Guglielmo Trovato

Guglielmo Trovato
University of Catania | UNICT · Department of Medical and Pediatric Sciences

Medical Doctor

About

179
Publications
25,557
Reads
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2,158
Citations
Introduction
Dr. Guglielmo M. Trovato, MD, former Clinical Professor of Internal Medicine at the Catania University Medical School since 1987,Chief Physician in the Unit of Diagnostica e Terapia Medica of the University Hospital–Policlinico di Catania. He used mainly diagnostic non-invasive tools (echocardiography, medical ultrasound) in clinical investigations. Research was focused to Insulin Resistance, adipogenic adenoviruses, NAFLD, Renal Disease, CHF and hypertension.He is currently involved in communication-dissemination of bioinformatics, of innovation and research achievements, using social media and e-learning approaches and methods based on health psychology. Lifestyle intervention strategy, mainly focused on Mediterranean Diet, is the field in which he provided many personal contributions.

Publications

Publications (179)
Article
Full-text available
Lung ultrasound is a niche operator-dependent methodology, which requires accurate and prolonged training, suitable to a role complementary of methods that are more definite. We are witnessing ever more numerous attempts to spread the incongruous use of lung ultrasound, measuring by eye, going at a glance for approximate and erratic counts of the n...
Article
Full-text available
The pandemic spread of the new severe acute respiratory syndrome coronavirus 2 has raised the necessity to identify an appropriate imaging method for early diagnosis of coronavirus disease 2019 (COVID-19). Chest computed tomography (CT) has been regarded as the mainstay of imaging evaluation for pulmonary involvement in the early phase of the pande...
Article
Background Gender-based violence affects 35 to 45% of women worldwide, mostly coming from domestic violence. A good screening procedure in clinical practice is useful, but WHO does not advise universal screening, recommending further research. Aim (1) To report the frequency of domestic violence cases among admissions to the Emergency Room of a ma...
Article
Linked article: This Correspondence comments on Buonsenso et al. Click here to view the article.
Article
Atherosclerosis (ATH) and non-alcoholic fatty liver disease (NAFLD) are medical conditions that straddle a communal epidemiology, underlying mechanism and a clinical syndrome that has protean manifestations, touching every organ in the body. These twin partners, ATH and NAFLD, are seemingly straightforward and relatively simple topics when consider...
Article
Full-text available
Guglielmo Trovato The European Medical Association (EMA) and the School of Medicine, State University of Catania, Catania, ItalyCorrespondence: Guglielmo Trovato Email trovato.eu@gmail.comAbstract: Dissemination and exploitation of knowledge regarding affordable clinical skills and innovative precision medicine, two current topics in active develop...
Article
Non-alcoholic fatty liver disease (NAFLD) is a common diagnosis and is increasing in prevalence worldwide. NAFLD is usually asymptomatic at presentation; progression of the disease is unpredictable, leading to the development of a variety of techniques for screening, diagnosis and risk stratification. Clinical methods in current use include serum b...
Article
Full-text available
Purpose Thoracic ultrasound (TUS) has been proposed as an easy-option replacement for chest X-ray (CXR) in emergency diagnosis of pneumonia, pleural effusion, and pneumothorax. We investigated CXR unforeseen diagnosis, subsequently investigated by TUS, considering its usefulness in clinical risk assessment and management and also assessing the sust...
Article
Full-text available
AIM To investigated in non-alcoholic-fatty-liver-disease (NAFLD), with ultrasound (US)-detected fatty liver, and in a group of non-alcoholic and otherwise healthy subjects, relationship of neglected features of lifestyle with NAFLD and obesity. METHODS Five hundred and thirty-two NAFLD and 667 non-NAFLD healthy subjects, age 21-60 years were studi...
Article
Full-text available
Clinical assessment and workup of patients referred to cardiologists may need an extension to chest disease. This requires more in-depth examination of respiratory co-morbidities due to uncertainty or severity of the clinical presentation. The filter and integration of ecg and echocardiographic information, addressing to the clues of right ventricu...
Article
Full-text available
