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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).
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I was lucky enough to come in contact with Sheila after going through numerous babysitters/child care providers who either my kids did not like or the babysitter/child care provider could no longer care for my children. After bouncing around from provider to provider, I was relieved to find Angel Camp where my girls are thrilled about spending each day there. They are very well taken care of, happy, and I have no worries about my children during the day. She keeps in good contact with me so I always know the status of my children and how their day is going. It means the world to me knowing my children are in good hands. 
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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