Gianmarco Troiano

Gianmarco Troiano
Università degli Studi di Siena | UNISI · Department of Molecular & Developmental Medicine

MD

About

99
Publications
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365
Citations
Additional affiliations
January 2015 - October 2016
Università degli Studi di Siena
Position
  • Medical Doctor

Publications

Publications (99)
Article
Full-text available
Although penalties for violating Italy's laws on driving under the influence of drugs (DUID) are very strict, no national protocol is enforced in order to assess possible offences in traffic accidents and routine traffic patrols. We describe two protocols that were applied to assess 298 cases of potentially impaired drivers out of 1653 stopped in P...
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Background. Every day several posts are published on social networks, however there are limited evidences about how miscarriage is perceived and disclosed by social network us-ers. The aim of our review was, therefore, to collect studies focused on posts published in the main social networks (Ins-tagram, Facebook, and Twitter) and regarding miscarr...
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Aim To clarify the role of the ethanol metabolites, ethyl glucuronide (EtG) and ethyl sulfate (EtS), in monitoring alcohol consumption. Method We recruited 7 female and 17 male volunteers who were instructed to consume a quantity of beer (containing 48 gm ethanol) with food in one session. We examined urinary excretion of EtG and EtS over time and...
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Since description of autopsy findings and an indication of fatal concentrations related to overdoses from synthetic cathinones are rare, we reviewed the literature using three different search engines including articles from 2010 to 2019. Fifty-two resulted in line with our inclusion criteria providing information about 142 subjects, treated as ind...
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Background Children consume at least one main meal a day at school so ATS Val Padana (Italy) conceived a project called “Un fiore in mensa” (A flower in canteen) as an acknowledgment of the quality of the school catering service. Objectives The aim of the project is to assign an award - “The Flower” - after an inspection during which the entire lu...
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Issue Mushrooms are considered as ingredient of gourmet cuisine across the globe and mushroom poisonings can occur because of misidentification of a poisonous species as edible. Of the vast number of mushroom species, approximately 100 are toxic(**). Description of the Problem Mushroom poisoning is a public health problem. People should be educate...
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Background It is currently estimated that 1.3 billion tons of food are wasted in the world and that 14% of total waste comes from collective catering. Specifically, the percentages waste in school catering are highly variable, ranging from 11.9% to 27.5%. In order to deepen the phenomenon, ATS Val Padana has started a project in some middle schools...
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Background Correct habits acquired in childhood positively affect the future health of the adult person. Therefore the school meal isn't as a simple satisfaction of nutritional needs, but also an important moment of health promotion, which involves teachers and parents. Objectives In ATS Val Padana the Food Hygiene and Nutrition Unit evaluates sch...
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Issue The rapid alert system is a procedure codified in the European Community, designed to guarantee the speed of communications and consequent measures, that should be adopted if a food or feed represents a serious risk for health. Description of the Problem ATS Val Padana implements several measures in cases of food or feed that don't satisfy s...
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Forensic pathologists are requested to select matrices alternative to blood in cases of toxicological interest in which blood is not available for different reasons. We evaluated morphine concentrations in blood, bile, and liver samples in 52 cases of heroin overdoses, relating them to each other, to understand the information that could be derived...
Article
Introduction.Kocuria kristinae is becoming a growing public health challenge, especially for its ability to cause infections in immunocompromised patients. This bacterium is a Gram+coccus, catalase+, coagulase, and it is a common inhabitant of skin and oral mucosa.Aim. To investigate the spectrum of infections caused by K.Kristinae.Methodology. Bet...
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Objectives: Aspergillus spp could be responsible of nosocomial aspergillosis in immunocompromised patients. In 2018, it was decided to demolish a building of Careggi Hospital (Florence, Italy), the Chief Medical Officer ordered a 9-months-long air and surface microbiological sampling and extraordinary preventive measures. Study design: A 9-month...
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Objectives: Trichinellosis is a worldwide zooantroponosis caused by a nematode of the genus Trichinella that can pose a risk to human health. Among the species of Trichinella, T. Spiralis is the most common represented. The main source of human infection is the consumption of raw or undercooked meat (especially from pigs, wild boars and horses). I...
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Background: Flexible bronchoscopes are heat labile, complex and difficult to clean, and some nosocomial outbreaks related to bronchoscopy have been reported in literature. The aim of our study was to determine, through a systematic monitoring, whether bronchoscopes' cleaning and disinfection procedures have been correctly adopted by health operato...
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Objectives: Risk adjustment is a widely used tool for health expenditure prediction and control. Early approaches for estimating health expenditure were based on patient demographic variables alone, whereas more recent models incorporate patient information, such as chronic medical conditions, clinical diagnoses, and self-reported health status. M...
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Circuit parties (CP) are extended celebrations, lasting from a day to a week, primarily attended by gay and bisexual men in their thirties and forties. The increasing popularity of circuit parties may play a significant role in the epidemiology of HIV and other sexually transmitted diseases. We performed a systematic literature search in MEDLINE, w...
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Background: The importance of socioeconomic factors as health determinants is well known in literature. The aim of our study was to demonstrate the correlation between socio-economic factors and the health status of a population in areas with an identical health organization. Methods: We collected (for the period 1990-2014) the standardized mortali...
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Background The aim of our review was to collect and analyze all the available literature about surgical treatment for penile carcinoma in order to understand the real implication of this kind of surgery on patients’ quality of life. Methods A systematic literature search (English or French written literature) was conducted in electronic database ME...
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Background The prevalence of overweight and obesity among children is rapidly increasing in many countries. For this reason we decided to investigate the eating habits of 8-9 years old Tuscany children, by paying attention to the frequency of their meals per day and to their food choices, also in relation to children’s Body Mass Index (BMI) classe...