Imaging workup of patients referred for elective assessment of chest disease requires an articulated approach: Imaging is asked for achieving timely diagnosis. The concurrent or subsequent use of thoracic ultrasound (TUS) with conventional (chest X-rays-) and more advanced imaging procedures (computed tomography and magnetic resonance imaging) impl...
Article
Patients and methods: 660 NAFLD and 791 non-NAFLD subjects, referred to the same out-patients medical unit for lifestyle-nutritional prescription, were studied. Congestive heart failure, myocardial infarction, malignancies, diabetes mellitus, extreme obesity, underweight-bad-nourished subjects and renal insufficiency were exclusion criteria. Liver...
Article
Full-text available
Plurality and individuality of hepatocellular carcinoma: PPPM perspectives Krishna Chander Sridhar, Olga Golubnitschaja Department of Radiology, Univeristy of Bonn, Bonn, Germany Correspondence: Olga Golubnitschaja (olga.golubnitschaja@ukb.uni-bonn.de) – Department of Radiology, Univeristy of Bonn, Bonn, Germany The EPMA Journal 2016, 7(Suppl 1)...
Chapter
This chapter will deal with the available information on the effects of coffee and its components on renal function in health and disease. Only studies performed on human beings are discussed, and coffee's relationship with blood pressure and circulation control will be presented. Effects of coffee on the metabolism of substances, such as uric acid...
Chapter
The concurrent effect of the most important factors exerting beneficial effects for prevention and even the cure of nonalcoholic fatty liver disease (NAFLD), including food, beverages, and nutrients, are still not sufficiently taken into account. The effects on NAFLD severity of greater quantity of coffee intake should be studied concurrently with...
Chapter
Surgery and anesthesia-related conditions, pregnancy, childbearing and infancy, fertility and sexual-related ailments, menopause, thyroid, respiratory (mainly asthma and chronic obstructive pulmonary disease) are not sufficiently addressed by clinical and epidemiological research dealing with coffee habits. Also infectious disease, including Malari...
Book
In un qualsiasi iter diagnostico la clinica orienta verso un'ipotesi e guida l'imaging che a sua volta può confermare tale ipotesi. La diagnosi finale è un insieme di tasselli clinico-laboratoristici e strumentali. In questo contesto l'ecografia è un esame complementare che insieme all'imaging tradizionale di primo livello (RX standard del torace)...
Article
Background and aims: Fatty liver is associated with alcohol habits and/or overweight-obesity. We challenged if some lifestyle feature are associated with fatty liver and, particularly, with non-alcoholic-fatty-liver-disease (NAFLD). Among them, sleep shortage due to nightlife habits and oversized fashion preferred clothing were assessed. This last...
Article
Systemic sclerosis (SSc) patients in the early stages of pulmonary fibrosis (PF) often have few or no symptoms, normal to borderline pulmonary function tests, and negative chest X-ray (CXR); high-resolution computed tomography (HRCT) is the only reliable means of detecting the early signs of PF. However, thoracic ultrasound (TUS) enables detection...
Article
Full-text available
To investigate the effects of different methylenetetrahydrofolate reductase (MTHFR) 677C>T gene polymorphism and hyperhomocysteinemia for the development of renal failure and cardiovascular events, which are controversial. We challenged the relationship, if any, of MTHFR 677C>T and MTHFR 1298A>C polymorphisms with renal and heart function. The pres...
Article
Full-text available
Relationship between adipose tissue and fatty liver, and its possible evolution in fibrosis, is supported by clinical and research experience. Given the multifactorial pathogenesis of non-alcoholic fatty liver disease (NAFLD), treatments for various contributory risk factors have been proposed; however, there is no single validated therapy or drug...
Article
TUS imaging, diagnostic yield, and complications of TUS-guided FNAB were reassessed. The records of 133 patients with MPM and 801 patients with LC were analyzed. In 55 of the patients with MPM and in all 801 of those with LC (2008-2013), TUS-guided FNAB was performed using 20-gauge needles and US transducers with a central hole for needle passage.³...
Article
Obesity and liver steatosis are usually described as related diseases. Obesity is regarded as exclusive consequence of an imbalance between food intake and physical exercise, modulated by endocrine and genetic factors. Non-alcoholic fatty liver disease (NAFLD), is a condition whose natural history is related to, but not completely explained by over...
Article
Full-text available
