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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]

An otoacoustic emission (OAE) is a sound which is generated from within the inner ear. Having been predicted by Thomas Gold in 1948, its existence was first demonstrated experimentally by David Kemp in 1978[1] and otoacoustic emissions have since been shown to arise through a number of different cellular and mechanical causes within the inner ear.[2][3] Studies have shown that OAEs disappear after the inner ear has been damaged, so OAEs are often used in the laboratory and the clinic as a measure of inner ear health.

The evoked responses from these stimuli occur at frequencies ( {\displaystyle f_{dp}} ) mathematically related to the primary frequencies, with the two most prominent being {\displaystyle f_{dp}=2f_{1}-f_{2}} (the "cubic" distortion tone, most commonly used for hearing screening) and {\displaystyle f_{dp}=f_{2}-f_{1}} (the "quadratic" distortion tone, or simple difference tone).[6][7]
The Nourishing Traditions Book of Baby & Child Care makes the principles of traditional nutrition available to modern parents. The book provides holistic advice for pregnancy and newborn interventions, vaccinations, breastfeeding and child development, as well as a compendium of natural treatments for childhood illnesses, from autism to whooping cough. The work of Rudulf Steiner supports the book's emphasis on the child's spiritual requirement for imaginative play.
We recognize that there are good reasons to make changes in early childhood education and care (ECEC) in Ontario.  But we believe that these must be based on the best available evidence about what is of most benefit to children and families; we argue that these proposed changes are not. Additionally, we suggest that changes in ECEC in Ontario will continue to have negative effects if they continue to be “piecemeal”.
I offer care in a warm, family home environment with lots of playtime, story time and age appropriate activities. Your child will thrive learning new things with other children. I have been a licensed daycare provider for over 17 years. I am CPR and first aid certified. I accept children from newborn to school age. I provide breakfast lunch and an afternoon snack. I have a large backyard for children to play in when the weather is permitting. I also provide excellent references.