Northern Italy Research Articles

Brucella spp. in Wildlife of the Lombardy Region, Northern Italy.

Surveillance data collected in the period 2017-20 for Brucella spp. in wildlife of the Lombardy Region in northern Italy were used to describe the exposure of the wildlife species to Brucella spp. in wild boar (Sus scrofa), European brown hare (Lepus europaeus), fallow deer (Dama dama), red deer (Cervus elaphus), and roe deer (Capreolus capreolus). Among the tested species, wild boar (n=6,440) showed the highest percentage of seropositive samples (5.9%). Notably, wild boars of perifluvial area of the Po River showed higher percentages of positivity than those of the pre-Alpine district. In addition, during the hunting season in 2018, 95 organs (uterus or testes, spleen, and submandibular lymph nodes) from wild boar of the perifluvial area of the Po River were collected for bacteriological examination. Brucella suis was isolated in culture from 18.9% of tested lymph nodes. These serological and microbiological results highlight the presence of B. suis in wild boar and suggest the importance of wild boar as a reservoir for B. suis. Comparison of the spatial distribution of Brucella-seropositive wild boars with the location of backyard swine farms revealed a higher chance of contact between the two populations only in the areas where the lower percentage of seropositive samples was observed. Conversely, the high percentage of seropositive samples observed in the Po River area coupled with positive microbiological cultures suggest a greater risk of infection for the humans directly or indirectly involved in wild boar hunting activity. These results may serve as a basis to establish sound wildlife management and to adopt education campaigns aimed at reducing the risk of human infection in people involved in wild boar hunting related activities.

Monitoring the spread of a pathogenic insect on vineyards using UAS

Abstract. Globalisation has contributed to rapid economic growth but has also exposed vulnerabilities such as the spread of pests in agriculture. An example is the Popillia Japonica Newman beetle, introduced to Italy in 2014, which has caused significant economic losses, mainly affecting vine cultures. Reliable identification of pests is essential for its management, but it is time-consuming and laborious. This has prompted growing interest in image-based methods, supported by computer vision (CV), which can significantly improve efficiency in insect detection. This study aims to evaluate a CV algorithm's effectiveness in identifying adult specimens of Popillia using Near-Infrared sensors on Uncrewed Aerial Systems (UAS). The project, conducted in two vineyards in northern Italy, intends to establish a replicable and standardised data acquisition protocol for future monitoring activities. Insects detected by the CV-based method are validated by manual counting performed by entomologists. In a GIS environment, prescription maps are generated in near real-time to identify where the vineyard is most affected and to guide the drone spraying treatment only on the areas in which the threshold is exceeded. The study demonstrates effective semi-automated monitoring, with a clear correlation between CV-based and manual insect measurements, as indicated by the Pearson correlation coefficients ranging from 0.89 to 0.96. Although the CV-based method may overestimate insect numbers, it provides valuable insights for targeted pest management interventions and damage assessment. The project outcomes offer a promising approach to safeguarding agriculture against invasive species, enhancing regional economic resilience while minimising the spread of insecticide, the required time, and human interaction with harmful substances.

PRISMA Hyperspectral Satellite Imagery Application to Local Climate Zones Mapping

Abstract. The urban heat island effect exacerbates the vulnerability of cities to climate change, emphasizing the need for sustainable urban planning driven by data evidence. In the last decade, the Local Climate Zone (LCZ) model emerged as a key tool for categorizing urban landscapes, aiding in the development of urban temperature mitigation strategies. In this work, the contribution of hyperspectral satellite imagery to LCZ mapping, leveraging the Italian Space Agency (ASI)’s PRISMA satellite, is investigated. Mapping performances are compared with traditional multispectral-based LCZ mapping using Sentinel-2 satellite imagery. The Random Forest algorithm is utilized for LCZ classification, with evaluation conducted through spectral separability analysis and accuracy assessment between PRISMA and Sentinel-2 derived LCZ maps as well as with the benchmark LCZ Generator mapping tool. An initial experiment on the effect of PRISMA image pan-sharpening on LCZ spectral separability is also presented. Results obtained for Milan (Northern Italy) demonstrate the potential of hyperspectral imagery in enhancing LCZ identification compared to multispectral data, with promising improvements in LCZ maps overall accuracy. Finally, air temperature patterns within each LCZ class are explored, qualitatively confirming the influence of urban morphology on thermal comfort.

