Open Ear Research Articles

Bringing Christmas Cheer: Carols to Nurture and Witness the Faith

Western European cultures may vary in their adherence to any form of Christianity, but the feast of Christmas has a special place in society in keeping an open ear, mind and heart. Concerts and carolling are common to Orthodox and non-Orthodox cultures alike, providing an annual opportunity to engage audiences in the Mystery of the Incarnation in a paraliturgical context. This paper will explore the benefits to singers and audiences, and the way that both may be nurtured through Christmas music. The Mosaic Choir, in London, UK, provides a central case study, a choir of Orthodox singers from many different backgrounds. Audiences, clergy and choir members, past and present, provide additional insights into one of the most rewarding musical times of year.

Therapeutic Function of Liraglutide for Mitigation of Blast-Induced Hearing Damage: An Initial Investigation in Animal Model of Chinchilla.

Auditory injuries induced by repeated exposures to blasts reduce the operational performance capability and the life quality of military personnel. The treatment for blast-induced progressive hearing damage is lacking. We have recently investigated the therapeutic function of liraglutide, a glucagon-like peptide-1 receptor agonist, to mitigate blast-induced hearing damage in the animal model of chinchilla, under different blast intensities, wearing earplugs (EPs) or not during blasts, and drug-treatment plan. The goal of this study was to investigate the therapeutical function of liraglutide by comparing the results obtained under different conditions. Previous studies on chinchillas from two under-blast ear conditions (EP/open), two blast plans (G1: 6 blasts at 3-5 psi or G2:3 blasts at 15-25 psi), and three treatment plans (blast control, pre-blast drug treatment, and post-blast drug treatment) were summarized. The auditory brainstem response (ABR), distortion product otoacoustic emission (DPOAE), and middle latency response (MLR) recorded within 14 days after the blasts were used. Statistical analysis was performed to evaluate the effect of liraglutide under different conditions. ABR threshold shifts indicated that the conditions of the EP and open ears were substantially different. Results from EP chinchillas indicated that the pre-blast treatment reduced the acute ABR threshold elevation on the day of blasts, and the significance of such an effect increased with the blast level. Liraglutide-treated open chinchillas showed lower ABR threshold shifts at the later stage of the experiment regardless of the blast levels. The DPOAE was less damaged after G2 blasts compared to G1 when pre-blast liraglutide was administrated. Lower post-blast MLR amplitudes were observed in the pre-blast treatment groups. This study indicated that the liraglutide mitigated the blast-induced auditory injuries. In EP ears, the pre-blast administration of liraglutide reduced the severity of blast-induced acute damage in ears with EP protection, especially under G2. In animals with open ears, the effect of liraglutide on the restoration of hearing increased with time. The liraglutide potentially benefits post-blast hearing through multiple approaches with different mechanics.

Effects of tinnitus retraining therapy on patients with tinnitus: a systematic review of randomized controlled trials.

This review aims to explore the influences of tinnitus retraining therapy (TRT) on patients with tinnitus. PubMed, MEDLINE, EMBASE, CINAHL, PEDro, SCOPUS, and Web of Science were screened for randomized controlled trials (RCTs) that explored the effects of TRT on patients with tinnitus from inception to June 30, 2024. The methodological quality of the included RCTs was evaluated using the physiotherapy evidence database (PEDro) scale. Fifteen studies met our eligibility criteria. A total of 2069 patients with tinnitus (mean age 52.93years; 66% male) were involved in the present review. The quality of the selected studies ranged from 5 to 8 on the PEDro scale, with a median score of 7. TRT did not provide superior effects in treating patients with tinnitus compared to tinnitus masking (TM), tinnitus educational counselling (TED), TRT with open ear hearing aids, Tailor-made notched music training (TMNMT), partial TRT, usual care, and smart TRT. TRT intervention is considered a treatment option for patients with tinnitus. Combining TRT with other interventions, such as cognitive-behavioral therapy, pharmacotherapy, or tDS, may show even greater efficacy. Additional studies are strongly required to recognize the long-term effects of TRT on tinnitus, determine who most likely would benefit from the intervention regarding tinnitus type and severity, and identify the optimal treatment protocol.

Examining the utility of near infrared light as pre-exposure therapy to mitigate temporary noise-induced hearing loss in humans.

