Audiology and hearing health professionals in developed and developing countries (2002), Lyn et al. (1998), and Swart et al. (1995), impacted cerumen is one of the most common ear diseases and causes of hearing loss, with prevalence rate between 7.4% and 63%. Additionally, otoscopy does not require a great deal of expertise beyond basic training and is useful to refer a child when the tympanic membrane cannot be visualized due to occlusion of the external auditory meatus by cerumen. Pure-tone audiometry screening, in which there is typically no attempt to find threshold, has been found to accurately assess hearing status in children six years and older, when trained health workers
Mental substance (2.002). He used a more precise definition of the word "substance" than is currently popular: that a substance is something which can exist without the existence of any other substance. For many philosophers, this word or the phrase "mental substance" has a special meaning. Gottfried Leibniz, belonging to the generation immediately after Descartes, held the position that the mental world was built up by monads, mental objects that are not part of the physical world (see "Monadology"). Mental substance Mental substance is the idea held by dualists and idealists, that minds are made-up of non-physical substance. This substance is often