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 which "we can understand nothing else than an entity which "is" in such a way that it need no other entity in order to "be"." Therefore, only God is a substance as "Ens perfectissimus" (most perfect being). Heidegger showed the inextricable relationship between the concept of substance and of subject, which explains why, instead of talking about "man" or "humankind", he speaks about the "Dasein", which is not a simple subject, nor a substance. Alfred North Whitehead has argued that the concept of substance has only a limited applicability in everyday life and that metaphysics should rely upon the concept