This study sought to determine the effect of Occupational Safety and Health Administration (OSHA) compliant noise on auditory health and assess whether pre-noise near infrared (NIR) light therapy can mitigate the effects of noise exposure. Over four visits, participants (n = 30, NCT#: 03834714) with normal hearing completed baseline hearing health assessments followed by exposure to open ear, continuous pink noise at 94 dBA for 15 min. Immediately thereafter, post-noise hearing tests at 3000, 4000, and 6000 Hz and distortion product otoacoustic emissions (DPOAEs) were conducted along with the Modified Rhyme Test (MRT), Masking Level Difference Test (MLD), and Fixed Level Frequency Tests (FLFT) [collectively referred to as the Central and Peripheral Auditory Test Battery (CPATB)] to acquire baseline noise sensitivity profiles. Participants were then randomized to either Active or Sham NIR light therapy for 30 min binaurally to conclude Visit 1. Visit 2 (≥24 and ≤ 48 h from Visit 1) began with an additional 30-min session of Active NIR light therapy or Sham followed by repeat CPATB testing and noise exposure. Post-noise testing was again conducted immediately after noise exposure to assess the effect of NIR light therapy. The remaining visits were conducted following ≥2 weeks of noise rest in a cross-over design (i.e., those who had received Active NIR light therapy in Visits 1 and 2 received Sham therapy in Visits 3 and 4). Recovery hearing tests and DPOAEs were completed at the end of each visit. Participants experienced temporary threshold shifts (TTS) immediately following noise exposure, with a mean shift of 6.79 dB HL (±6.25), 10.61 dB HL (±6.89), and 7.30 dB HL (±7.25) at 3000, 4000, and 6000 Hz, respectively, though all thresholds returned to baseline at 3000, 4000, and 6000 Hz within 75 min of noise exposure. Paradoxically, Active NIR light therapy threshold shifts were statistically higher than Sham therapy at 3000 Hz (p = 0.04), but no other differences were observed at the other frequencies tested. An age sub-analysis demonstrated that TTS among younger adults were generally larger in the Sham therapy group versus Active therapy, though this was not statistically different. There were no differences in CPATB test results across Active or Sham groups. Finally, we observed no changes in auditory function or central processing following noise exposure, suggestive of healthy and resilient inner ears. In this study, locally administered NIR prior to noise exposure did not induce a significant protective effect in mitigating noise-induced TTS. Further exploration is needed to implement effective dosage and administration for this promising otoprotective therapy.

The Impact of Meditation on Academic Performance and Cognitive Abilities

This research paper explores the influence of meditation on academic performance and cognitive abilities among students. Drawing upon a comprehensive review of existing literature and empirical studies, we examine the potential benefits of incorporating meditation practices into educational settings. The paper considers various forms of meditation, such as mindfulness and transcendental meditation, and investigates their effects on attention, memory, stress management, and overall cognitive functioning. Additionally, the study explores the long-term impact of regular meditation on students' academic achievements. Meditation improves academic performance by boosting focus and concentration, reducing stress and anxiety, and improving short-term memory. The result is better grades with less stress. Unfortunately, many college students believe they don't have time to meditate, which is one reason why it's helpful if parents advocate the practice, and perhaps even create a family meditation time when all family members meditate together. Poor communication is one of the primary causes of conflict within families. So much tension, resentment and misunderstanding could be avoided or resolved if family members took the opportunity to speak openly about how they were feeling and to listen to one another with open ears. As most of us know from personal experience, though, this isn't as easy as it sounds. We all have our own individual stressors and pressures.

Meta-earplugs: Innovative concepts for alleviating the occlusion effect

Passive earplugs are commonly used to reduce workers' exposure to excessively high noise levels. Yet, they are associated with various discomforts of diverse origins (e.g., acoustic, physical, functional, or psychological). The occlusion effect, characterized by an increased perception of physiological sounds transmitted through bone conduction to the cochlea, presents a challenge, leading to acoustic discomfort, especially at low frequencies (0.1 to 1 kHz) and for shallow or moderate insertion depths of the earplug. Building upon acoustic meta-material principles, this study presents “meta-earplug” concepts designed to alleviate the occlusion effect. The approach focuses on reducing the input impedance of the earplug medial surface either to the characteristic impedance of air, using broadband perfect absorption, or to the acoustic impedance of the open ear canal, resulting in a zero objective occlusion effect. For these purposes, the proposed meta-earplug concepts are made of Helmholtz resonators arranged in parallel or series. Transfer matrix models are used in an optimization process to refine the geometry of the meta-earplugs. Although meta-earplug concepts involving multiple Helmholtz resonators have been preliminarily assessed using an artificial ear, a meta-earplug featuring a single resonator has undergone testing with human participants. The evaluation encompasses both objective measurements and subjective assessments.