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Introduction: A lot of drug groups are associated with preventable drug-related admissions. Coumarin derivatives, prescribed for the treatment and prevention of deep vein thrombosis or pulmonary embolism or prevention of systemic embolism or stroke in patients with prosthetic heart valves or atrial fibrillation, are often associated with bleeding....
Article
The spider genus Latrodectus, commonly called “widow spider,” is found all over the world. Its venom contains α-latrotoxin, which leads to a massive presynaptic release of acetylcholine so, after a person has been bitten, crampy muscle spasms usually occur within an hour. There is a lack of information about spider bites and envenomation during pre...
Article
Communication is really complex and beyond the verbal communication, it involves the transmission of abstract and concrete information using both verbal and nonverbal symbols. In June-July 2017 we performed a systematic search in the electronic database PubMed in order to better understand the impact of “emoji” in the scientific community. We consi...
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Background: Midwives have the responsibility to provide assistance to pregnant women for non-complicated deliveries. The aim of this study was to identify the distinctive features of midwives in Italy and in England in order to provide interesting comparisons. Methods: From September to October 2015 we administered an online questionnaire to gro...
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Background A considerable part of the global population is exposed to arsenic-contaminated drinking water which is the main source of inorganic arsenic(As) exposure in humans. Arsenic exposure interferes with the action of enzymes, essential cations, and transcriptional events in cells throughout the body, and a multitude of multisystemic non-cance...
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The reduction of suicides in jails and prisons is an international priority and, after the publication of a report about the necessity to prevent the suicide risk, in Tuscany (Italy) was created a new biphasic protocol. The aim of our study was to show the preliminary results after the introduction of this protocol in the Penitentiary of Pistoia. W...
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Cerebral air embolism is caused by gas bubbles in the vascular system. These bubbles can cause cerebral ischemia by obstructing encephalic blood vessels. It is frequently associated with blunt and penetrating chest trauma as well as iatrogenic interventions. Lung trauma involving laceration of the respiratory tract, lung parenchyma, and blood vesse...
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Flexible endoscopes are often used to make diagnosis and for minor surgery; however, endoscopy is an invasive examination and is not without risks. Although considered 'semi-critical' devices there is a significant risk of infection caused by an incorrect manual or automatic disinfection of the instruments. The aim of our study was to assess the ef...
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Background: The analysis of drug traces on banknotes with different validated techniques can provide important information about the types of substances that are used in a geographical region. The aim of our review was to investigate banknotes' contamination by cocaine, by its metabolite, but also by other drugs. Methods: A systematic literature...
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Background On 14 May 2013, Angelina Jolie (AJ), revealed herself to be the carrier of a BReast CAncer 1 (BRCA1) gene mutation and announced her decision to undergo a prophylactic mastectomy, followed by a laparoscopic bilateral salpingo-oophorectomy. This review explores the impact of the ‘Angelina Jolie Effect’ in order to reveal whether her annou...
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The collection and analysis of hair samples offers higher chances of identifying people addicted to drugs than urine samples. In our study we propose hair analysis as a useful epidemiological indicator to identify the extent of cocaine use in different medico-legal situations: currently the epidemiological trends of substance abuse are estimated in...
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Introduction. Baropodometrical digital techniques map the pressures exerted on the foot plant during both static and dynamic loadings. The study of the distribution of such pressures makes it possible to evaluate the postural and locomotory biomechanics together with its pathological variations. Methods. From January 2011 to August 2016 we conducte...
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Background. TSH Reflex is an automated diagnostic algorithm which follows the rule “If ... then”, in which the initial determination of TSH is followed by the determination of fT4, and possibly of fT3, if TSH is not within the reference limits. The aim of our study was to evaluate the results of the introduction and implementation of the test “TSH...
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Background: The available laboratory tests for the differential diagnosis of prostate cancer, are represented by the total PSA, the free PSA, and the free/total PSA ratio. In Italy most of doctors tend to request both total and free PSA for their patients even in cases where the total PSA doesn't justify the further request of free PSA, with a con...
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Background: Approximately the 8% of travelers requires medical care, with the diagnosis of a vaccine-preventable disease. The aim of our study was to analyze the socio-demographic, health and travel characteristics of the Italian international travelers. Methods: We conducted a cross sectional study from January 2015 to June 2016, at the Travel...
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Background: Colorectal cancer (CRC) is the 2nd most common cancer in women worldwide. In Italy, only 50% of people invited to get the Fecal Occult Blood Test (FOBT) decided to do it. Women's participation in breast and cervical screening is, instead, very high (>70%). The aim of our study was to investigate the beliefs, the feelings and the psycho...
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Abstract Objectives Homeless persons can be considered a vulnerable group and several studies showed in this group an higher prevalence of chronic and infectious diseases, a lower mental health status, and a higher abuse of alcohol. The aim of our study was to investigate the health status of homeless in Padua, Italy, administering a questionnair...
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The use of keratin matrix, in detecting drug consumption, offers compelling advantages compared to other conventional biological matrices used for these types of investigation, and provides important information to surveys which are characterised by a general underestimation, especially in Italy. In our study we collected and analysed 424 hair samp...
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Full-text available
Interest in measuring the Health Related Quality of Life (HRQoL) of the immigrants increased in recent years in Italy as in other countries. Our purpose was to evaluate the HRQoL of refugees welcomed in Tuscany using the SF-36 questionnaire. We collected 114 questionnaires from 2011 to 2015. Our samples was constituted by 98 males and 16 females, c...