“…The two questions that could be related to bullying, whether diabetes is contagious from one person to another, and whether the classmate with diabetes can have a snack together with the others, also presented an increase of correct answers after the intervention among the students. These findings are important since episodes/behaviors of exclusion and/or segregation are frequently reported by children and adolescents with diabetes [6], especially at school [23,24]. There was a significant recognition of the insulin shot necessity at school, as part of diabetes management, by the interviewed students.…”
Section: Discussionmentioning
confidence: 83%
“…Some attitudes reflect the level of knowledge on diabetes [2,3], so family members of affected children are constantly concerned about the management of this condition in the schools, as they recognize lack of preparedness in the school staff regarding support for self-care [4,5], and classmates help [6]. In this way, a recent systematic review has shown association between bullying and T1DM when compared to individuals with no such condition in public environments, such as school [6].…”
Section: Introductionmentioning
confidence: 99%
“…The Children and Diabetes in Schools (KiDS) program has been used in several countries to promote diabetes education in the schools [7]. In Brazil, it was implemented in 2014 [6], being one of the basic tools used by the Diabetes Reference Centers in schools in the country [8,9]. In addition to the KiDS educational package, it is recommended to use an interactive methodology in the schools, such as training with the school staff [8,9], and/or playful actions with the students [10].…”
Background Brazil ranks fifth in the world in the number of adults with diabetes, and third for type 1 diabetes. Conducting educational actions on this topic in public schools in this country is extremely important, since it can assist in the early adoption of good life habits and in a better care for students in this condition.Objective The aim of this study was to assess the effectiveness of an educational intervention about diabetes for students and school staff. Methods This is an interventional non-randomized longitudinal study, in which interviews were conducted before and after a playful intervention with the use of theater play and games for students and plus a training for the school staff. Results A total of 89 participants completed the study, being 73 students aged 7 to 12 years old, and 16 school staff. As a result, there was a positive change in knowledge and perception of diabetes by the students. The greatest changes in the answers among the participants, at the post-intervention period, were related to the possibility of consuming something with sugar by those with diabetes, and particularly how to cope in hypoglycemia situations by the school staff. Conclusions Actions like these must be encouraged within the school environment, especially in countries with high prevalence of diabetes.
“…The two questions that could be related to bullying, whether diabetes is contagious from one person to another, and whether the classmate with diabetes can have a snack together with the others, also presented an increase of correct answers after the intervention among the students. These findings are important since episodes/behaviors of exclusion and/or segregation are frequently reported by children and adolescents with diabetes [6], especially at school [23,24]. There was a significant recognition of the insulin shot necessity at school, as part of diabetes management, by the interviewed students.…”
Section: Discussionmentioning
confidence: 83%
“…Some attitudes reflect the level of knowledge on diabetes [2,3], so family members of affected children are constantly concerned about the management of this condition in the schools, as they recognize lack of preparedness in the school staff regarding support for self-care [4,5], and classmates help [6]. In this way, a recent systematic review has shown association between bullying and T1DM when compared to individuals with no such condition in public environments, such as school [6].…”
Section: Introductionmentioning
confidence: 99%
“…The Children and Diabetes in Schools (KiDS) program has been used in several countries to promote diabetes education in the schools [7]. In Brazil, it was implemented in 2014 [6], being one of the basic tools used by the Diabetes Reference Centers in schools in the country [8,9]. In addition to the KiDS educational package, it is recommended to use an interactive methodology in the schools, such as training with the school staff [8,9], and/or playful actions with the students [10].…”
Background Brazil ranks fifth in the world in the number of adults with diabetes, and third for type 1 diabetes. Conducting educational actions on this topic in public schools in this country is extremely important, since it can assist in the early adoption of good life habits and in a better care for students in this condition.Objective The aim of this study was to assess the effectiveness of an educational intervention about diabetes for students and school staff. Methods This is an interventional non-randomized longitudinal study, in which interviews were conducted before and after a playful intervention with the use of theater play and games for students and plus a training for the school staff. Results A total of 89 participants completed the study, being 73 students aged 7 to 12 years old, and 16 school staff. As a result, there was a positive change in knowledge and perception of diabetes by the students. The greatest changes in the answers among the participants, at the post-intervention period, were related to the possibility of consuming something with sugar by those with diabetes, and particularly how to cope in hypoglycemia situations by the school staff. Conclusions Actions like these must be encouraged within the school environment, especially in countries with high prevalence of diabetes.
“…However, they manage to adapt physically and emotionally to their environment as time goes by. Previous studies also reported that diabetes could be a limiting factor for socialization (Andrade & Alves, 2018). Socializing with other people has been one of the most challenging experiences for them since there are some activities that they can't participate in, which would result in them not being able to interact with others.…”
“…Reports involving violence in patients with pediatric chronic diseases followed up in tertiary services were generally restricted to case series of specific pediatric chronic conditions, such as disabilities, 7 human immunodeficiency virus (HIV), 8 , 9 diabetes mellitus, 10 , 11 juvenile idiopathic arthritis, 12 and childhood-onset systemic lupus. 13 …”
Objective: The objective of this study was to assess interpersonal nonsexual violence against children and adolescents in a tertiary university hospital. Methods: A cross-sectional study was performed in 240 patients under nonsexual violence situation for 15 consecutive years. Data analyses included demographic data, hospital referral site, type and author of nonsexual violence, legal referral, laboratorial and imaging examinations, and outcomes. Results: Nonsexual violence situation was diagnosed in 240 (0.1%) of 295,993 patients for 15 years: 148 (61.7%) in children and 92 (38.3%) in adolescents. Out of 240, the most frequent types of violence were negligence in 156 (65.0%), physical 62 (25.8%), psychological/emotional aggression 52 (21.7%), Munchausen by proxy syndrome 4 (1.7%), and bullying/cyberbullying in 3 (1.3%). Out of 123, the most common pediatric chronic conditions were chronic kidney disease 24 (19.5%), human immunodeficiency virus 14 (11.4%), prematurity 9 (7.3%), cerebral palsy 8 (6.5%), and asthma 8 (6.5%). Further comparison between children versus adolescent under nonsexual violence situation revealed significant difference between the hospital referral sites. The frequency of patients under violence referred from outpatient clinics was significantly reduced in children versus adolescents (27.7 vs. 62%), whereas emergency department was higher in the former group (57.4 vs. 25.0%; p<0.001). All types of violence situations and pediatric chronic conditions were similar in both groups (p>0.05). Conclusions: Nonsexual violence against our pediatric population was rarely diagnosed in a tertiary hospital, mainly negligence, physical, and psychological/emotional aggression. Approximately two-thirds of violence diagnosis occurred in children, referred mainly by the emergency department. In contrast, approximately one-third of violence diagnosis occurred in adolescents, referred mostly by outpatient clinics.
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