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.
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. 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).
The benefits of high quality early learning experiences for children appeal to both early childhood programs and families. By participating in the Qualistar Rating™ programs receive a detailed Quality Performance Profile© (QPP) that includes strengths and areas for improvement specific to their program and classrooms. Families benefit by accessing the program’s Quality Rating Report and by gaining an understanding of the components contributing to quality early learning experiences. This helps parents make more informed choices on the type of care they would like for their child.
At Associates in Family Dentistry, we offer a range of services to those located in the Aurora/ Denver area. Our services include preventative dental care and cleanings, cosmetic care, restorative dentistry and gum treatment. We understand how important it is for our patients to feel relaxed and comfortable when they come to see us. We do everything possible to help you have a positive and relaxed experience, before and after your dental care. We offer a range of options including nitrous and oral sedation. Our office is equipped with the latest in state-of-the-art technology and safety equipement including intraoral cameras and panormic x-ray machines, and a cutting edge sterilization center to keep you safe.
If you have a child residing in your home whose non-custodial parent is not providing child support, you will be required to cooperate with Arapahoe County’s Community and Child Support Services Division in order to qualify for CCAP. Cooperation is required for all children in the household with an absent parent who are in need of child care services. The division will provide any necessary services to establish, modify or enforce a child support or medical support order. Child care assistance will be denied or terminated for all children in the home if a family fails to cooperate without good cause.
Our highly acclaimed child care center is well known for its warmly decorated, home like learning environment. In classrooms, for example, we display pictures of children with their families above each student’s cubby, and our family-friendly atmosphere welcomes parent visits anytime during the school day. Our monthly events and parties acknowledge major holidays and always lend a fun, celebratory feel.
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.
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."
- "Attachment parentings can interfere with a child's need to learn about the world on his own, and his gradual emergence into his sense of independent self" (p156). Clearly, the authors have confused attachment parenting with helicopter parenting. One of the greatest outcomes of attachment parenting is confident and secure children who are not only independent, but highly inter-dependent.