Browsing by Author "Muche, Abebe"

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    Effect of Ethanol and Khat (Catha Edulis Forsk)on Cerebellar Cortex of the Rat
    (Addis Abeba University, 2004-12) Muche, Abebe; Makonnen, Eyasu (Professor)
    This experimental study included three age groups of rats: post natal day (PND) 6, 13 and 30. Each group contained control, ethanol treated (ET), khat treated (KT) and combination of khat and ethanol treated (CT) categories. They were treated with vehicle, ethanol and khat, respectively for 30 days using blunt needle. At the end of experiment, all the animals were scarified, their brain was dissected out and immersion fixed. The brain and cerebellum were separately weighed, and cerebellum was processed for routine histology and sectioned. The serially sectioned tissues of cerebellum was stained with toluidine blue and observed using light microscope. In the rats of all age groups, the body weight increment at the end of experimental period was significantly less in the treated ones than their respective controls at P< 0.01. Between the treated rats, this was less for the ET rats than the KT rats, although not statistically significant (P>0.05). Similarly, the weight of the brain as a whole and cerebellar weight, part of brain, of the treated rats were significantly less than their respective controls (P<0.01). These weights were also less for the ET rats than for the KT rats, though not statistically significant. In the rats of PND 6 group, the following results were found: The volume of cerebellar cortex as well as the total number of Purkinje neurons of the ET rats were significantly less than the controls and KT rats at P<0.01 and P<0.05, respectively. However, no statistically significant difference was observed between the controls and KT rats. The numerical density and volume fractionof Purkinje neurons of ET rats was found to be significantly greater than those of control or KT rats (P<0.05). In addition, the numerical density and volume fraction of Purkinje neurons were greater in the KT rats than their corresponding controls, but no Xi statistically significant difference was observed. The mean diameter of Purkinje neurons was significantly less in the ET rats than in KT rats which in turn was significantly less than the control rats (P<0.01).In the rats of PND 13 and 30, the patterns of the results of all the different parameters investigated consistently followed those of the rats of PND 6 as summarized above, However, the values were found to be statistically non- significant. In addition, the results of all the parameters for the CT rats of PND 30 rats showed values in between KT and ET rats, though these were also statistically non- significant. However, CT rats of PND 6 and 13 died after two days of treatment. In conclusion, the study depicted that PND 6 is an extremely vulnerable period during which the rat cerebellar Purkinje neurons are particularly susceptible to the effect of high dose of ethanol. However, a similar level and duration of ethanol exposure commencing during PND 13 and 30 has no significant effect on the volume of cerebellar cortex, numerical density of Purkinje neurons, total number of Purkinje neurons and volume fraction of Purkinje neurons. Treatment of khat and combination of khat and ethanol is lethal at an early age, however it does not significantly change the above mentioned parameters at the latter ages (PND 30) Key words: Cerebellar cortex, Purkinje neurons, Stereology, Khat, Ethanol, Post natal day
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    Serum lipid profiles of patients taking efavirenz based antiretroviral regimen compared to ritonavir boosted atazanavir with an optimized back ground at Zewditu memorial hospital, Addis Ababa, Ethiopia: comparative cross-sectional study
    (Addis Ababa Universty, 2018-05) Muche, Abebe; Seifu, Daniel(PhD)
    Background: Dyslipidemia represent significant health care concerns in Human immune deficiency virus (HIV) infected patients taking highly active antiretroviral therapy due to their association with cardiovascular disease risk. There is limited data regarding the effects of boosted atazanavir (ATV/r) treatment in the lipid profiles of Ethiopian HIV patients. Thus, this study compares the lipid profile changes of HIV patients on ATV/r-based regimen compared to efavirenz (EFV)-based regimen, while the background nucleos/tide backbone is optimized. Objective: To compare serum lipid profiles of EFV with ATV/r-based regimens with optimized nucleos/tide background in Ethiopian adult HIV-1 infected patients and assess associated factors of serum lipid profiles at antiretroviral therapy Clinic of Zewditu Memorial Hospital, Addis Ababa, Ethiopia. Materials and methods: A comparative Hospital based cross-sectional study was conducted among adult HIV-infected patients at Zewditu Memorial Hospital, Addis Ababa, Ethiopia, from July-September 2017. Equal number of EFV and ATV/r-treated patients (n = 90 each) taking for one year and above were included in the study. Serum lipid parameters (triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C)) were measured using fully automated mind ray, Chemistry analyzer. Data comparison used chi-square test, Student t-test and Mann-Whitney U test. Multivariate regression analysis and p-value<0.05 was used to identify associated factors of serum lipid profiles. Results: In the present study ATV/r-treated group resulted significantly higher in the median values of TG [207 (56-1094) vs. 145(42-768) mg/dL; p=0.001] and the mean value of TG/HDL-C ratio (6.6 vs. 4.4; p=0.001) as compared to EFV-treated group. EFV-treated group showed significantly higher in the mean value of HDL-C (44.7 vs. 38.7mg/dL; p= 0.001) as compared to ATV/r-treated group. No significant difference was found in TC (p=0.5), LDL-C (p=0.6), TC/HDL-C (p=0.5) and LDL-C/HDL-C (p=0.1) between EFV and ATV/r-treated patients. In ATV/r-treated patients, CD4 count and body mass index (BMI) was significantly associated with TC. In EFV-treated patients, BMI was significantly associated with increased serum LDL-C and TC in female participants. Conclusion: In conclusion, ATV/r raises TG and TG/HDL-C while, HDL-C was higher in EFV than ATV/r-treated group. Both groups have less atherogenic lipid profiles in terms of TC/HDL-C and LDL/HDL-C.