Validation of utstein-based score to predict return of spontaneous circulation (UB-ROSC) in patients with out-of-hospital cardiac arrest

Abstract Funding Acknowledgements None. Background and aims The Utstein Based-ROSC (UB-ROSC) score has been developed to predict ROSC in OHCA victims. Aim of the study was to validate the UB-ROSC score using two Utstein-based OHCA registries: the SWiss REgistry of Cardiac Arrest (SWISSRECA) and the Lombardia Cardiac Arrest Registry (Lombardia CARe), northern Italy. Methods Consecutive patients with OHCA of any etiology occurring between January 1st, 2019 and December 31st 2021 were included in a prospectively designed validation study. UB-ROSC score was computed for each patient and categorized in one of 3 subgroups:low, medium or high likelihood of ROSC according to the UB-ROSC cut-offs (≤-19; -18 to 12; ≥13). To assess the performance of the UB-ROSC score in this new cohort, we assessed both discrimination and calibration. The score was plotted against the survival to hospital admission. Results A total of 12,577 patients were included in the study. A sustained ROSC was obtained in 2,719 patients (22%). The UB-ROSC model resulted well calibrated and showed a good discrimination (AUC 0.71, 95% CI 0.70-0.72). In the low likelihood subgroup of UB-ROSC, only 9% of patients achieved ROSC, whereas the proportion raised to 36% for a score between -18 and 12 (OR 5.0, 95% CI 2.9-8.6, P<0.001) and to 85% for a score ≥ 13 (OR 49.4, 95%CI 14.3-170.6, P <0.001). Conclusions UB-ROSC score represents a reliable tool to predict ROSC probability in OHCA patients. Its application may help the medical decision-making process, providing a realistic stratification of the probability for ROSC.

Impact of COVID-19 on antimicrobial stewardship activities in Italy: a region-wide assessment

BackgroundIn the region of Piedmont, in Northern Italy, formal monitoring of antimicrobial stewardship (AMS) programs has been in place since 2012. The objective of our study was to provide an updated assessment of AMS programs operating in our region, and to assess the impact of the COVID-19 pandemic on stewardship activities.MethodsA retrospective observational study was conducted to investigate AMS programs implemented in acute-care trusts participating in a broader healthcare-associated infections and antimicrobial resistance (AMR) prevention and control program, promoted by the regional health department. Within this program, structure, process, and outcome indicators of AMS programs were investigated, using a previously developed scoring system. Differences between scores prior to (2019) and during the pandemic (2021) were assessed. Linear regression was used to assess whether the 5-year trends (2017–2021) in outcome measures in relation to structure and process scores were statistically significant. Compound annual growth rates (CAGR) for each outcome were calculated to illustrate changes in outcome rates over time.ResultsAll public trusts in the Region (20) and a small number of private institutions (3) provided data for this study. A modest, non-significant improvement was found for 2021 structure, process, and total scores compared to respective 2019 scores. A significant improvement was found concerning the definition of a formal mission statement, whereas significantly less trusts included monitoring adherence to antimicrobial policy or treatment guidelines in their programs. Overall consumption of antibiotics for systemic use saw an increase in 2021, with 2021 recording the highest median overall consumption compared to all previous years considered in this study. Methicillin-resistant Staphylococcus aureus (MRSA) and carbapenem-resistant enterobacteria (CRE) rates decreased over the 5-year period. Significant downwards trends in MRSA rates were identified for high-outlier structure and process groups.ConclusionsResults of this study suggest AMS programs in Piedmont were not set back following the pandemic. This outcome was possible thanks to well-established programs, coordinated within a regional framework. Continued efforts should be dedicated to supporting AMS programs and contrasting AMR, even when the focus is shifted towards other public health emergencies.

Incidence of resistance to ALS and ACCase inhibitors in Echinochloa species and soil microbial composition in Northern Italy

