Rusu, H. Z., Mutlu, H. B., Kilic, V., Poyraz, N. & Eryilmaz, H. Bacteria found in brasswind instruments: Analyses using culture-dependent method and culture-independent 16S rRNA amplicon sequencing method. Med. Probl. Perform. Artists 38, 189–199. https://doi.org/10.21091/mppa.2023.4023 (2023).
Marshall, B. & Levy, S. Microbial contamination of musical wind instruments. Int. J. Environ. Health Res. 21, 275–285. https://doi.org/10.1080/09603123.2010.550033 (2011).
Walter, W. G. & Chaffey, D. Bacteriological and cleaning studies on the mouthpieces of musical instruments. Appl. Microbiol. 7, 126–130 (1959).
Okoshi, K., Minami, T., Kikuchi, M. & Tomizawa, Y. Musical instrument-associated health issues and their management. Tohoku J. Exp. Med. 243, 49–56 (2017).
Woolnough-King, C. A microbiological survey into the presence of clinically significant bacteria in the mouthpieces and internal surfaces of woodwind and brass musical instruments (1994).
Glass, R. T., Conrad, R. S., Kohler, G. A. & Bullard, J. W. Evaluation of the microbial flora found in woodwind and brass instruments and their potential to transmit diseases. Gen. Dentist. 59, 100–109 (2011).
Soumagne, T. et al. Fungal contamination of wind instruments: Immunological and clinical consequences for musicians. Sci. Total Environ. 646, 727–734 (2018).
Cormier, Y. Wind-instruments lung: A foul note. Chest 138, 467–468. https://doi.org/10.1378/chest.10-0868 (2010).
Calvert, J. E., Baldwin, C. I., Allen, A., Todd, A. & Bourke, S. J. Pigeon fanciers’ lung: A complex disease?. Clin. Exp. Allergy 29, 166–175 (1999).
Adams, T. N., Redlich, C. A., Glazer, C. S. & Gulati, M. Hypersensitivity pneumonitis associated with home mold exposure: A retrospective cohort analysis. PLOS ONE 20, e0323093. https://doi.org/10.1371/journal.pone.0323093 (2025).
Bourke, S. J. et al. Hypersensitivity pneumonitis: Current concepts. Eur. Respir. J. Suppl. 32, 81s–92s (2001).
Leone, P. M. & Richeldi, L. Current diagnosis and management of hypersensitivity pneumonitis. Tuberculosis Respir. Dis. 83, 122–131. https://doi.org/10.4046/trd.2020.0012 (2020).
Fernández Pérez, E. R., Kong A., Raimundo, K., Koelsch, T., Kulkarni, R. & Cole, A. Epidemiology of hypersensitivity pneumonitis among an insured population in the United States: A claims-based cohort analysis. Ann. Am. Thoracic Soc.15, 460–469. https://doi.org/10.1513/AnnalsATS.201704-288OC (2017).
Jung, H. I., Nam, D. R., You, S-H., Jung, J-W., Gu, K-M. & Jung, S-Y. Nationwide Study of the epidemiology, diagnosis, and treatment of hypersensitivity pneumonitis in Korea. J. Korean Med. Sci.39. https://doi.org/10.3346/jkms.2024.39.e96 (2024).
Rittig, A. H., Hilberg, O., Ibsen, R. & Løkke, A. Incidence, comorbidity and survival rate of hypersensitivity pneumonitis: a national population-based study. ERJ Open Res.5. https://doi.org/10.1183/23120541.00259-2018 (2019).
Morell, F. et al. Bird Fancier’s lung: A series of 86 patients. Medicine 87, 110–130. https://doi.org/10.1097/MD.0b013e31816d1dda (2008).
Bejarano, D. P. Neumonitis por hipersensibilidad fibrótica: Reporte de casos y propuesta de fuentes de exposición en nuestro medio. Rev. Científica Cienc. Salud 10 (2023) (53732/rccsalud/2023.e5204).
Baldus, W. & Peter, J. Farmer’s lung. N. Engl. J. Med. 262, 700–705. https://doi.org/10.1056/NEJM196004072621403 (1960).
Pepys, J. & Jenkins, P. Precipitin (F.L.H.) test in farmer’s lung. Thorax20, 21 – 35. https://doi.org/10.1136/thx.20.1.21 (1965).
Møller, J., Hyldgaard, C., Konborg-White, S. B., Rasmussen, F. & Bendstrup, E. Hypersensitivity pneumonitis among wind musicians–An overlooked disease?. Eur. Clin. Respir. J. 4, 1–4 (2017).
