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, also called the tympanic membrane, is involved in hearing. Sound waves cause your eardrum to vibrate. This begins the process of converting the sound waves into an impulse that travels to your brain, where it is recognized as sound. The eardrum is delicate and can be torn (perforated) easily, most often by an infection of the middle ear (otitis media) but also by other types of trauma, including: Inserting an object, such as a cotton swab or toothpick, too far into the ear. A very loud noise, such as an explosion.