The increasing amount of weeds surviving herbicide represents a very serious problem for crop management. The interaction between microbial community of soil and herbicide resistance, along with the potential evolutive consequences, are still poorly known and need to be investigated to better understand the impact on agricultural management. In our study, we analyzed the microbial composition of soils in 32 farms, located in the Northern Italy rice-growing area (Lombardy) with the aim to evaluate the relationship between the microbial composition and the incidence of resistance to acetolactate synthase (ALS) and acetyl-CoA carboxylase (ACCase) inhibiting herbicides in Echinochloa species. We observed that the coverage of weeds survived herbicide treatment was higher than 60% in paddy fields with a low microbial biodiversity and less than 5% in those with a high microbial biodiversity. Fungal communities showed a greater reduction in richness than Bacteria. In soils with a reduced microbial diversity, a significant increase of some bacterial and fungal orders (i.e. Lactobacillales, Malasseziales and Diaporthales) was observed. Interestingly, we identified two different microbial profiles linked to the two conditions: high incidence of herbicide resistance (H-HeR) and low incidence of herbicide resistance (L-HeR). Overall, the results we obtained allow us to make hypotheses on the greater or lesser probability of herbicide resistance occurrence based on the composition of the soil microbiome and especially on the degree of biodiversity of the microbial communities.

Geostatistical assessment of groundwater arsenic contamination in the Padana Plain

Arsenic (As) in groundwater from natural and anthropogenic sources is one of the most common pollutants worldwide affecting people and ecosystems. A large dataset from >3600 wells is employed to spatially simulate the depth-averaged As concentration in phreatic and confined aquifers of the Padana Plain (Northern Italy). Results of in-depth geostatistical analysis via PCA and simulations within a Monte Carlo framework allow the understanding of the variability of As concentrations within the aquifers. The most probable As contaminated zones are located along the piedmont areas in the confined aquifers and in the lowland territories in the phreatic aquifers. The distribution of the As contaminated zones has been coupled with hydrogeological, geological, and geochemical information to unravel the sources and mechanisms of As release in groundwater. The reductive dissolution of Fe oxyhydroxides and organic matter mineralization under anoxic conditions resulted to be the major drivers of As release in groundwater. This phenomenon is less evident in phreatic aquifers, due to mixed oxic and reducing conditions. This large-scale study provides a probabilistic perspective on As contamination, e.g. quantifying the spatial probability of exceeding national regulatory limits, and to outline As major sources and drivers.

Reducing biomass burning is key to decrease PM2.5 exposure in European cities

Throughout the world, ambient fine particulate matter (PM2.5) is the environmental factor that poses the greatest risk to health and most European citizens continue to be exposed to PM2.5 levels well above World Health Organization guidelines. Here we present a comprehensive PM2.5 modelling-based source allocation assessment in 708 urban areas in Europe. The results show that urban cores, together with their commuting zones, contribute an average of 22% to urban PM2.5 concentrations levels. The residential sector is the highest source sector in 56% of cities. Its average contribution to PM2.5 formation is 27%, with a cluster of cities in Northern Italy and Eastern Europe contributing to more than 50%. Industry, agriculture and road transport show average contributions of 18%, 17% and 14%, respectively. Most emissions from residential sectors are anthropogenic primary PM2.5 which includes a condensable fraction. Furthermore, anthropogenic primary PM2.5 represents the precursor with the highest contribution in most cities (72%), contributing an average of 35% to urban PM2.5 levels. Emissions of anthropogenic primary PM2.5 by the residential sector are almost entirely (with exceptions of few countries) due to biomass burning. These results suggest that the residential sector should be a key target of any policy to improve air quality and that climate policies promoting biomass as a climate-neutral fuel could have a detrimental effect on air quality. A more integrated approach to climate and air quality policy design is desirable.

Long-term symptoms after SARS-CoV-2 infection in a cohort of people living with HIV.

Our Hospital in Northern Italy assists 3817 people living with HIV (PLWH) and has faced the impact of COVID-19. Little is known about the impact of HIV infection on the risk of post-COVID-19 conditions (PCCs) onset. We aim to assess the incidence of PCC in PLWH and the factors associated with its occurrence. We performed a retrospective, observational study including all PLWH > 18years registered in the Brescia Health Protection Agency database, assessing SARS-CoV-2 burden, vaccination status, socio-demographic, and viro-immunological parameters from February 2020 until May 2022. Persistence of self-reported symptoms (clustered into gastrointestinal, respiratory, osteo-muscular, and neuro-behavioral symptoms) was evaluated after 3months by a telephone-administered questionnaire. We estimated the associations between all variables and outcomes through univariate and multivariable logistic models. In the study period, 653 PLWH were diagnosed with SARS-CoV-2 infection (17.1%). We observed 19 (2.9%) reinfections, 71 (10.9%) hospitalizations, and 3 (0.5%) deaths. We interviewed 510/653 PLWH (78%), and 178 (PCCs prevalence 34.9%; CI 95% 30.7-39.2) reported persistent symptoms. Asthenia/fatigue was the most reported symptom (60/178), followed by muscular pain (54/178). In the multivariate regression model, there was a lower risk of PCCs in males respect to females (adjusted OR = 0.64; CI 95% 0.99-3.66), while hospitalization during acute infection was associated with an increased the risk of PCCs (adjusted OR = 1.9; CI 95% 0.99-3.66). Notably, no viro-immunological variable modified the PCCs risk onset. Our study highlights a substantial prevalence of PCCs among PLWH, three months post-SARS-CoV-2 infection, independent of viro-immunological features or vaccination status.

