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.
Ossicle Vibration. The vibration of the eardrum is transmitted to the oval window of the inner ear by means of the ossicles, which achieve an amplification by lever action. The lever is adjustable under muscle action and may actually attenuate loud sounds for protection of the ear.he three tiniest bones in the body form the coupling between the vibration of the eardrum and the forces exerted on the oval window of the inner ear.