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Journal : Science Midwifery

"Unveiling cellular immunity: A study on diabetes mellitus patients with gangrene wounds" Meri, Meri; Meisya F, Lisna; Liswanti, Yane
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1471

Abstract

Diabetes mellitus experiences disruptions in the immune system, particularly in cellular components. Cells crucial in inflammatory conditions are represented by granulocytes and lymphocytes. However, further explanation is needed regarding the quantities of these cells, especially in diabetes mellitus with gangrene. The research method employed is a quantitative descriptive cross-sectional approach. The research population consists of diabetes mellitus patients with gangrene wounds. The sample size contributing to the study is 14 individuals, representing the total population. Exclusion criteria include patients with other systemic infections. The research findings reveal the frequency distribution of the average granulocyte cell count to be 65.47%, with a standard deviation (SD) of 8.52, a minimum value of 53.3%, and a maximum value of 83.4%. The average lymphocyte cell count is 25.7%, with an SD of 7.97, a minimum value of 10.8%, and a maximum value of 38.7%. In conclusion, the study indicates an increased granulocyte count in 4 individuals or 26.6%, while 10 individuals or 71.4% exhibit normal counts. Conversely, the normal lymphocyte count is observed in 11 individuals or 78.6%, whereas 3 individuals or 21.4% exhibit low counts.
Development of a natural eosinophil stain based on cordyline fruticosa leaves extract and selenicereus monacanthus (dragon fruit peel extracts) for hematology diagnostic applications Hasanah, Annisa Nur; Liswanti, Yane; Kusmiati, Meti; Salsabila, Aliya Fitria; Prihartini, Linda
Science Midwifery Vol 13 No 6 (2026): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i6.2268

Abstract

The search for natural alternatives to conventional hematological stains has gained attention due to issues of dependency on imported reagents, cost, and potential environmental impact. This study aimed to explore the potential of Cordyline fruticosa (andong leaves) and Selenicereus monacanthus (dragon fruit peel) extracts as natural eosinophil stains in hematology. Pigment extraction was performed using standard procedures, followed by phytochemical screening for anthocyanins and flavonoids. The total anthocyanin content was higher in C. fruticosa (1.20 mg/L) compared to S. monacanthus (0.30 mg/L), while relative flavonoid absorbance values also indicated greater pigment density in andong leaves. Application of the extracts in the hemocytometer method demonstrated staining of the background and cellular components, although with weaker intensity than conventional eosin. In peripheral blood smear preparations, Giemsa stain produced the most distinct results, clearly differentiating eosinophil nuclei, cytoplasm, and characteristic granules. In contrast, the natural extracts yielded paler orange cream staining, with less clarity and limited granule visualization, and some smears exhibited detachment due to imperfect fixation. These findings suggest that while andong leaves and dragon fruit peel contain bioactive pigments with staining potential, their application in hematology requires further optimization, particularly in fixation methods, extract concentration, and stability testing over longer storage periods.