Resumo Objetivos: apresentar uma análise do acompanhamento de crianças expostas e gestantes vivendo com HIV atendidas em um serviço público de referência de uma capital brasileira. Métodos: trata-se de estudo transversal, com dados sociodemográficos e clínicos obtidos em prontuários físicos e eletrônicos mulheres vivendo com HIV e crianças expostas, atendidas entre 2000 a 2018 em um serviço de atenção secundária à saúde. Para as associações foi utilizado o teste qui-quadrado, com significância de 5%. Resultados: foram analisados dados de 183 gestações de 150 mulheres e 214 crianças expostas a infecção pelo HIV As mulheres possuíam baixa escolaridade, eram pardas ou pretas, solteiras, multíparas, com diagnóstico de HIV durante o pré-natal, com início do acompanhamento a partir do terceiro trimestre de gestação e uso de profilaxia durante o parto. Quanto às crianças, as associações foram significativas para notificação no SINAN, admissão no serviço de saúde, uso de profilaxia indicando melhor acompanhamento para aquelas que moravam na capital do estado. Conclusões: as medidas de prevenção recomendadas pelo Ministério da Saúde, em geral, foram seguidas, porém apresentaram pior cenário as crianças e gestantes que residiam em outros munícipios quando comparadas as da capital. Foram identificados casos não notificados no SINAN. Essas questões podem contribuir para novos casos de transmissão vertical do HIV.

Abstract Objectives: to present an analysis of the follow-up of exposed children and pregnant women living with HIV who are assisted in a reference public healthcare service of a Brazilian capital. Methods: this is a cross-sectional study with sociodemographic and clinical data obtainedfrom physical and electronic medical records of women living with HIV and exposed children, treated between 2000 and 2018, in a secondary healthcare service. For associations, the chi-square test at 5% significance was used. Results: the data about 183 pregnancies and 214 children from the capital or other municipalities in the state were analyzed. The women have low schooling, are brown or black, single, multiparous, diagnosed with HIV during prenatal care, with the start of follow-up from the third trimester of pregnancy and the use of prophylaxis during childbirth. As for children, the associations were significant for notification on SINAN, admission to the health service, use of prophylaxis indicating better monitoring for those who live in the state capital. Conclusions: the prevention measures recommended by the Ministry of Health, in general, were followed, but children and pregnant women who live in other cities were worse off than those ones in the capital. Unnotified cases were identified on SINAN. These issues may contribute to new cases of vertical transmission of HIV.

Anatomy is the science that studies the body and a basic discipline in health and biological sciences indispensable to students that study this area, and plays a important role in the comparison of species. Nowadays anatomy is falling into academic and scientific crisis. Recently, the number of papers and reviews on health science education have increased considerably. Pre-clinical disciplines are essential for all health and biological science courses; among them anatomy is considered to be the basis of morphological sciences. For that reason, throughout history, this discipline has been viewed as a factual knowledge base that must be learned in its entirety. History of anatomy demonstrated that teaching in this area is facilitated by the use of dissection of both animal and human disciplines. In absence of human cadavers, it is possible to use animals for dissection for the benefits of students. The aim of this paper is to serve as a reminder to understand that anatomy is the basis of current health science and to realize what is important in the teaching of anatomy. It is also important to learn anatomy since researchers sometimes draw wrong conclusion because of lack of anatomical knowledge.

La anatomía es la ciencia que estudia el cuerpo y una disciplina básica en ciencias de la salud y biológicas, indispensables para los estudiantes que tratan esta materia, teniendo además, un importante papel en la comparación de las especies. Actualmente, la anatomía está en una crisis académica y científica. Por otra parte, recientemente, el número de artículos y revisiones en la educación en ciencias de la salud han aumentado considerablemente. Las disciplinas pre-clínicas son esenciales para todos los cursos de salud y ciencias biológicas, entre ellas, la anatomía es considerada como la base de las ciencias morfológicas. Por esa razón, a lo largo de la historia, la anatomía ha sido considerada como una base de conocimiento de los hechos que deben ser aprendidas en su totalidad. La historia de la anatomía ha demostrado que la enseñanza en esta área se ve facilitada por el uso de la disección de animales. En ausencia de cadáveres humanos, es posible utilizar los animales para la disección, generando así beneficios para los estudiantes. El objetivo de este trabajo fue recordar el pasado para entender que la anatomía es la base de la ciencia de la salud actual y darse cuenta de la importancia de la enseñanza de esta disciplina. Finalmente, es importante recordar que los investigadores algunas veces han llegado a conclusiones erróneas debido a la falta de conocimiento sobre temas anatómicos.

Recently, the curriculum and the educational methodologies associated with health sciences courses are being reviewed and adapted. Pre-clinical sciences, such as anatomy and embryology are as well subjected to those changes. In human embryology courses it is common to use models to represent the different phases of development to facilitate learning, since the students can see and touch the models, obtaining knowledge by analogies. The purpose of the present study was to investigate if the construction of models by the students during practical embryology classes would improve or facilitate their learning. One year after the classes, 60 students answered a questionnaire with nine objective questions, including spaces for suggestions and observations. The student's responses suggested that the construction of models contributed to their learning.

Recientemente, el plan de estudios y las metodologías educativas asociadas a los cursos de ciencias de la salud están siendo revisados y adaptados. Ciencias pre-clínicas tales como la Anatomía y la Embriología son también sometidas a cambios. En los cursos de Embriología Humana, es común el uso de modelos para representar las diferentes fases del desarrollo, y así facilitar el aprendizaje, ya que los estudiantes pueden ver y tocar los modelos, así se realiza la obtención de conocimientos por medio de analogías. El propósito del presente estudio fue investigar si la construcción de modelos por parte de los estudiantes, durante las clases prácticas de Embriología, mejora o facilita su aprendizaje. Después de un año, 60 estudiantes respondieron a un cuestionario con nueve preguntas objetivas, incluidos los espacios para sugerencias y observaciones. De acuerdo con las respuestas de los estudiantes, la construcción de modelos han contribuido a su aprendizaje.