Publications by authors named "Patrick Woodburn"

Background: A lack of clarity remains over the optimal strategy for the management of laparoscopic adjustable gastric band (LAGB) slippage, which, although rare (around 3% in our experience), can when acute result in obstruction, gastric erosion or ischaemia. Typically, slipped bands are removed acutely. The aim of this study was to explore outcomes following immediate or delayed resiting of slipped LAGBs in a single centre, comparing simple repositioning with retunnelling and replacement.

View Article and Find Full Text PDF

Background: Helminth infections affect the human immune response. We investigated whether prenatal exposure to and treatment of maternal helminth infections affects development of an infant's immune response to immunisations and unrelated infections.

Methods: In this randomised, double-blind, placebo-controlled trial, we enrolled 2507 women in the second or third trimester of pregnancy who were planning to deliver in Entebbe General Hospital, Entebbe, Uganda.

View Article and Find Full Text PDF

Background: Understanding the determinants of major depression in sub-Saharan Africa is important for planning effective intervention strategies.

Objective: To investigate the social and life-event determinants of major depressive disorder in the African sociocultural context of rural Uganda.

Methods: A cross-section survey was carried out in 14 districts in Uganda from 1 June 2003 to 30 October 2004.

View Article and Find Full Text PDF

Background: Infections during pregnancy may have serious consequences for both mother and baby. Assessment of risk factors for infections informs planning of interventions and analysis of the impact of infections on health outcomes.

Objectives: To describe risk factors for helminths, malaria and HIV in pregnant Ugandan women before intervention in a trial of de-worming in pregnancy.

View Article and Find Full Text PDF

Objective: To describe uptake of HIV and syphilis testing in a prevention of mother-to-child HIV transmission programme in Uganda.

Methods: Analysis of data from routine HIV and syphilis testing at Entebbe Hospital antenatal services.

Results: A total of 20,738 women attended antenatal services.

View Article and Find Full Text PDF

Background: Currently, there are no comparable estimates of the short-term risk of disease progression in the absence of effective antiretroviral therapy for human immunodeficiency virus (HIV)-infected adults and children.

Methods: A joint analysis of 2 large studies of children with vertically acquired HIV infection (the HIV Paediatric Prognostic Markers Collaborative Study) and adults with seroconversion (the CASCADE [Concerted Action on Sero-Conversion to AIDS and Death in Europe] collaboration) was conducted. Follow-up was censored at the end of 1995, before the introduction of combination antiretroviral therapy.

View Article and Find Full Text PDF

It is suggested that helminths, particularly hookworm and schistosomiasis, may be important causes of anaemia in pregnancy. We assessed the associations between mild-to-moderate anaemia (haemoglobin >8.0 g/dl and <11.

View Article and Find Full Text PDF