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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.[8][9][10] 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).
​​"Miss Laura's" has been a wonderful second home for my daughter Helena.  Helena was undergoing a rough transition this year, it being the first year she was to be cared for without big sis right by her side.  Laura has made her home feel like a second home for Helena, and she makes nutrition important for the kids which I really like.  She also follows whatever requests nutritionally that I have, and she is super careful.  Helena's big sis has a severe peanut allergy, so Laura makes sure Helena never eats peanuts because she doesn't want to risk a problem when the two girls play in the afternoon.  And I Didn't even have to ask her to do that!! That's great!  Helena is really transitioning well and I think that is because of how Laura is helping it to feel like another home. My older daughter even constantly wants to stay with"Miss Laura." - Laura
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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.    

- An apparent misunderstanding about baby-led weaning. The book says that baby-led weaning is to be resisted and that baby's parents should be squarely in charge of what baby eats from the beginning. I did a combination of purees and baby-led weaning with both my children, and I was always squarely in charge of what they ate and what they were offered. Part of my role as a mother is to prepare nourishing foods for my children. Whether they pick at it and hand-feed themselves or whether I offered it mushed up on a spoon is irrelevant. The book fails to recognise that a child can only choose food from that which they have been offered or is available. If only nourishing food is offered and available, then that is what the child will choose.
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.
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