Clinical research and practice require affordable objectives, sustainable tools, rewarding training strategies and meaningful collaboration. Our unit delivers courses on project design and management promoting ideas, useful skills, teaching and exploring implementation of networks and existing collaborations. We investigated the effectiveness of a...
Article
Clinical ultrasound approaches should be driven by physio-pathology knowledge and with explicit and realistic diagnostic and therapeutic goals. Thoracic ultrasound is valuable for reaching early and affordable preliminary diagnosis and for safe interventional guidance of cavity evacuations or of fine needle aspiration biopsy (FNAB) procedures by th...
Article
Background: Despite the usefulness of elastography in assessing the stiffness/elasticity of tissues, and its proven diagnostic accuracy in thyroid, breast, and prostate cancers, among others, it is not yet applied in transthoracic ultrasound (TUS) scans to investigate lung nodules. Purpose: To investigate the potential clinical utility of TUS el...
Article
We read with a great interest the paper by Miglioranza et al. [(1)][1], which sought to define the performance of lung ultrasound (LUS) compared with a clinical congestion score, natriuretic peptides, and echocardiography, to evaluate decompensation in patients with systolic heart failure (HF) in
Article
Interest in transthoracic ultrasound (US) procedures increased after the availability of portable US equipment suitable for use at the patient's bedside. It is possible to detect space-occupying lesions of the pleura, pleural effusion, focal or diffuse pleural thickening and subpleural lesions of the lung, even in emergency settings. Transthoracic...
Article
Non-Alcoholic Fatty Liver Disease (NAFLD) is related to unhealthy habits, mainly to unfavorable dietary profiles. MTHFR gene encodes MethyleneTetraHydroFolate Reductase, a regulatory enzyme whose polymorphisms are associated with hyperhomocysteinemia. Among polymorphisms, C677T, a thermolabile form, but not A1298C, thermostable, was associated with...
Article
The American Journal of Gastroenterology is published by Nature Publishing Group (NPG) on behalf of the American College of Gastroenterology (ACG). Ranked the #1 clinical journal covering gastroenterology and hepatology*, The American Journal of Gastroenterology (AJG) provides practical and professional support for clinicians dealing with the gastr...
Article
The methodology used in their study is based on International Classification of Diseases, Ninth Revision diagnosis codes, linking them with outcomes of interest: in the thoracentesis cohort, pneumothorax and/or in the paracentesis cohort, bleeding complications (hemorrhage, hematoma, or hemoperitoneum). Briefly, the risk of pneumothorax was 3.09% i...
Article
Full-text available
The innovative article by Lin et al. (1) raises the possibility that certain infections may modulate not only obesity but also diabetes risk. Obesity is currently regarded as an imbalance between food intake and physical exercise, modulated by endocrine and genetic factors. Nonetheless, evidence is available that environmental infections, and notab...
Article
e18518 Background: Trans-Thoracic Ultrasound (TUS) guided Fine Needle Aspiration Biopsy (FNAB) provides a rapid and affordable method of diagnosing and staging lung cancer. It allows safe and easy access to sub-pleural masses. A total of 70% of pleural surface is accessible by TUS, and pulmonary processes, including masses, are visualized when they...
Article
Full-text available
Obesity is associated with numerous metabolic comorbidities. Weight loss is an effective measure for alleviating many of these metabolic abnormalities. However, considering the limited success of most medical weight-management approaches in producing a sustained weight loss, approaches that improve obesity-related metabolic abnormalities independen...
Article
Full-text available
Background: Association of methylenetetrahydrofolate reductase (MTHFR) 677C>T gene polymorphism with hyperhomocysteinemia, renal failure, and cardiovascular events is controversial. We investigated the relationship of MTHFR 677C>T polymorphisms with left ventricular hypertrophy (LVH) and renal insufficiency. Methods: Glomerular filtration rate (...
Article
Full-text available
Health and disease of individuals and of populations are the result of three groups of risk factors: genetics, environment and behavior. Assessment, interventions and tailored changes are possible with integrated approaches more effective if respectful of individuals and different cultures. Assessment tools and integrated interventional strategies...