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Middle Ear Fluid: Developmental Effects on Children with Specific Attention to Those with Down Syndrome
by Robert J. Doman Jr. It appears that middle ear fluid (otitis media with effusion) is a significant problem for children with Down syndrome. Our experience at NACD with literally thousands of children with Down syndrome indicates that middle ear fluid issues are ubiquitous and are of tremendous concern relative to the global development in…
A Declaration for Independence
by Bob Doman We generally think of independence as being free of outside control. With children, and from a developmental perspective, I see it not so much as being free of outside control as gaining self-determination, autonomy, and initiative. To discover that you can affect and change what is happening and to perceive, learn, and…