Metzger, F. et al. Hypersensitivity pneumonitis due to molds in a saxophone player. Chest 138, 724–726 (2010).
Metersky, M. L., Bean, S. B., Meyer, J. D., Mutambudzi, M., Brown-Elliott, B. A., Wechsler, M. E. & Wallace, R. J., Jr. Trombone player’s lung—A probable new cause of hypersensitivity pneumonitis. Chest138, 754–755 (2010) (letter to the editor).
Lodha, S. & Sharma, O. P. Hypersensitivity pneumonitis in a saxophone player. Chest 93, 1322 (1988) (letter to the editor).
King, J., Richardson, M., Quinn, A. M., Holme, J. & Chaudhuri, N. Bagpipe lung; A new type of interstitial lung disease?. Thorax 72, 380–382. https://doi.org/10.1136/thoraxjnl-2016-208751 (2017).
Ziegler, K. et al. Hypersensitivity pneumonitis of a bagpipe player: Fungal antigens as trigger?. Med. Mycol. Case Rep. 24, 44–47. https://doi.org/10.1016/j.mmcr.2019.03.005 (2019).
Davidson, J., McErlane, J., Aljboor, K., Barratt, S. L., Jeyabalan, A., Medford, A. R. L., Borman, A. M. & Adamali, H. Musical instruments, fungal spores and hypersensitivity pneumonitis. QJM Int. J. Med.112, 287–289 (2019).
Spence, C. Prevalence rates for medical problems among flautists: A comparison of the UNT-Musician Health Survey and the Flute Health Survey. Med. Probl. Perform. Artists 16, 99–101. https://doi.org/10.21091/mppa.2001.3017 (2001).
Thrasher, M. & Chesky, K. S. Prevalence of medical problems among double reed performers. Med. Probl. Perform. Artists 16, 157–160. https://doi.org/10.21091/mppa.2001.4026 (2001).
Chesky, K., Devroop, K. & Ford, J. Medical problems of brass instrumentalists: Prevalence rates for trumpet, trombone, French horn, and low brass. Med. Probl. Perform. Artists 17, 93–98 (2002).
Centers for Disease Control and Prevention (CDC). Self-reported asthma prevalence and control among adults–United States, 2001. MMWR. Morb. Mortal. Wkly. Rep. 52, 381–384 (2003).
Fuhrmann, A., Wijsman, S., Weinstein, P., Poulsen, D. & Franklin, P. Asthma among musicians in Australia: Is there a difference between wind/brass and other players? Med. Probl. Perform. Artists 24, 170–174. https://doi.org/10.21091/mppa.2009.4034 (2009).
Deniz, O. et al. Reduced pulmonary function in wind instrument players. Arch. Med. Res. 37, 506–510. https://doi.org/10.1016/j.arcmed.2005.09.0 (2006).
Schorr-Lesnick, B., Teirstein, A. S., Brown, L. K. & Miller, A. Pulmonary function in singers and wind-instrument players. Chest 88, 201–205. https://doi.org/10.1378/chest.88.2.201 (1985).
Studer, L., Schumann, D. M., Stalder-Siebeneichler, A., Tamm, M. & Stolz, D. Does trumpet playing affect lung function?-A case-control study. PLOS ONE 14, e0215781. https://doi.org/10.1371/journal.pone.0215781 (2019).
Zuskin, E. et al. Respiratory function in wind instrument players. La Med. Lavoro 100, 133–141 (2009).
Rutt, A. Hypersensitivity pneumonitis: An occupational hazard. J. Nurse Pract. 8, 399–405 (2012).
Spagnolo, P. et al. Hypersensitivity pneumonitis: A comprehensive review. J. Invest. Allergol. Clin. Immunol. 25, 237–250 (2015).
Vasakova, M., Morell, F., Walsh, S., Leslie, K. & Raghu, G. Hypersensitivity pneumonitis: Perspectives in diagnosis and management. Am. J. Respir. Crit. Care Med. 196, 680–689 (2017).
Bucur, V. Procedures used for cleaning metallic wind instruments. Handb. Mater. Wind Music. Instrum. https://doi.org/10.1007/978-3-030-19175-7_17 (2019).
S. Kusuma, S., Sari, W. P. & Rusmiati, D. A series of simple decontamination methods of bacterial flora found on musical wind instruments. Int. J. Appl. Pharmaceut. https://doi.org/10.22159/ijap.2022.v14s5.21 (2022).
Texas Center for Performing Arts Health. We Mean Clean! 2020. Accessed 02 June 2025 (2020).
