Papers by Felipe Rech Ornell
Trends in Psychiatry and Psychotherapy, 2021
The COVID-19 pandemic is unquestionably impacting on the mental health of the population worldwid... more The COVID-19 pandemic is unquestionably impacting on the mental health of the population worldwide. Fear of contamination can both increase levels of stress in healthy individuals and intensify psychiatric symptoms in patients with pre-existing conditions, especially obsessive-compulsive disorder (OCD). During the COVID-19 pandemic, the imminent risk of contamination creates a logical need for self-surveillance and hygiene habits. However, this kind of information can have drastic implications for subjects with OCD, since cognitive distortions and compensatory strategies (cleansing rituals) are no longer irrational or oversized – rather, these ideas become legitimate and socially accepted, generating plausible validation for the intensification of compulsive cleaning rituals. Patients who presented remission of OCD symptoms would be more likely to have a relapse, and subclinical patients may scale up and ultimately be diagnosed with OCD due to the reinforcement of their habits, emot...
Revista de Epidemiologia e Controle de Infecção
Background: The epidemic of coronavirus disease 2019 (COVID-19) is a challenging public health pr... more Background: The epidemic of coronavirus disease 2019 (COVID-19) is a challenging public health problem. The identification of risk groups is essential for the establishment of prevention, screening, containment and treatment strategies. In Brazil, overcrowding and unsanitary conditions in prisons have been a problem for a long time that facilitates infection diseases. Objective: To reflect on the vulnerability of the prison population to COVID-19 and the implications of possible outbreaks in public health Method: Theoretical-reflective study. Results: The prison population has a high clinical vulnerability to contamination by COVID-19. This is aggravated by the structural conditions of prisons, which increases the spread of diseases, especially respiratory conditions, and hinders the establishment of preventive measures. The health care strategies of this population are still insufficient. Conclusion: Outbreaks of COVID-19 in prisons affect prisoners, staff and family members, and c...
Cadernos de Saúde Pública
The impact of the COVID-19 pandemic on the mental health of healthcare professionals O impacto da... more The impact of the COVID-19 pandemic on the mental health of healthcare professionals O impacto da pandemia de COVID-19 na saúde mental dos profissionais de saúde El impacto de la pandemia de COVID-19 en la salud mental de los profesionales de la salud
Trends in Psychiatry and Psychotherapy
Introduction: Drug-related crimes, especially drug trafficking, account for a large part of incar... more Introduction: Drug-related crimes, especially drug trafficking, account for a large part of incarcerations not only in Brazil, but also worldwide. It is not clear whether the change in the drug law has contributed to the increase in the number of drug trafficking prisoners. Few studies have investigated gender differences and the growth of drug trafficking offenses in the Brazilian southern state of Rio Grande do Sul. Objective: To investigate the growth of the prison population in the state of Rio Grande do Sul, emphasizing incarcerations for drug trafficking and gender differences. Method: This was an ecological study using secondary data collected from official databases of the Brazilian National Penitentiary Department (Departamento Penitenciário [DEPEN]), affiliated with the Brazilian Ministry of Justice. Results: Between 2006 and 2015, incarcerations increased by 27% (25% men, 83% women). Incarcerations for drug trafficking accounted for 11% of total arrests in 2006 (11% men, 20% women) and 45% in 2015 (47% men, 91% women), corresponding to an increase of 427% (415% among men, 723% among women). Conclusions: Imprisonment for drug trafficking has increased considerably, especially among women. This may be due to factors such as: increase of drug trafficking, increase in the numbers of gangs in the state, and changes in the Brazilian drug law. These results highlight an emerging challenge in public health from the perspective of human rights and gender.
Brazilian Journal of Psychiatry, Apr 3, 2020
Revista debates in psychiatry, 2020
Pandemia de medo e CoVid-19: imPaCto na saúde mental e PossíVeis estratégias * "PandemiC fea... more Pandemia de medo e CoVid-19: imPaCto na saúde mental e PossíVeis estratégias * "PandemiC fear" and CoVid-19: mental health burden and strategies Após o ataque de 11 de setembro nos Estados Unidos e o incêndio da boate Kiss no Brasil, forças-tarefa de assistência psicológica para vítimas e suas famílias foram rapidamente organizadas. No entanto, durante as pandemias, é comum que os profissionais de saúde, cientistas e gestores se concentrarem predominantemente no patógeno e no risco biológico, em um esforço para entender os mecanismos fisiopatológicos envolvidos e propor medidas para prevenir, conter e tratar a doença. Nessas situações, as implicações psicológicas e psiquiátricas secundárias ao fenômeno, tanto no nível individual quanto no coletivo, tendem a ser subestimadas e negligenciadas, gerando lacunas nas estratégias de enfrentamento e aumentando a carga de doenças associadas. 1,2 Embora as doenças infecciosas tenham surgido em vários momentos da história, nos último...
