“…In practical applications of IRETs users are faced with the problem of so-called 'clinical accuracy'. The deviations in reading of an IRET may be influenced by the age of patients (Brennan et al 1995, Petersen-Smith et al 1994, Stavem et al 1997 3 (new born up to one year, children, adults), their physical condition (Romanovsky et al 1997) (healthy, febrile, asleep, unconscious), physiological variations in normal body temperature (see footnote 3) (digestion of food, exercise, diurnal variation, menstrual cycle, pregnancy, warm or cold environment, emotion), place where the readings are taken (Childs et al 1999, Manian and Griesenauer 1998, McKenzie 1995, in which ear (Childs et al 1999, Lee et right), positioning in the ear channel (Childs et al 1999) (straight, inclined), obstructions in the ear channel (Holtmann 1999) (cerumen), etc. The deviations may be a combination of several influences, but before they are systematically investigated, a user must be absolutely certain of the quality performance of IRETs, which are used for such investigations.…”