Development and Human Factors Evaluation of a Portable Auditory Localization Training System.

To design and develop a Portable Auditory Localization Acclimation Training (PALAT) system capable of producing psychoacoustically accurate localization cues; evaluate the training effect against a proven full-scale, laboratory-grade system under three listening conditions; and determine if the PALAT system is sensitive to differences among electronic level-dependent hearing protection devices (HPDs). In-laboratory auditory localization training has demonstrated the ability to improve localization performance with the open (natural) ear, that is, unoccluded, and while wearing HPDs. The military requires a portable system capable of imparting similar training benefits as those demonstrated in laboratory experiments. In a full-factorial repeated measures design experiment, 12 audiometrically normal participants completed localization training and testing using an identical, optimized training protocol on two training systems under three listening conditions (open ear, TEP-100, and ComTac™ III). Statistical tests were performed on mean absolute accuracy score and front-back reversal errors. No statistical difference existed between the PALAT and laboratory-grade DRILCOM systems on two dependent localization accuracy measurements at all stages of training. In addition, the PALAT system detected the same localization performance differences among the three listening conditions. The PALAT system imparted similar training benefits as the DRILCOM system and was sensitive to HPD localization performance differences. The user-operable PALAT system and optimized training protocol can be employed by the military, law enforcement, and various industries, to improve auditory localization performance in conditions where auditory situation awareness is critical to safety.

Measuring the effect of electronic hearing protection devices on behavioral detection thresholds

Electronic hearing protection devices can provide amplification for quiet ambient sounds, while still providing protection against loud sounds. These can be important in environments with sporadic and unpredictable hazardous noise, but also with a need for maintaining awareness of ambient sounds, or for conducting face-to-face communication. This study’s aim was to understand what impact electronic hearing protection devices have on auditory detection thresholds. Human subjects were used to measure thresholds for narrowband noise bursts without hearing protection, with electronic hearing protectors powered off, and with electronic hearing protectors powered on with several gain settings. In addition, electroacoustic measurements were made of the input/output functions and electronic noise floors of the hearing protectors at the same gain settings. The data showed that thresholds in quiet with electronic hearing protectors were higher than without, regardless of the device amplification. This could be attributed to the hearing protector electronic noise limiting performance. Thresholds measured with ambient masking noise were similar across open ear and device conditions, reflecting that the signal-to-noise ratio for ambient sounds does not change with amplification. Listeners with a simulated conductive hearing loss had lower thresholds with an electronic hearing protector than without, suggesting a benefit of the device amplification.

Passive earplug including Helmholtz resonators arranged in series to achieve broadband near zero occlusion effect at low frequencies.

The use of passive earplugs is often associated with the occlusion effect: a phenomenon described as the increased auditory perception of one's own physiological noise at low frequencies. As a notable acoustic discomfort, the occlusion effect penalizes the use and the efficiency of earplugs. This phenomenon is objectively characterized by the increase in sound pressure level in the occluded ear canal compared to the open ear canal. Taking inspiration from acoustic metamaterials, a new design of a three-dimensional printed "meta-earplug," made of four Helmholtz resonators arranged in series, is proposed for achieving near zero objective occlusion effect measured on artificial ear in a broadband frequency range (300 Hz to 1 kHz). For this purpose, the geometry of the meta-earplug is optimized to achieve a null occlusion effect target based on an analytical model of the phenomenon. It results from the optimization process that the input impedance of the meta-earplug medial surface approximately matches the input impedance of the open ear canal, weighted by the ratio of volume velocity imposed by the ear canal wall to the ear canal cavity between open and occluded cases. Acoustic properties of the meta-earplug are also shown to significantly improve its sound attenuation at the piston-like mode of the system.

Training to Improve Spatial Hearing andSituation Awareness when Wearing Hearing Protection.

