209 where the authors talk about "soul disorders" in reference to mental health. One assumes they are referencing the work of someone else, but it isn't cited or put into context. This leaves the reader to wonder why the authors would consider if "wisdom teeth extraction impacts our souls."
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 and otoacoustic emissions have since been shown to arise through a number of different cellular and mechanical causes within the inner ear. 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.
Spontaneous otoacoustic emissions (SOAE)s are sounds that are emitted from the ear without external stimulation and are measurable with sensitive microphones in the external ear canal. At least one SOAE can be detected in approx. 35-50% of the population. The sounds are frequency-stable between 500 Hz and 4500 Hz to have unstable volumes between -30 dB SPL and +10 dB SPL. The majority of the people are unaware of their SOAEs; portions of 1-9% however perceive a SOAE as an annoying tinnitus.
It is NOT a different type of license or a substitute for licensing or accreditation. The intent of the Qualistar Rating™ is to give licensed programs a measurement of quality, by star levels, and recommendations on how to improve the quality of the care they provide. Accreditation by a national accrediting agency is a separate process that has its own set of standards and validation system.
I am Melonie & LOVE children of all ages. Each phase has something exciting & wonderful to offer. Stay-at-home mom for 20 years, I raised 4 amazing sons. Volunteered in school, church & cub scouts, many leadership positions, taught parenting classes. Arts & Crafts Junior High School Teacher, worked in mental health. Taking care of your children & making a positive impact in their lives would be very rewarding for me. My attributes are reliable, dependable, honest, hardworking, loving, gentle, kind, nurturing, passionate, organized & multi-tasking. Helping children to become self-confident, loving & caring people, as they learn how they fit in this big world, is very exciting for me. I look forward to sharing what I have to offer to you as a nanny. I am considered to be a Professional Nanny Manager as I plan meals, grocery shop, prepare and serve meals, do laundry and ironing as well as care for the children. Basically I manage the household to help keep it running smoothly.