ESC13 Content. The Revised Fine Arts Teks. Accessed 02 June 2025 (2020).
ESC Region 13 Content. The Revised Fine Arts Teks. Binder Resource, Grades K–12, Texas Gateway / ESC Region 13. https://texasgateway.org/binder/revised-fine-arts-teks (2020).
Texas Center for Performing Arts Health, Texas College of Osteopathic Medicine. We Mean Clean! 2020. Web Page, Texas Center for Performing Arts Health, UNT Health Fort Worth / TCOM. https://www.unthsc.edu/texas-college-of-osteopathic-medicine/tcpah/we-mean-clean-2020/ (2020).
Texas Center for Performing Arts Health, UNT Health Fort Worth. We Mean Clean Project Playlist. YouTube Playlist Linked from “We Mean Clean 2020” Project Page. https://www.youtube.com/playlist?list=PLqSiulQLMn9orVIVFLwYpOScer13oxbT3 (2020).
CSFI – Centre de Santé et de Formation Interprofessionnelle. Wood & Brass: Guide to Disinfection of Wind Instruments. Technical Guide. Presented by ITEMM in Collaboration with CSFI – Recommendations for Wind Instrument Hygiene (2020).
Drover, H., Douglas, E., Harvey-Dunstan, T., Gates, S. & Hyndes, K. Are wind instrument musicians at a greater risk of developing a chest infection when compared to the general UK population?. Thorax 74, A166–A167. https://doi.org/10.1136/thorax-2019-BTSabstracts2019.282 (2019).
Kavda, S., Golfomitsou, S. & Richardson, E. Effects of selected solvents on PMMA after prolonged exposure: Unilateral NMR and ATR-FTIR investigations. Herit. Sci. 11, 63. https://doi.org/10.1186/s40494-023-00881-z (2023).
Bürkner, P-C. BRMS: An R package for Bayesian multilevel models using Stan. J. Stat. Softw. 20. https://doi.org/10.18637/jss.v080.i01 (2017).
R Core Team. R: A Language and Environment for Statistical Computing. (R Foundation for Statistical Computing , 2021).
Arel-Bundock, V., Greifer, N. & Heiss, A. How to interpret statistical models using, marginal effects in R and Python. J. Stat. Softw. (forthcoming).
van de Schoot, R. et al. A gentle introduction to Bayesian analysis: Applications to developmental research. Child Dev. 85, 842–860. https://doi.org/10.1111/cdev.12169. https://onlinelibrary.wiley.com/doi/pdf/10.1111/cdev.12169 (2014).
Gelman, A., Jukulin, A., Pittau, M. G. & Su, Y. A weakly informative default prior distribution for logistic and other regression models. Ann. Appl. Stat. 2, 1360–1383. https://doi.org/10.1214/08-AOAS191 (2008).
Breaden Madden, G., Herff, S. A., Beveridge, S. & Jabusch, H.-C. Emotional cherry picking: The role of personality and goal orientation in selective emotion regulation for musical practice. Front. Psychol. 14, 1201442. https://doi.org/10.3389/fpsyg.2023.1201442 (2023).
Breaden Madden, G., Herff, S. A., Beveridge, S. & Jabusch, H.-C. Musicians’ pursuit of expertise-related goals is characterised by strategic regulation of functional and counterproductive affect. Front. Psychol. 15, 1407303. https://doi.org/10.3389/fpsyg.2024.1407303 (2024).
Cecchetti, G., Herff, S. A. & Rohrmeier, M. A. Musical syntactic structure improves memory for melody: Evidence from the processing of ambiguous melodies. In Proceedings of the Annual Meeting of the Cognitive Science Society. 2066–2071 (2021).
Dobrowohl, F. A., Milne, A. J. & Dean, R. T. Timbre preferences in the context of mixing music. Appl. Sci. 9, 1695. https://doi.org/10.3390/app9081695 (2019).
Herff, S. A., Herff, C., Milne, A. J., Johnson, G. D., Shih, J. J. & Krusienski, D. J. Prefrontal High Gamma in ECoG tags periodicity of musical rhythms in perception and imagination. eNeuro7, ENEURO.0413–19.2020. https://doi.org/10.1523/ENEURO.0413-19.2020 (2020).
Milne, A. J. & Herff, S. A. The perceptual relevance of balance, evenness, and entropy in musical rhythms. Cognition 203, 104233. https://doi.org/10.1016/j.cognition.2020.104233 (2020).