Hearing protection devices (HPDs) are standard personal protective equipment in military settings, but many service members may choose to not use HPDs because they impair spatial hearing and situation awareness. In an effort to reduce barriers to compliance by improving situation awareness while wearing HPDs, this study investigated whether brief training could counteract spatial hearing deficits when wearing HPDs. Participant's ability to correctly apply the HPDs across days was also examined. Young adults were randomly assigned to one of two groups: training or control (n = 25/group). Participants in each group performed a spatial hearing task while wearing HPDs and in an open ear condition without HPDs. Individual targets were battlefield sounds or white noise presented from a speaker array that surrounded the participant in the horizontal plane. After presentation of each target sound, the participant then controlled a white noise "auditory pointer," which they moved to the perceived location of the target. The two primary measures were the percent of trials with very large errors (> 45°), which were usually due to confusing front and back locations, and absolute localization, which is the difference between the pointer location and the true sound location. Both groups were tested on Days 1 (baseline) and 5 (post-test). On Days 2 to 4, the training group wore HPDs while receiving auditory and visual feedback after each trial. Across all participants on Day 1, wearing HPDs increased the frequency of very large errors by about 3× and impaired localization by about 40%, relative to the open ear condition. When comparing performance at baseline (Day 1) and post-training Day 5, the training group with HPDs had significant reductions in very large errors and improved absolute localization (P values < .001). The training group also had significant improvements from Days 1 to 5 in the open ear condition. When the control group wore HPDs, there were also significant improvements from Days 1 to 5 (fewer very large errors and better localization), with smaller effect sizes vs. the training group. Controls did not have significant improvement in the open ear condition, but had similar trends. Most participants consistently applied the HPDs, but a subset of ∼20% frequently failed to achieve the criterion attenuation of 15 dB (over 0.25-4.0 kHz) in both ears. These findings show that simple, relatively brief practice and training can substantially reduce HPD impairments on spatial hearing and situation awareness. The gains from training and practice can inform the development of relatively simple, brief methods to reduce HPD spatial hearing impairments, potentially leading to increased HPD compliance. Longitudinal data show that a subset of participants would not have received the full benefit of hearing protection because of improper application of the HPDs.

Contralateral Routing of Signal Disrupts Monaural Sound Localization.

In the absence of binaural hearing, individuals with single-sided deafness can adapt to use monaural level and spectral cues to improve their spatial hearing abilities. Contralateral routing of signal is the most common form of rehabilitation for individuals with single-sided deafness. However, little is known about how these devices affect monaural localization cues, which single-sided deafness listeners may become reliant on. This study aimed to investigate the effects of contralateral routing of signal hearing aids on localization performance in azimuth and elevation under monaural listening conditions. Localization was assessed in 10 normal hearing adults under three listening conditions: (1) normal hearing (NH), (2) unilateral plug (NH-plug), and (3) unilateral plug and CROS aided (NH-plug + CROS). Monaural hearing simulation was achieved by plugging the ear with E-A-Rsoft™ FX™ foam earplugs. Stimuli consisted of 150 ms high-pass noise bursts (3-20 kHz), presented in a random order from fifty locations spanning ±70° in the horizontal and ±30° in the vertical plane at 45, 55, and 65 dBA. In the unilateral plugged listening condition, participants demonstrated good localization in elevation and a response bias in azimuth for signals directed at the open ear. A significant decrease in performance in elevation occurs with the contralateral routing of signal hearing device on, evidenced by significant reductions in response gain and low r2 value. Additionally, performance in azimuth is further reduced for contralateral routing of signal aided localization compared to the simulated unilateral hearing loss condition. Use of the contralateral routing of signal device also results in a reduction in promptness of the listener response and an increase in response variability. Results suggest contralateral routing of signal hearing aids disrupt monaural spectral and level cues, which leads to detriments in localization performance in both the horizontal and vertical dimensions. Increased reaction time and increasing variability in responses suggests localization is more effortful when wearing the contralateral rerouting of signal device.

Self-assessment of bone conduction hearing threshold using mobile audiometry: comparison with pure tone audiometry

Objective The aim of the research was to evaluate the feasibility of measuring the bone conduction hearing threshold using self-administered mobile audiometry. Design A single-centre, closed, cross-over trial was carried out on patients from the ENT Department. A mobile-based, self-administered, audiologist-assisted assessment of the bone conduction hearing threshold was carried out by means of the open-access, freeware app Hearing Test using two types of bone conduction headphones: professional B71 bone transducer and commercially available AfterShokz Openmove open-ear headphones. Study sample Seventy-seven ears. Results A test-retest examination revealed the lowest standard deviation for open-ear headphones at 3.33 dB (95% CI 2.92–3.79). When compared with pure tone audiometry, the intraclass correlations of 0.95 (95% CI 0.94–0.96) and 0.90 (95% CI 0.88–0.92) were obtained for the bone transducer and for the open-ear headphones, indicating excellent and good reliability, respectively. However, the regression slope of 0.67 was found for the air-bone gap when using open ear headphones, which was significantly different from 1 (p < 0.001). Conclusions Open-ear headphones provide an alternative for estimating bone conduction once the air-bone gap has been adjusted by a factor of 1/0.6 7 ≅1.5. They demonstrate improved reproducibility over the bone transducer and are much easier to use with a mobile device. Trial Registration: Wroclaw Medical University, Science Support Centre, BW60/2020

