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.
Damage to your eardrums or the tiny bones in your middle ear can also interfere with the proper conduction of sound. Tumors in the ear or on the auditory nerve may also cause ringing in the ears. Exposure to very loud sounds on a regular basis can cause tinnitus in some people. Those who use jackhammers, chainsaws, or other heavy equipment are more likely to have tinnitus.