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In conjunction with audiometric testing, OAE testing can be completed to determine changes in the responses. Studies have found that exposure to noise can cause a decline in OAE responses. In a study, industrial workers who were exposed to 84.5 dBA of noise were compared to workers who were exposed to 53.2 dBA of noise by considering hearing thresholds and OAEs before and after 5 days of work. This study revealed that hearing thresholds and OAE results were significantly lower among the workers who were exposed to higher levels of noise.[12]
There is a lot to like about The Nourishing Traditions Book of Baby and Child Care by Sally Fallon Morrell and Thomas S Cowan. Some of it is exceptionally well-researched (other things I thought were a little sketchy or questionable, see further below). I could never list all the awesome things the book discusses, but some of the highlights for me include:

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.[5]


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."
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.
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.[5]
You ensure that your little one sees the doctor for general health care. Dental care is an important part of taking care of a child’s health, too. As a good parent you know that taking care of one’s teeth is a great habit to teach young people from a very early age. Everyone loves to show off a brilliant smile, at every age. And when kids take care of their pearly whites from a young age, they’ll maintain their beautiful smile for years to come.
I must admit I am surprised that with the concept of Nourishing Traditions being about adopting traditional methods of preparing foods as observed in ultra-healthy non-western people groups, I expected the book on baby and child care to promote more traditional and indigenous ways of nurturing (not just nourishing) little ones, such as babywearing and co-sleeping. I guess we always have The Continuum Concept by Jean Liedloff for that!
Thus, we propose that your government needs to withdraw proposed changes to age ranges, ratios and group sizes. Instead we recommend that the government develop a well-considered road map that begins with a clear vision, goals/objectives, targets and timetables, with regulatory changes as one part of this plan. This would have a better chance for successful policy change. We also call on Ontario to play a positive leadership role with the new federal Liberal government and other provinces/territories in developing the high quality universal integrated ECEC system that so many have been seeking for so long.    
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