Comprehensive Stroke Certification Fees and Benefits. The Joint Commission and American Heart Association / American Stroke Associationâs Comprehensive Stroke Center Certification includes a new and exclusive suite of benefits. The annual fee for the first year is prorated depending on the date of application for certification.
1 When the bones of the middle ear do not vibrate and become stiff, it can give rise to a hissing and vibrating sound in the ears. 2  Rupture of ear drum either due to trauma or due to loud sound can cause vibration in the ear during the initial stage. 3  Infection in the ear, cold and sinusitis can also cause vibration.
How hearing works. When these sound waves reach the ear, they travel down the ear canal and hit the eardrum, making it vibrate. Three tiny bones in the middle ear link the vibrating eardrum to a tiny bone structure in the inner ear called the cochlea. The cochlea is filled with liquid that carries the vibrations to thousands of tiny hair cells. The movement in the fluid causes the cells to carry a message to the nerve that is connected to the brain, which turns the signals into what you hear.