The two-day workshop "No Jacket Required: informal talk about pediatrics (and around)" was held in Brindisi, Italy, on Jan 20-21, 2023, in Italian and English.

Presidente: Fulvio Moramarco
Responsabile Scientifico: Francesco Gallo

Pediatria - Ospedale "A. Perrino" - Brindisi

Segreteria Organizzativa: Atena Eventi

Scientific rationale

NO JACKET REQUIRED aimed to be a meeting which, while maintaining a high scientific value, provided for a less formal approach than the classic meeting: it aimed to promote the exchange of points of view on topics of common interest and discussing with colleagues, even more experts, constructively and honestly. It can be said the abovementioned aim was achieved.

The structuring of the meeting included masterful readings, comparisons between colleagues who are a point of reference in specific fields and round tables. The topics ranged in different areas of pediatrics, with the aim of knowing the state of the art in different subspecialties but keeping an eye on the diagnostic and therapeutic future.

We discussed whether or not to use technological tools at the onset of type 1 diabetes; of growth hormone, especially on the next use of the long-acting drug; of current topics in the field pediatric gastroenterology. We talked about drugs that are changing the natural history of some diseases affecting children; of the serious problem of the explosion of cases of metabolic syndrome in age adolescent and how to deal with it. The topicality of covid and long covid was evaluated; the so-called slow medicine was discussed. The need to create a corporate PDTA for bronchiolitis, shared with the territory, was weighted. Attention was paid to the growing role of lung ultrasound in sub-intensive and intensive care. The keynote lectures focused on the topicality and hopes of research in the diabetes field, on the use of the estrogen-progestin pill in adolescents, on the relationship between population and government when public health choices are needed.

PROGRAM (in Italian) (PDF 1.1 MB)

SAMPLE PRESENTATIONS


Y.Socol. Deontological and utilitarian approaches in medicine: mandatory/coercive treatment and beyond (PDF 2.2 MB)

According to the utilitarian approach, any coercion (including medical) is justified if it results in overall statistical public benefit. The strictly-utilitarian approach is hardly applicable in situations with uncertainty, and also has built-in moral problems. According to the deontological (or religious) approach, even if it is proven that the statistical benefit of this or that medical intervention (including but not limited to vaccination) outweighs the risk, it is forbidden to impose it on a person/parent who objects to it. The reason is that it is forbidden to deliberately harm or risk a person, even in order to save greater harm or risk from another or even many (similar considerations have been recently applied to the analysis of the so-called "trolley problem"). We claim that the same conclusion - prohibition of medical coercion - is reached in the utilitarian approach also, if we deal with the problem in the long term. Namely, by enabling coercion we create a slippery slope; this slope inevitably leads to situations when coercion is used for achieving not public good, but the good of decision-makers on the account of the public.

M.Trada. TECNOLOGIE ALL’ESORDIO DEL DIABETE: Necessità o spreco? (PDF 4.6 MB)

Web design: Yehoshua Socol, Jerusalem College of Technology, Israel