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 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 referred to as consciousness. This is opposed to the materialists, who hold that what we normally think of as mental substance is ultimately physical matter (i.e., brains). Descartes, who was most famous for the assertion "I think therefore I am", has had a lot of influence on the mind–body problem. He describes his theory of mental substance (which he calls res cogitans distinguishing it from the "res extensa") in the "Second Meditation" (II.8) and in "Principia Philosophiae"