Occurrence of ear head caterpillar species complex on Kenyan finger millet (Eleusine coracana L. Gaertn.) genotypes

Aim: The present study aimed at reporting the occurrence of various ear head caterpillar species on different ear head shape and stage of the panicle in Kenyan finger millet genotypes. Methodology: A set of 40 Kenyan finger millet genotypes were selected to investigate the occurrence and abundance of ear head caterpillars species complex on different growth stages of ear head. Results: Among the fifteen ear head caterpillars species recorded on forty Kenyan genotypes, Cryptoblabes angustipennella (Hampson) (3.96 larvae/ear head) caused high level of incidence, followed by Somena scintillans (Walker) which recorded 2.08 larvae/ear head and the population of Helicoverpa armigera (Hubner) &amp; Spodoptera frugiperda (J.E. Smith) was 0.61 and 0.56 larvae/ear head, respectively. Further, genotypes with open ear head shape were free from infestation by ear head caterpillars, which were categorized as highly resistance. The semi-compact (1.82 - 2.07 larvae/ear head) ear heads were categorized under moderately resistance scale. Similarly, compact (2.70 - 2.90 larvae/ear head) shape ear heads fell under susceptible category. Whereas, Fist shape (3.74 to 4.68 larvae/ear head) ear heads were recorded under highly susceptible category. Interpretation: The data on occurrence, species complex and severity can be used for formulating integrated pest management strategies on finger millet. Key words: Cryptoblabes angustipennella, Ear head caterpillars, Finger millet, Kenyan genotypes, Somena scintillans, Species complex

Quantifying impacts of hearing protection devices on sound localization in azimuth and elevation: Refinement of acoustic predictors

Modern hearing protection devices (HPDs) mitigate the risk of noise-induced hearing loss when used as intended, but negative auditory perceptual side-effects continue to limit usability in critical settings. Dozens of studies have shown that HPDs lead to significant errors in sound source localization. Several studies, including previous studies by our group, have linked such errors to distortions of the spectra of transmitted signals. Here we provide an update on a multi-site effort to develop acoustic predictors and summary metrics to quantify HPD impacts on sound source localization. At two independent study sites, human listeners localized brief broadband signals with open ears and during use of passive and active earplug and earmuff-style devices. Sources spanning 360° in azimuth and −30° to + 60° in elevation enabled measurement of two-dimensional localization error across a broad range of source locations. An initial set of parallel acoustic measurements was obtained using a standardized acoustic test fixture. Present efforts are focused on evaluating prospective advantages of (1) incorporating binaural acoustic data in the prediction of errors and (2) accounting for individual HPD-impacted acoustic variability. The long-term goal of this work is to support application-specific selection of existing HPDs and inform the design of new HPDs.

Perceived Sound Quality of Hearing Aids With Varying Placements of Microphone and Receiver.

Perceived sound quality was variously compared between either no aiding or aiding with three models of hearing aid that varied the microphone position around the pinna, depth of the receiver in the auditory meatus, degree of meatal occlusion, and processing sophistication. The hearing aids were modern designs and commercially available at the time of testing. Binaural recordings of multichannel spatially separated speech and music excerpts were made in a manikin, either open ear or aided. Recordings were presented offline over wide-bandwidth, high-quality insert earphones. Participants listened to pairs of the recordings and made preference ratings both by clarity and externality (a proxy for "spaciousness"). Two separate groups of adults were tested, 20 with audiometrically normal hearing (NH) and 20 with mild-to-moderate sensorineural hearing loss (hearing impaired [HI]). For ratings of speech clarity, the NH group expressed no preference between the open ear and a deeply inserted occluding aid, both of which were preferred to a low-pass filtered output of the same aid. For the music signal, a small preference emerged for the open-ear recording over that of the aid. For the HI group, clarity of the deeply inserted aid was similar to in-the-ear and behind-the-ear devices for speech, but worse for music. Ratings of spaciousness produced no clear result in either group, which can be attributed to study limitations and/or participant factors. Based on clarity, a wide bandwidth, particularly to beyond 5 kHz generally and below 300 Hz for music, is desirable, independent of hearing aid design.

