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 and consistency to our ideas". Substance, overall, has two sets of qualities that define it, and how we perceive it. These qualities rush to our minds which must organize them. As a result, it creates a substratum for each object to which it groups related qualities. Two irreducible concepts encountered in substance theory are the "bare particular" and "inherence". In substance theory, a bare particular of an object is the element without which the object would not exist, that is, its substance, which exists independently from its properties, even if it is impossible for it to lack properties entirely. It