Into the Deep: Diving Record for the Dice Snake Natrix tessellata (Laurenti, 1768) in Lake Orta, NW Italy

Many snakes live close to water, with several groups displaying morphological, physiological, or behavioral adaptions to aquatic environments. Although marine snakes have been found at depths beyond 200 m, freshwater snakes are rarely reported at depths larger than a few meters. Here we report freshwater depth records for the dice snake Natrix tessellata, an aquatic snake belonging to the family Natricidae. Dice snake was observed at depths down to 17 m, including in habitats below the thermocline, in Lake Orta (Northern Italy). These observations open new perspectives related to the biology and physiology of Palearctic freshwater snakes belonging to the family Natricidae.

Residential exposure to air pollution and incidence of leukaemia in the industrial area of Viadana, Northern Italy

BackgroundExposure to air pollution has been proposed as one of the potential risk factors for leukaemia. Work-related formaldehyde exposure is suspected to cause leukaemia. MethodsWe conducted a nested register-based case-control study on leukaemia incidence in the Viadana district, an industrial area for particleboard production in Northern Italy. We recruited 115 cases and 496 controls, frequency-matched by age, between 1999-2014. We assigned estimated exposures to particulate matter (PM10, PM2.5), nitrogen dioxide (NO2), and formaldehyde at residential addresses, averaged over the susceptibility window 3rd to 10th year prior to the index date. We considered potential confounding by sex, age, nationality, socio-economic status, occupational exposures to benzene and formaldehyde, and prior cancer diagnoses. ResultsThere was no association of exposures to PM10, PM2.5, and NO2 with leukaemia incidence. However, an indication of increased risk emerged for formaldehyde, despite wide statistical uncertainty (OR 1.46, 95%CI 0.65-3.25 per IQR-difference of 1.2 μg/m3). Estimated associations for formaldehyde were higher for acute (OR 2.07, 95%CI 0.70-6.12) and myeloid subtypes (OR 1.79, 95%CI 0.64-5.01), and in the 4-km buffer around the industrial facilities (OR 2.78, 95%CI 0.48-16.13), although they remained uncertain. ConclusionsThis was the first study investigating the link between ambient formaldehyde exposure and leukaemia incidence in the general population. The evidence presented suggests an association, although it remains inconclusive, and a potential significance of emissions related to industrial activities in the district. Further research is warranted in larger populations incorporating data on other potential risk factors.

Comorbidity and multimorbidity in patients with cirrhosis, hospitalised in an internal medicine ward: a monocentric, cross-sectional study

ObjectivesThere are no data regarding the prevalence of comorbidity (ie, additional conditions in reference to an index disease) and multimorbidity (ie, co-occurrence of multiple diseases in which no one holds...

Microbiological and physicochemical profile of Italian steak tartare and predicting growth potential of Listeria monocytogenes

In the present study, growth potential of Listeria monocytogenes in steak tartare samples taken at retail and belonging to 13 brands marketed in Northern Italy was investigated. The samples were submitted to microbiological and chemical-physical characterization. The data obtained were used as inputs for the application of the predictive microbiology software FSSP that allows the estimation of the growth of L. monocytogenes during the shelf-life. Lactic acid bacteria, the main component of the microflora, gave variable counts among the brands (from 3.38 to 6.24 log CFU/g). pH and aw values were always higher than 5.3 and 0.96, respectively, thus they could not be considered as single efficient hurdles to prevent the growth of L. monocytogenes according to the EC Reg. 2073/2005; the same was observed for salt content (constantly <2 %) and nitrites (not quantifiable in all the samples, even if declared in some labels). Nevertheless, the combination of all the hurdles, evaluated by predictive microbiology using critical development factors, resulted in an estimated growth <0.5 log CFU/g throughout the shelf life; this output allowed us to consider all the steak tartare analysed as unfavourable substrate for L. monocytogenes growth. The information obtained could be useful for tartare producers as well as for competent authority to evaluate the effective risk concerning these typology of products.