Dissertationsprojekt: Unterschiedliche Dimensionen der kindlichen Beurteilung von Musik und deren Beeinflussung durch Kontextualisierung

This dissertation project in the music pedagogical field asks how children's judgement of music at the critical age of 9 years old is influenced by contextualization and to what extent open ear studies can be applied to this age group to gain insight into the processes of musical judgment building.

A TRIBUTE TO A GOOD FRIEND

Do you have a special friend that you could trust with your life? One that no matter the mistakes you make or have made, you’ll never be judged. I have had that privilege and lost him in May 2022. Prof. Dr. Dr. Herbert Pöllmann was a passionate researcher, university teacher and loyal friend that always had time and open ears for his friends, students, and colleagues. Herbert accompanied me for 28 years and I can truly say he shaped me and my life.

Measuring impulse insertion loss of hearing protection device using high-level impulse noise

The American National Standard, ANSI S12.42-2010, specifies the impulse peak insertion loss (IPIL) for a hearing protection device (HPD) using an acoustic test fixture (ATF) over a range of impulse levels nominally at 132, 150, and 168 dB peak sound pressure level (dB pSPL). The GRAS 45CB ATFs have ear simulators fitted with GRAS 40BP microphones (6.35 mm diameter) that have amplitude limits of about 169 dB SPL (172 dB pSPL). The open ear transfer function measured at the 168-dB level can cause the peak amplitude to exceed the design specification of the microphone. Accordingly, the standard directs the user to measure the 150-dB transfer function between the field microphone and unoccluded ear (HFF,TM) and apply it to the field microphone measurement at 168 dB. We have measured the HFF,TM with GRAS 45CB ATF and with the GRAS 45CB-S2 ATF equipped with GRAS 40BH microphones (193 dB/196 dB pSPL). Impulse peak insertion loss measured with both ATFs will be reported and compared.

The effect of hearing protection worn by talker and/or target listener on speech production in quiet and noise.

Speech production while wearing hearing protectors poses significant challenges due to their occlusion effect and disruption of the Lombard effect. An experiment was conducted with 24 individuals as they read a list of 12 sentences in open ears and while wearing an earmuff in quiet and in four different noises [pink, International Female Fluctuating Masker (IFFM), speech-spectrum noise (SSnoise), and helicopter] at two levels (70 and 85 dBA). An acoustic manikin, fitted or not with an identical protector, served as the target listener. In noise, speech levels decreased when the talkers wore the earmuff but increased when the target listener was fitted with the earmuff. When the earmuff was used by both the talkers and target listener, speech levels were lower by 3-6 dB at the higher noise level compared to when they were both open ears. Speech levels were typically lower, but extended speech intelligibility index estimates were consistently higher, in fluctuating (IFFM, helicopter) than in continuous noises (pink, SSnoise). Talkers' pitch frequency and voice spectrum measurements followed very closely the changes in speech levels, showing no evidence of compensatory voice modifications. Implications of the lower talker speech levels when wearing hearing protectors are discussed in terms of protector selection, training, and individuals with hearing loss.

Reproductive Management in Catteries: Optimising health and wellbeing through veterinarian-breeder collaboration.

Many veterinarians - even those engaged in small animal reproduction - are uncomfortable with taking care of cat breeders or being in charge of catteries. Likely reasons for this are that feline reproduction is largely under-represented in undergraduate and graduate reproduction teaching, as well as in postgraduate education and science, whereas cat breeders themselves are often well informed and actively share knowledge with other cat breeders via the internet and social media. A variety of problems can exist within a cattery, and collaboration between veterinarian and breeder to solve these is ultimately beneficial for the breeder, for the veterinarian, and for the health and wellbeing of the individual cats and of the cattery as a whole. This review presents a comprehensive overview of aspects of cattery management that might negatively impact reproduction, including sanitation, hygiene and infectious disease control. It also discusses monitoring of reproductive performance, breeding recommendations, and the diagnostic and therapeutic approach to some common and specific problems. Reproductive management in the cattery requires no specialised equipment, as such. What it does need is an open mind, in terms of seeing how things are done, an open ear, for listening to the breeder, and the veterinarian's clinical skills in palpation, auscultation and, where required, further examination of the animals. Keeping abreast of the latest information on infectious diseases, disinfection and genetics ensures proper advice is provided. Current knowledge of reproductive management in catteries is summarised in order to apply an evidence-based approach, whenever possible. Notwithstanding, much of the information remains empirical.