Deafness has varying definitions in cultural and medical contexts. In medical contexts, the meaning of deafness is hearing loss that precludes a person from understanding spoken language, an audiological condition. In this context it is written with a lower case d. It later came to be used in a cultural context to refer to those who primarily communicate through sign language regardless of hearing ability, often capitalized as Deaf and referred to as "big D Deaf" in speech and sign. The two definitions overlap but are not identical, as hearing loss includes cases that are not severe enough to impact spoken language comprehension, while cultural Deafness includes hearing people who use sign language, such as children of deaf adults. Hearing lossIn a medical context, deafness is defined as a degree of hearing difference such that a person is unable to understand speech, even in the presence of amplification. In profound deafness, even the highest intensity sounds produced by an audiometer (an instrument used to measure hearing by producing pure tone sounds through a range of frequencies) may not be detected. In total deafness, no sounds at all, regardless of amplification or method of production, can be heard. Neurologically, language is processed in the same areas of the brain whether one is deaf or hearing. The left hemisphere of the brain processes linguistic patterns whether by signed languages or by spoken languages. Deafness can be broken down into four different types of hearing loss: conductive hearing loss, sensorineural hearing loss, mixed hearing loss, and auditory neuropathy spectrum disorder. All of these forms of hearing loss cause an impairment in a person's hearing where they are not able to hear sounds correctly. These different types of hearing loss occur in different parts of the ear, which make it difficult for the information being heard to get sent to the brain properly. To break it down even further, there are three different levels of hearing loss. According to the CDC, the first level is mild hearing loss.

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