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
Substance theory of process. Roman Catholic theologian Karl Rahner, as part of his critique of transubstantiation, rejected substance theory and instead proposed the doctrine of "transfinalization", which he felt was more attuned to modern philosophy. However, this doctrine was rejected by Pope Paul VI in his encyclical "Mysterium fidei". In direct opposition to substance theory is bundle theory, whose most basic premise is that all concrete particulars are merely constructions or 'bundles' of attributes or qualitative properties: The bundle theorist's principal objections to substance theory concern the bare particulars of a substance, which substance theory considers independently of the substance's properties. The