[Bilateral uveitis associated with protein kinase inhibitor-based treatment of skin melanoma (case study)]. / Dvustoronnii uveit, obuslovlennyi priemom ingibitora proteinkinazy pri lechenii melanomy kozhi (klinicheskoe nablyudenie).

The article presents a clinical case of bilateral uveitis with macular edema that developed during long-term administration of vemurafenib. Methods of conservative treatment of malignant tumors are presently available and reasonably effective. However, at the same time drugs can have toxic effect on normal cells in various tissues of the body. According to our data, the use of corticosteroids can ameliorate the clinical signs of macular edema associated with uveitis, but with a tendency to recur. Only complete cancellation of vemurafenib provided remission of sufficient duration, which is fully consistent with clinical observations made by colleagues. Therefore, when prescribing long-term therapy with vemurafenib, in addition to periodic observation by an oncologist, it is also mandatory to continue follow-up observation by an ophthalmologist. Partnership between health care specialists could help avoid severe ocular complications.

Resistive reduced MHD modeling of multi-edge-localized-mode cycles in Tokamak X-point plasmas.

The full dynamics of a multi-edge-localized-mode (ELM) cycle is modeled for the first time in realistic tokamak X-point geometry with the nonlinear reduced MHD code jorek. The diamagnetic rotation is found to be instrumental to stabilize the plasma after an ELM crash and to model the cyclic reconstruction and collapse of the plasma pressure profile. ELM relaxations are cyclically initiated each time the pedestal gradient crosses a triggering threshold. Diamagnetic drifts are also found to yield a near-symmetric ELM power deposition on the inner and outer divertor target plates, consistent with experimental measurements.

Mechanism of edge localized mode mitigation by resonant magnetic perturbations.

A possible mechanism of edge localized modes (ELMs) mitigation by resonant magnetic perturbations (RMPs) is proposed based on the results of nonlinear resistive magnetohydrodynamic modeling using the jorek code, realistic JET-like plasma parameters and an RMP spectrum of JET error-field correction coils (EFCC) with a main toroidal number n=2 were used in the simulations. Without RMPs, a large ELM relaxation is obtained mainly due to the most unstable medium-n ballooning mode. The externally imposed RMP drives nonlinearly the modes coupled to n=2 RMP which produce small multimode relaxations, mitigated ELMs. The modes driven by RMPs exhibit a tearinglike structure and produce additional islands. Mitigated ELMs deposit energy into the divertor mainly in the structures ("footprints") created by n=2 RMPs, however, slightly modulated by other nonlinearly driven even harmonics. The divertor power flux during a ELM phase mitigated by RMPs is reduced almost by a factor of 10. The mechanism of ELM mitigation by RMPs proposed here reproduces generic features of high collisionality RMP experiments, where large ELMs are replaced by small, much more frequent ELMs or magnetic turbulence. Total ELM suppression was also demonstrated in modeling at higher RMP amplitude.