Real-time investigation of an influenza A(H3N2) virus outbreak in a refugee community, November 2022

ObjectivesTo report epidemiological and virological results of an outbreak investigation of influenza-like illness (ILI) among refugees in Northern Italy. Study designOutbreak investigation of ILI cases observed among nearly 100 refugees in Northern Italy unvaccinated for influenza. MethodsAn epidemiological investigation matched with a differential diagnosis was carried out for each sample collected from ILI cases to identify 10 viral pathogens (SARS-CoV-2, influenza virus type A and B, respiratory syncytial virus, metapneumovirus, parainfluenza viruses, rhinovirus, enterovirus, parechovirus, and adenovirus) by using specific real-time PCR assays according to the Centers for Disease Control and Prevention (CDC) protocols. In cases where the influenza virus type was identified, complete hemagglutinin (HA) gene sequencing and the related phylogenetic analysis were conducted. ResultsThe outbreak was caused by influenza A(H3N2): the attack rate was 83.3% in children aged 9–14 years, 84.6% in those aged 15–24 years, and 28.6% in adults ≥25 years. Phylogenetic analyses uncovered that A(H3N2) strains were closely related since they segregated in the same cluster, showing both a high mean nucleotide identity (100%), all belonging to the genetic sub-group 3C.2a1b.2a.2, as those mainly circulating into the general population in the same period. ConclusionsThe fact that influenza outbreak strains as well as the community strains were genetically related to the seasonal vaccine strain suggests that if an influenza prevention by vaccination strategy had been implemented, a lower attack rate of A(H3N2) and ILI cases might have been achieved.

Targeting farmers’ heterogeneity to enrich climate change adaptation policy design: findings from northern Italy

Abstract With its scientifically proven effects and widespread acceptance, climate change stands as one of the most pressing and intricate challenges for society and economies. Farmers are on the frontline of managing climate change. Therefore, how they perceive and respond to climate change shapes their risk assessment and structures future resilience and adaptive capacity. Employing a bottom-up approach, we conducted 460 surveys randomly among farmers throughout the Lombardy region in northern Italy. A triple-loop approach considering climate change awareness, perceived impacts, and adaptation measures and barriers was implemented to characterize the potential heterogeneity of farmer behaviour and explore whether risk attitudes and adaptation actions differ between farmer profiles. We then profiled farmers through a clustering analysis. Four groups emerged, highlighting farmers’ adaptation preferences and risk attitudes: 1) cropping-adapted and isolated farmers, 2) cooperation-adapted and insecure farmers, 3) risk insurance-adapted and confident farmers, and 4) climate services-adapted and aware farmers. Although the groups vary in terms of farmers’ characterization and farming activities (e.g., young and highly educated vs. old and highly experienced farmers, rainfed vs. irrigated farms), similar patterns were observed regarding climate change awareness and perceived impacts – however, the contrast increased in terms of adaptation measures and barriers. Gaining a more comprehensive understanding of the diverse ways in which farmers assess risks and adapt can promote the transferability of bottom-up findings and inform the co-design of tailored and flexible adaptation instruments, minimizing the risk of maladaptation or ineffective transformation in the face of climate change.

First record of males of &lt;i&gt;Cypridopsis vidua&lt;/i&gt; (Crustacea, Ostracoda) species complex for Europe

Until recently, only asexually reproducing populations were known in Cypridopsis vidua, a species complex with one of the widest geographical distributions among non-marine ostracods. The discovery of males, most likely functional, from the United States and China has called into question its obligate parthenogen status. Here we report the first report of males for Europe, found in a small artificial pond in northern Italy. It seems plausible that sexual populations are much more widespread than hitherto known, as the recognition of males requires the dissection of individuals. Compared with the available descriptions of males belonging to Cypridopsis vidua and related species, that of the male illustrated here show morphological differences in the antennulae and prehensile palps, which in the Cypridoidea are sexually dimorphic and often diagnostic to distinguish between related species. Adult males show significantly smaller valve sizes than adult females, while adult females in which sperm were found inside the carapace have more variable lengths than those without sperm. No differences in valve coloration or dark banding pattern were found between males and females, and differences in valve outline were mostly negligible. The limitations of an exclusively morphological approach in the case of similar morphospecies are highlighted, as well as the importance of adopting objective criteria to measure the limits of morphological variability allowing the identification of separate taxonomic entities.