McPherson, G. E., Davidson, J. W. & Evans, P. Playing an instrument. In The Child as Musician: A Handbook of Musical Development (McPherson, G. E. Ed.). Chap. 22. 2 Ed. (Oxford University Press, 2016).
Alajlan, A. A. et al. Assessment of disinfectant efficacy in reducing microbial growth. PLoS ONE 17. https://doi.org/10.1371/journal.pone.0269850 (2022).
Kühn, K. et al. Disinfection of surfaces by photocatalytic oxidation with titanium dioxide and UVA light. Chemosphere 53(1), 71–7. https://doi.org/10.1016/S0045-6535(03)00362-X (2003).
Müller, A. et al. Prevalence of dyspnea in general adult populations: A systematic review and meta-analysis. Respir. Med. 107379. https://doi.org/10.1016/j.rmed.2023.107379 (2023).
Steppuhn, H., Kuhnert, R. & Scheidt-Nave, C. 12-Monats-prävalenz von asthma bronchiale bei erwachsenen in Deutschland. J. Health Monit. 2. https://doi.org/10.17886/RKI-GBE-2017-052 (Robert Koch-Institut, Epidemiologie und Gesundheitsberichterstattung, 2017).
Momtazmanesh, S. et al. Global burden of chronic respiratory diseases and risk factors, 1990–2019: An update from the global burden of disease study 2019. eClinicalMedicine 59. https://doi.org/10.1016/j.eclinm.2023.101936 (2023).
Soriano, J. et al. Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: A systematic analysis for the global burden of disease study 2017. Lancet Respir. Med. 8, 585–596. https://doi.org/10.1016/S2213-2600(20)30105-3 (2020).
Andreea, S. R., Diaconu, M., Handra, C. & Rascu, A. Occupational extrinsic allergic alveolitis in a poultry farmer. Roman. J. Occup. Med. 71, 69–73. https://doi.org/10.2478/rjom-2020-0010 (2020).
Kutsuzawa, N. et al. Occupational hypersensitivity pneumonitis in a Japanese citrus farmer. Intern. Med. 60, 3581–3584. https://doi.org/10.2169/internalmedicine.7588-21 (2021).
Bernstein, D. I., Lummus, Z. L., Santilli, G., Siskosky, J. & Bernstein, I. L. Machine operator’s lung: A hypersensitivity pneumonitis disorder associated with exposure to metalworking fluid aerosols. Chest 108, 636–641. https://doi.org/10.1378/chest.108.3.636 (1995).
Chang, H. C. et al. Hypersensitivity pneumonitis due to unclean continuous positive airway pressure equipment. Clin. Respir. J. 12, 1015–1017. https://doi.org/10.1111/crj.12735 (2018).
Behinaein, P., Hutchings, H., Knapp, T. & Okereke, I. C. The growing impact of air quality on lung-related illness: A narrative review. J. Thoracic Dis. 15, 5055 – 5063. https://doi.org/10.21037/jtd-23-544 (2023).
Manfred, D. The quality of the air we breathe is getting worse, the dust can be dangerous. What Way Contemp. Res. Anal. J. https://doi.org/10.55677/craj/03-2024-vol01i3 (2024).
Serrano-Jiménez, A., Lizana, J., Molina-Huelva, M. & Barrios-Padura, Á. Indoor environmental quality in social housing with elderly occupants in Spain: Measurement results and retrofit opportunities. J. Build. Eng. 30, 101264. https://doi.org/10.1016/j.jobe.2020.101264 (2020).
Sohn, J., Yang, W., Kim, J., Son, B. & Park, J.-C. Indoor air quality investigation according to age of the school buildings in Korea. J. Environ. Manag. 90(1), 348–54. https://doi.org/10.1016/J.JENVMAN.2007.10.003 (2009).
Mobley, J. & Bridges, C. Wind ensemble infectious disease risks: A microbiological examination of water key liquids in brass instruments. Texas Public Health J. 67, 16–18 (2015).
Eisen, S. E., Zee, R. Y., Farmelant, J. & Eisen, D. Contaminated musical wind instruments as a vector for disease transmission. Adv. Dentist. Oral Health 15, 555912. https://doi.org/10.19080/ADOH.2022.15.555912 (2022).
Baron, R. C., Hatch, M. H., Kleeman, K. & MacCormack, J. N. Aseptic meningitis among members of a high school football team: An outbreak associated with echovirus 16 infection. JAMA 248, 1724–1727. https://doi.org/10.1001/jama.1982.03330140044027 (1982).