Neuroscience letters, Jan 5, 2018
Crack-cocaine is an important public health problem in Brazil and worldwide. It is a potent form ... more Crack-cocaine is an important public health problem in Brazil and worldwide. It is a potent form of cocaine which results in rapid and damaging stimulating effects on the central nervous system through inhibition of the dopamine transporter. Some studies have suggested that both food and drugs - including crack, can act on the same brain reward mechanisms, altering the dopamine pathways that modulate behavioral responses. Our hypothesis was that leptin, a well-known peptide that modulates energy metabolism and appetite, can be used as a biomarker for drug use. Anthropometric data, drug use profiles, and leptin serum levels were evaluated in a cross-sectional study of 40 crack-cocaine users. Leptin showed an inverse correlation with the severity of crack use, and this correlation remained when corrected by body mass index (BMI) and body composition by bioimpedance (BIA). The majority of subjects were eutrophic or overweight/obese considering BMI and BIA, and these variables were not ...
Drug and Alcohol Dependence, 2017
Please cite this article in press as: Scherer, J.N., et al., Erratum to “Prevalence of driving un... more Please cite this article in press as: Scherer, J.N., et al., Erratum to “Prevalence of driving under the influence of psychoactive substances and road traffic crashes among Brazilian crack-using drivers” [Drug Alcohol Depend. (2016) 255–262]. Drug Alcohol Depend. (2016), http://dx.doi.org/10.1016/j.drugalcdep.2016.11.004 ere incorrectly shown as collaborators. The correct list of authors is shown below: Juliana Nichterwitz Scherer∗, Roberta Silvestrin, Felipe Ornell, Vinícius Roglio, Tanara Rosangela Vieira Sousa, Brazilian Crack Group1, isia Von Diemen, Felix Henrique Paim Kessler, Flavio Pechansky. The publisher would like to apologise for any inconvenience caused.
Drug and Alcohol Dependence, 2016
Revista de Epidemiologia e Controle de Infecção, 2020
Introduction: Rio Grande do Sul is among the Brazilian states with the highest percentage of elde... more Introduction: Rio Grande do Sul is among the Brazilian states with the highest percentage of elderly people, in addition, high rates of HIV / AIDS have been verified in the general population, however, there are few scientific investigations exploring this subject. Objective: To identify the annual incidence of AIDS diagnoses in the population aged 60 years or older residing in the state of Rio Grande do Sul (RS), Brazil, from 1997 to 2017 and also to compare the sex differences in infection rates. Method: Time series ecological study. Results: Between 1997 and 2017, 3,697 AIDS cases were reported in the elderly in RS. In the comparison between 1997 and 2017, the annual incidence of AIDS in the elderly in RS increased from 3.92 to 13.71 / 100,000 inhabitants, an increase of 249.93% (340.49% among men and 171.50%). among women). Conclusions: The percentage of AIDS diagnosed in the elderly in RS was six times higher than in the general population. This may be due to increased life exp...
Pensando Famílias, 2020
A pandemia da COVID-19 tem gerado inúmeros desafios em diversas esferas sociais e políticas. A in... more A pandemia da COVID-19 tem gerado inúmeros desafios em diversas esferas sociais e políticas. A inexistência de fármacos para imunização ou tratamento tornou o isolamento social a principal estratégia para conter a disseminação da doença. Diante disso, inúmeras mudanças drásticas no cotidiano individual, familiar e social tem sido observadas, gerando estressores potenciais que podem facilitar a instalação de conflitos. Isso tem implicado no aumento dos casos de violência doméstica, sobretudo durante a quarentena. Diversos fatores podem explicar este fenômeno como o estresse, dificuldades econômicas, maior tempo de convívio e o aumento do consumo de substâncias. Além disso, o isolamento social limitou a possibilidade vítimas de violência acionarem as redes de apoio sociais ou assistenciais. Assim, conduzimos um estudo teórico reflexivo com o objetivo de discutir os principais impactos da pandemia nas mulheres vítimas de violência doméstica e sua interface com o consumo de substâncias, bem como propor recomendações de ações para os diferentes níveis de atuação. Palavras-chave: violência doméstica; substancias psicoativas; COVID-19. Domestic Violence and Drug Use during the COVID-19 Pandemic
Trends Psychiatry Psychother. , 2020
Drug-related crimes, especially drug trafficking, account for a large part of incarcerations not... more Drug-related crimes, especially drug trafficking, account for a large part of incarcerations not only in Brazil, but also worldwide. It is not clear whether the change in the drug law has contributed to the increase in the number of drug trafficking prisoners. Few studies have investigated gender differences and the growth of drug trafficking offenses in the Brazilian southern state of Rio Grande do Sul. Objective: To investigate the growth of the prison population in the state of Rio Grande do Sul, emphasizing incarcerations for drug trafficking and gender differences. Method: This was an ecological study using secondary data collected from official databases of the Brazilian National Penitentiary Department (Departamento Penitenciário [DEPEN]), affiliated with the Brazilian Ministry of Justice. Results: Between 2006 and 2015, incarcerations increased by 27% (25% men, 83% women). Incarcerations for drug trafficking accounted for 11% of total arrests in 2006 (11% men, 20% women) and 45% in 2015 (47% men, 91% women), corresponding to an increase of 427% (415% among men, 723% among women). Conclusions: Imprisonment for drug trafficking has increased considerably, especially among women. This may be due to factors such as: increase of drug trafficking, increase in the numbers of gangs in the state, and changes in the Brazilian drug law. These results highlight an emerging challenge in public health from the perspective of human rights and gender.
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Papers by Felipe Rech Ornell