Landslide susceptibility mapping using ensemble machine learning methods: a case study in Lombardy, Northern Italy

Landslide susceptibility mapping using ensemble machine learning methods: a case study in Lombardy, Northern Italy

Stenotrophomonas maltophilia Outbreak in an ICU: Investigation of Possible Routes of Transmission and Implementation of Infection Control Measures

Stenotrophomonas maltophilia, a non-fermentative, ubiquitous, gram-negative aerobic bacterium, is associated with high mortality rates, particularly in immunocompromised or debilitated patients. The prevalence rate of ICU-acquired pneumonia episodes caused by this microorganism has been found to be 2%. S. maltophilia has been identified as one of the top 10 microorganisms responsible for such infections in EU/EEA countries. This study describes an outbreak of S. maltophilia in an intensive care unit of a hospital in northern Italy. This includes an epidemiological investigation of the cases, the environmental microbiological controls carried out, a comparison of the strains by multilocus sequence typing (MLST), and the measures taken to prevent and control the outbreak. Among the seven clinical isolates of S. maltophilia analyzed herein, six demonstrated susceptibilities to trimethoprim–sulfamethoxazole. Conversely, one isolate of S. maltophilia exhibited resistance to first-line antibiotics. ST was found to be identical for six patients (ST 4), as well as in the environmental feedback on the trolley of Box 2. The analysis of the temporal and spatial progression of the outbreak has suggested that the transmission of S. maltophilia may have occurred through cross-transmission during care practices.

Cropping system support in downy mildew control in basil in organic farming: a two-year open field experiment

AbstractBasil Downy Mildew (BDM), caused by the oomycete Peronospora belbahrii, is a major issue for sweet basil (Ocimum basilicum L.) production worldwide. Currently, the disease is mainly controlled by chemical fungicides, but the development of populations of the pathogen which are resistant to the most widely used compounds is leading to the research of alternative crop protection strategies. Therefore, in this paper, some cropping variables were tested in a field trial conducted in two consecutive years (2021 and 2022) in Northern Italy in organic farming conditions, with the overall objective to optimize basil productivity and quality and limit BDM occurrence. These include two basil varieties, two sowing densities (dense, 30 kg/ha, and sparse, 15 kg/ha), and two irrigation systems (drip and sprinkler). A higher incidence and severity of BDM in 2022 compared to 2021 was observed, mainly due to the different climatic conditions that occurred in the two years. Year 2022 was characterized by high temperatures and repeated drought phenomena that led to basil stress and BDM severe outbreak. Moreover, variety 1 (considered resistant to P. belbahrii) was confirmed to be completely resistant in 2021 but it was found to be susceptible the following year, with disease incidence and severity comparable to variety 2 (medium susceptible). No differences were detected in terms of BDM occurrence and crop yield between the two sowing densities (mean of 58.4% and 26.6% of BDM incidence and severity, respectively; mean yield 1.4 kg/m2), while it emerged that drip irrigation can be useful in reducing BDM (−23.1% BDM severity). Therefore, this study suggests that the crop protection strategies tested, even if not definitive solutions, can significantly contribute to manage BDM more effectively, while preserving basil productivity and quality.

Can Music Reduce Stress and Anxiety in the Operating Room Team? Insights from a Cross-Sectional Study in Northern Italy Healthcare Services

Background. Music evokes positive emotions and reduces stress and anxiety. Operating room (OR) staff face various challenges which can lead to high levels of stress. The aim of the study is to assess whether listening to music during intraoperative phases improves the work environment by reducing anxiety and stress in the entire surgical team. Methods. A prospective observational study was conducted from February to September 2023, involving medical personnel, nursing staff, and nursing students. They were divided into two groups: Group 1 with music during surgical procedures, and Group 2 without music. Participants were administered two validated instruments: the Zung Anxiety Self-Assessment Scale (SAS) to measure anxiety, and the Positive and Negative Affect Schedule to assess emotions generating stress. Additional items were included for demographics, job satisfaction, and the organization method. Results. Music did not impact anxiety, but increased positive emotions while reducing negative ones. Music had an ancillary effect, highlighting the need for significant organizational interventions aimed at increasing operator satisfaction, including offering voluntary instead of mandatory assignments to nursing staff. Conclusions. Music appears to reduce stress in the intraoperative team when supported by a positive work environment in which assigned operators have chosen to work in the OR.