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.
The eardrum (tympanic membrane) is between the outer ear and the middle ear. The eardrum vibrates when sound waves strike it. When the eardrum is damaged or has a hole in it, hearing may be reduced and ear infections may be more likely. Causes of holes or openings in the eardrum include: A bad ear infection.