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In few cases, the presence of typical hyperprolactinemia-related clinical symptoms and their disappearance after treatment with DA suggests biological activity of macroprolactin comparable with that of monomeric prolactin isoform. Decrease of macroprolactin levels after DA treatment could suggest tumoral origin of the high-molecular isoform in these rare cases. Although macroprolactinemia is considered a benign condition, pituitary imaging, DA treatment, and prolonged follow-up may be necessary in certain cases. An individualized approach to the management of patients with macroprolactinemia should be applied.

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A microfluidic sensor was studied for the photometric detection of active chlorine, total chlorine, and pH in swimming pool samples. The sensor consisted of a four-layer borosilicate glass chip, containing a microchannel network and a 2.2 mm path length, 1.7 mL optical cell. The chip was optimised to measure the bleaching of methyl orange and spectral changes in phenol red for quantitative chlorine (active and total) and pH measurements that were suited to swimming pool monitoring. Reagent consumption (60 mL per measurement) was minimised to allow for maintenance-free operation over a nominal summer season (3 months) with minimal waste. The chip was tested using samples from 12 domestic, public, and commercial swimming pools (indoor and outdoor), with results that compare favourably with commercial products (test strips and the N,N’-diethyl-p-phenylenediamine (DPD) method), precision pH electrodes, and iodometric titration.

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IntroductionThe aim of the present study was to evaluate the influence of clinicopathological factors including age, gender, tumor grade, tumor stage, lymphovascular invasion (LVI), tumor necrosis and previous history of non-muscle invasive bladder cancer on outcomes of patients with upper tract urothelial carcinoma (UTUC) treated with radical nephroureterectomy (RNU).Material and methodsA total of 60 patients who underwent radical nephroureterectomy for upper tract urothelial carcinoma at our institute between 2005 to 2012 were included in our study. Univariate and multivariate analysis was performed using the Kaplan-Meier method, log rank statistics, the chi-square test and Cox regression models.ResultsThe mean length of follow-up time was 33.3 months. There were 27 (45%) patients alive with the disease, whereas 33 (55%) were dead. In 19 cases (31.7%) the tumor grade was low, while in 41 cases (68.3%) it was high. Lymphovascular invasion was observed in 28 (46.7%) cases. Tumor necrosis was registered in 14 patients (23.3%). From the patients with LVI, 3 (9.6%) were alive, whereas from the patients negative for LVI, 75% were alive. Significant relationship was found between gender and grading and between positive LVI and low grading.ConclusionsDay case Variables such as gender, grading, tumor stage, LVI and tumor necrosis were all demonstrated to be significant independent prognostic factors for the overall survival. On the multivariate analysis only LVI remained statistically significant, which may explain the different clinical course in patients and could be considered as a part of pathological reporting and treatment planning for the future.