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]

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The Child and Adult Care Food Program for Child Care Centers and Child Care Homes is administered in Texas through the Texas Department of Agriculture. The CACFP helps child and adult day care facilities, and family day homes to improve the nutritional quality of the meals they provide to the individuals receiving services at their facilities. To learn more and determine if you are eligible, visit the TDA web page or call 877-TEX-MEAL.

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Mt. Zion's programs are built around the needs of each child. Teacher to child ratios are low to provide for individual attention. Children daily experience planned activities and open-ended experiences for individual growth and development. Children explore their world through music, large motor play, sensory exploration, language, and small group events.

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^ Schönpflug, Karin, Feminism, Economics and Utopia: Time Travelling Through Paradigms (Oxon/London: Routledge, 2008 (ISBN 978-0-415-41784-6)), pp. 159–160 (author economist, Austrian Ministry of Finance, & lecturer, Univ. of Vienna), citing Rohrlich, R. & Elaine Hoffman Baruch, Women in Search of Utopia: Mavericks and Mythmakers (N.Y.: Schocken Books, 1984), and Plato, The Republic (ca. 394 B.C.).

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The quality of the center based child care can be very influential on the child and on their overall development. Recent study showed that children in low end classrooms saw the activities as forced while the children in high end classrooms had more memorable experiences.[12] Even though this being the case between high and low end classrooms, other aspects such as the child's background and living situation can play an important role in their development.[13] Active children may thrive in the educational activities provided by a quality commercial care center, but according to the National Center for Early Development and Learning, children from low quality centers may be significantly less advanced in terms of vocabulary and reading skills.[14] Classes are usually largest in this type of care, ratios of children to adult caregivers will vary according to state licensing requirements. Some positive aspects of commercial care are that children may gain a sense of independence, academic achievement, and socialization.[15] Not only is this age crucial for the improvement of their social skills, but also it begins the stages of understanding a classroom setting. Childcare is seen as a reasonable option because it is different than parenting, since it can be seen as more of a routine for the child.[11] This in turn will only have a negative impact on the child if the parent is not their for the emotional needs of the child.[11] Children are placed into centers of socialization and learn many similarities and differences from one another from a very young age.[11] Children are also placed into settings to develop their linguistics and cognitive abilities, which can be measured through observations.[13] Not only is this age crucial for the improvement of their social skills, but also it begins the stages of understanding a classroom setting. These early ages of the child's life are crucial or it would otherwise have a negative impact on their future paths.[12]

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