Commonwealth of Massachusetts. Court of the commonwealth of Massachusetts (1984) and an act relative to the sterilization of musical instruments in schools (bill h.4384). https://malegislature.gov/Bills/188/House/H4384 (1984–2016). Includes Massachusetts court case (1984) and Bill H.4384. Accessed 22 June 2016 (2016).
Mobley, J. & Bridges, C. Wind ensemble infectious disease risks II: A microbiological examination of condensate liquids in woodwind instruments. Texas Public Health J. 68, 14–16 (2016).
Breaden Madden, G. & Jabusch, H-C. Instrumental and hedonic motives for emotion regulation in musical practice. Front. Psychol.12. https://doi.org/10.3389/fpsyg.2021.643974 (2021).
Fernholz, I. et al. Performance anxiety in professional musicians: A systematic review on prevalence, risk factors and clinical treatment effects. Psychol. Med. 49, 2287–2306. https://doi.org/10.1017/S0033291719001910 (2019).
Campisi, J. et al. Experience and performance type modify anticipatory stress in musicians. Psychol. Music 52, 519–532. https://doi.org/10.1177/03057356231212384 (2023).
Berg, L., King, B., Koenig, J. & Mcroberts, R. Musician occupational and financial stress and mental health burden. Psychol. Music 50, 1801–1815. https://doi.org/10.1177/03057356211064642 (2022).
Cardoso, M., Leonido, L., Pereira, A. & Morgado, E. Mental health challenges in professional musicians: A systematic review of stress, anxiety, and depression. Int. J. Innov. Res. Sci. Stud. https://doi.org/10.53894/ijirss.v8i2.6065 (2025).
Clausen, P. A. et al. Chemicals inhaled from spray cleaning and disinfection products and their respiratory effects: A comprehensive review. Int. J. Hyg. Environ. Health 229, 113592. https://doi.org/10.1016/j.ijheh.2020.113592 (2020).
Kathare, M. et al. An overview of cleaning agents’ health hazards and occupational injuries and diseases attributed to them in Sweden. Int. J. Environ. Res. Public Health 19, 7156. https://doi.org/10.3390/ijerph19127156 (2022).
Marks, L. R., Davidson, B., Knight, P. & Hakansson, A. Interkingdom signaling induces streptococcus pneumoniae biofilm dispersion and transition from asymptomatic colonization to disease. mBio 4. https://doi.org/10.1128/mBio.00438-13 (2013).
Nobile, C. & Johnson, A. Candida albicans biofilms and human disease. Annu. Rev. Microbiol. 69, 71–92. https://doi.org/10.1146/annurev-micro-091014-104330 (2015).
Chao, Y., Marks, L. R., Pettigrew, M. & Hakansson, A. Streptococcus pneumoniae biofilm formation and dispersion during colonization and disease. Front. Cell. Infect. Microbiol. 4. https://doi.org/10.3389/fcimb.2014.00194 (2015).
Ruth, N. Mupsych app for android smartphones. Jahrbuch Musikpsychol. (JBDGM) 28, article e3. https://doi.org/10.5964/jbdgm.2018v28.23 (2018).
Loewen, S. et al. Mobile-assisted language learning: A Duolingo case study. ReCALL 31, 293–311. https://doi.org/10.1017/S0958344019000065 (2019).
Buchanan, B. C., Safavinia, B., Wu, L. & Yoon, J.-Y. Smartphone-based autofluorescence imaging to detect bacterial species on laboratory surfaces. Analyst https://doi.org/10.1039/d2an00358a (2022).
Gopinath, S. et al. Bacterial detection from microscope to smartphone. Biosens. Bioelectron. 60, 332–42. https://doi.org/10.1016/j.bios.2014.04.014 (2014).
Müller, V., Sousa, J. M., Hatice Ceylan Koydemir, H. C., Veli, M., Tseng, D. K., Cerqueira, L., Ozcan, A., Azevedo, N. & Westerlund, F. Identification of pathogenic bacteria in complex samples using a smartphone based fluorescence microscope. RSC Adv.8, 36493 – 36502. https://doi.org/10.1039/c8ra06473c (2018).
Ong, D. & Poljak, M. Smartphones as mobile microbiological laboratories. Clin. Microbiol. Infect. https://doi.org/10.1016/j.cmi.2019.09.026 (2020).
Kumar, A., Vemula, P. K., Ajayan, P. M. & John, G. Silver-nanoparticle-embedded antimicrobial paints based on vegetable oil. Nat. Mater. 7, 236–241. https://doi.org/10.1038/nmat2099 (2008).