Kaposis sarcoma is the most common malignancy seen with HIV infection. It is a lymphoangioproliferous tumor first described by Moritz Kaposi in 1872. It is characterized by bluish red or dark brown plaques and nodules, especially in the distal of the lower extremities, often the heels and feet. Organ involvement without skin findings is observed in approximately 15% of the cases. There are four clinical variants, the classical, endemic, iatrogenic and the epidemic associated with AIDS. Kaposis sarcoma in AIDS cases apart from the skin, it can also be seen in the oral cavity, gastro-intestinal system and respiratory system. Antiretroviral therapy (ART) should be started immediately in newly diagnosed HIV infected patients. In this research, a 65 year old male patient, who was diagnosed AIDS and Kaposis sarcoma at the same time, is described.

Hydrops fetalis is the abnormal accumulation of fluid in two or more different fetal compartments and most times associated with polyhydramnios and placental edema, and has an estimated incidence of about 1 in 3000 pregnancies. A 27-year-old multigravida; G8P7, was referred for the first ultrasonography in the Index pregnancy on account of not feeling/observing fetal movement for about two-weeks. The obstetric ultrasonography demonstrated a single fetus with absent fetal heartbeat, in hyper-flexed position, accumulation of fluid in the abdominal cavity; right sub-diaphragmatic region and in the right pleural cavity in keeping with fetal ascites and fetal effusion. There is overriding of fetal skull with Thickened/edematous placenta with a thickness of about 7cm, and fetal skin thickness of about 10mm. There is associated intrafetal gas. The estimated femoral length gave a gestational age approximating 41-weeks. A diagnosis of hydrops fetalis most likely non-immune form with fetal demise presenting at 41-weeks gestational age in a multiparous woman with features anemia presumably from sepsis and urinary tract infection (bilateral pyelonephritis and cystitis) in a setting of poor antenatal care was entertained. The fetus was expelled following induction of labor at the peripheral centre, the patient had transfusion done with commencement of antibiotics for correction of anemia and sepsis with plans of further clinical and laboratory evaluation. We present the ultrasonographic features of hydrops fetalis with intrauterine fetal demise due to its unique presentation.

Alopecia areata (AA) is an autoimmune disorder which accounts for the most frequent cause of inflammation based hair loss among dermatological outpatient attendances. It has an unpredictable course and its etiology has not yet been fully elucidated. Many alternatives treatments are available; however, none of them have been curative or preventive so far. Its treatment must be individualized, and aims at suppressing the phase of activity of the disease. Alopecia areata (AA) persistent for a minimum of 6 months and resistant to other treatments and/or severe AA are indications to use diphencyprone (DPCP). We report a 9 year-old boy with diffuse alopecia areata, who underwent topical immunotherapy with diphencyprone. The application procedures, the results obtained and the clinical follow-up are described. Treatment alternatives should be tried, especially in the pediatric age group, due to the prominent effects of the disease on the patient’s quality of life and consequent development of psychological impairments. In this case; DPCP application is a preferable treatment option in AA in the pediatric age group because is very easy, effective and with less side effects.

Background. In Cuba all health services are covered by the fiscal resources. That’s why the Cuban government most takes heavy decisions to support the transportation and electrician services for health services. The majority from the electricity generated in Cuba is obtained by gross petroleum. Then, the health services and the patient’s satisfaction are close related to the importation of gross petroleum to support the electrician and the health services transportation demand. The use of photovoltaic sun energy contributes to reduce the electrician demand generated by fossil fuel, to reduce the importation of gross petroleum to generate electricity and the save in international currency obtained may be used to cover the importation costs related to transportation services for the health services. Objective. To value the use of photovoltaic sun energy to support the hospital services in Havana. Materials and methods. Was made a descriptive research about the benefits utilizing the photovoltaic sun energy to support the hospital services in Havana. As theorical methods were utilized the inductive – deductive, the comparative and the historical – logical. As empiric methods were used the document and bibliographic research and the arithmetic calculus. Results. If these hospitals considered should install 5000 photovoltaic cell, they should generate 236.25 MW during 350 days at year. This electricity represents the substitution of 65677.5 MT of this fossil fuel annually. Conclusions. Photovoltaic sun energy shows several benefits for developing countries in tropical zones as Cuba. The example showed before should be taken account in health systems of tropical countries as example to reduce the health services costs and increase the patient satisfaction too.

Background: Smoking control is full important in Cuba. Cuban tobacco industry looks for the significant tobacco consumption growing. However, Cuban Public Health has a national program against smoking. This health institution contributes to generalist some smoking researches. By this institution is possible to call the main health professional related with the smoking control around the country. Much from these professionals haven´t a sufficient academic formation in Health Economy subjects for the smoking control. This condition and previous related are showing the real necessity to make available a postgraduate strategic for the smoking economic control since the Health Economy point of view. Objective: To design a postgraduate educational strategic for the smoking economic control in Cuba. Materials and Methods: Theoric methods: inductive – deductive, comparative and systematization. Empiric method: bibliographic and documental research. Results: The postgraduate educational strategic appoint to the professionals from the Public Health close related to the smoking control. It is formed by six courses, one of them is a diploma course. Inside each course a subject is supported by the previous. By this way is possible obtain a logic process in the postgraduate teaching about the smoking economic control. Conclusions: Was designed a postgraduate educational strategic for the smoking economic control in Cuba, agree to real needs from the health professionals related with the smoking control.