At the equinoxes sunrise is around 6 a.m. (Latin: ante meridiem, before noon), and sunset around 6 p.m. (Latin: post meridiem, after noon). In the modern 24-hour clock, counting the hours starts at midnight, and hours are numbered from 0 to 23. Solar noon is always close to 12:00, again differing according to the equation of time. At the equinoxes sunrise is around 06:00, and sunset around 18:00. History of timekeeping in other cultures
Egypt
The ancient Egyptians began dividing the night into wnwt at some time before the compilation of the Dynasty V Pyramid Texts in the 24th century BC. By 2150 BC (Dynasty IX), diagrams of stars inside Egyptian coffin lids—variously known as "diagonal calendars" or "star clocks"—attest that there were exactly 12 of these. Clagett writes that it is "certain" this duodecimal division of the night followed the adoption of the Egyptian civil calendar, usually placed c. 2800 BC on the basis of analyses of the Sothic cycle, but a lunar calendar presumably long predated this and also would have had twelve months in each of its years. The coffin diagrams show that the Egyptians took note of the heliacal risings of 36 stars or constellations (now known as "decans"), one for each of the ten-day "weeks" of their civil calendar. (12 sets of alternate "triangle decans" were used for the 5 epagomenal days between years.) Each night, the rising of eleven of these decans were noted, separating the night into twelve divisions whose middle terms would have lasted about 40 minutes each.
The result is a tympanogram showing ear canal volume, middle ear pressure and eardrum compliance. Normal middle ear function (Type A tympanogram) with a hearing loss may suggest presbycusis. Type B and Type C tympanograms indicate an abnormality inside the ear and therefore may have an additional effect on the hearing. Laboratory studies
This may include a blood or other sera test for inflammatory markers such as those for autoinflammatory diseases. Audiometry
A hearing test administered by a medical doctor, otolaryngologist (ENT) or audiologist including pure tone audiometry and speech recognition may be used to determine the extent and nature of hearing loss, and distinguish presbycusis from other kinds of hearing loss. Otoacoustic emissions and evoked response testing may be used to test for audio neuropathy. The diagnosis of a sensorineural pattern hearing loss is made through audiometry, which shows a significant hearing loss without the "air-bone gap" that is characteristic of conductive hearing disturbances. In other words, air conduction is equal to bone conduction. Persons with cochlear deficits fail otoacoustic emissions testing, while persons with 8th cranial nerve (vestibulocochlear nerve) deficits fail auditory brainstem response testing. Presbycusis audiogram
Magnetic resonance imaging (MRI)
As part of differential diagnosis, an MRI scan may be done to check for vascular anomalies, tumors, and structural problems like enlarged mastoids. MRI and other types of scan cannot directly detect or measure age-related hearing loss. Treatment
At present, presbycusis, being primarily sensorineural in nature, cannot be prevented, ameliorated or cured. Treatment options fall into three categories: pharmacological, surgical and management.