cover
Contact Name
Fitriah Ayu Magfirah Yunus
Contact Email
ayumagfirah1603@gmail.com
Phone
+6282259572915
Journal Mail Official
jond@poltekkesgorontalo.ac.id
Editorial Address
Taman Pendidikan Street, Moodu, Gorontalo, Indonesia 96113
Location
Kota gorontalo,
Gorontalo
INDONESIA
Journal of Noncommunicable Diseases (JOND)
ISSN : 27763161     EISSN : 27763161     DOI : http://dx.doi.org/10.52365/JOND
Core Subject : Health, Science,
Journal of Non Communicable Diseases (JOND) merupakan jurnal bidang kesehatan yang mempublikasi karya ilmiah tentang penyakit tidak menular (noncommunicable diseases) dalam kajian bidang keperawatan, kebidanan, gizi, farmasi, sanitasi lingkungan serta disiplin ilmu kesehatan lainya. Jurnal yang berada dibawah naungan institusi Poltekkes Kemenkes Gorontalo ini menerbitkan artikel secara reguler 2 kali dalam satu tahun yakni April dan November. Artikel yang dapat dipublikasi pada jurnal ini dapat berupa hasil penelitian eksperimental di laboratorium maupun penelitian klinis berupa hasil uji klinik, case report, case series, cohort, dan crossectional mengenai noncommunicable diseases. Selain artikel penelitian, jurnal ini juga menerbitkan karya ilmiah lain berupa hasil pengabdian kepada masyarakat, review artikel, mini review dan Short Communication. Jurnal ini adalah jurnal akses terbuka dan tidak memungut biaya publikasi untuk berlangganan, submisi, dan penerbitan jurnal. Scope Journal of Non Communicable Diseases (JOND) antara lain penyakit tidak menular (noncommunicable diseases) dalam kajian bidang keperawatan, kebidanan, gizi, farmasi, sanitasi lingkungan serta disiplin ilmu kesehatan lainya
Articles 8 Documents
Search results for , issue "Vol 4, No 1 (2024): April 2024" : 8 Documents clear
Pengaruh Edukasi Bantuan Hidup Dasar dengan Media Booklet dan Roleplay terhadap Tingkat Pengetahuan dan Keterampilan Mahasiswa Rinjani Putri, Diyanah Syolihan; Nanda, Novia Eka
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.900

Abstract

Hilangnya fungsi jantung secara tiba-tiba, atau henti jantung, sebagian besar disebabkan oleh kerusakan pada sistem kelistrikan jantung. Bantuan Hidup Dasar(BHD) adalah salah satu metode penanganan henti jantung. BHD adalah perawatan cepat yang diberikan kepada korban henti jantung. Pada penelitian ini digunakan media roleplay dan booklet. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana pengetahuan dan kemampuan siswa dipengaruhi oleh instruksi bantuan hidup dasar yang disampaikan melalui booklet dan media roleplay. Penelitian ini merupakan penelitian eksperimen semu yang menggunakan desain predan post test tanpa kontrol. Mahasiswa semester dua Universitas Kusuma Husada yang belum pernah mengambil mata kuliah BHD berpartisipasi dalam penelitian ini. Purposive sampling digunakan untuk memilih 74 responden dari populasi penelitian yang berjumlah 209 orang. Standar Operasional Prosedur (SOP) yang berkaitan dengan BHD dan kuesioner tingkat pengetahuan digunakan dalam proses pengumpulan data. Metode analisis uji Wilcoxon digunakan dalam penelitian ini. Uji Wilcoxon digunakan untuk mengevaluasi dampak dari tingkat keterampilan dan pengetahuan. H0 diterima karena analisis bivariat menggunakan uji Wilcoxon menunjukkan bahwa p = 0,000 < α = 0,05. Temuan penelitian ini menunjukkan bahwa tingkat pengetahuan dan kemampuan siswa dipengaruhi oleh instruksi bantuan hidup dasar yang disampaikan melalui booklet dan media roleplay.Sudden loss of heart function, or cardiac arrest, is mostly caused by damage to the heart's electrical system. Basic Life Support (BLS) is one method of treating cardiac arrest. BLS is the prompt treatment provided to victims of cardiac arrest. In this study, roleplay and booklet media were employed. The purpose of this study is to ascertain how students' knowledge and abilities are affected by basic life support instruction delivered through booklets and role-playing media. This study is a quasi-experiment that uses a control-free pre- and post-ttest design. Students from Kusuma Husada University's second semester who had never taken a BLS course participated in the research. Purposive sampling was used to select 74 respondents from the study's population of 209 individuals. Standard Operational Procedures (SOP) pertaining to BLS and a knowledge level questionnaire were employed in the data collection process. The Wilcoxon test analysis method is applied in this study. The Wilcoxon test is employed to evaluate the impact of skill and knowledge levels. H0 is accepted because bivariate analysis using the Wilcoxon test reveals that p = 0.000 <α = 0.05. The study's findings indicate that students' levels of knowledge and abilities are impacted by basic life support instruction delivered through booklets and role-playing media.
Hubungan Kadar Serum Elektrolit Natrium terhadap Kadar Kalium dan Klorida pada Pasien Diabetes Mellitus dengan Ulkus Diabetikum Aliviameita, Andika; Millah, Hamidah Wardatul
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.881

Abstract

Diabetes melitus ditandai dengan terjadinya hiperglikemia dan merupakan kelainan metabolik penyebab berbagai komplikasi. Ulkus diabetikum merupakan komplikasi paling umum dari diabetes mellitus yang mempengaruhi penderitanya selama hidupnya. Tujuan penelitian ini adalah untuk mengetahui hubungan kadar elektrolit natrium terhadap kadar kalium dan klorida pada pasien diabetes mellitus dengan ulkus diabetikum. Jumlah sampel penelitian adalah 30 serum pasien diabetes mellitus dengan ulkus diabetikum yang ada di Rumah Luka Wonoayu Sidoarjo. Penelitian ini dilakukan pada bulan Juli 2022 di Rumah Sakit Siti Hajar Sidoarjo. Pada uji statistik Korelasi Pearson diperoleh hasil tidak terdapat hubungan yang signifikan antara kadar natrium dengan kadar kalium  (r = -0,250; p = 0,182). Namun terdapat hubungan yang signifikan antara kadar natrium dengan kadar klorida (r = 0,604; p = 0,000). Kesimpulan pada penelitian ini adalah terdapat hubungan yang kuat antara kadar natrium dengan kadar klorida pada pasien diabetes mellitus dengan ulkus diabetikum.Diabetes mellitus is characterized by the occurrence of hyperglycemia and is a metabolic disorder that causes various complications. Diabetic ulcers are the most common complication of diabetes mellitus that affects sufferers throughout their lives. The purpose of this study was to determine the relationship between sodium electrolyte levels and potassium and chloride levels in patients with diabetes mellitus with diabetic ulcers. The number of research samples was 30 serum of diabetes mellitus patients with diabetic ulcers at Rumah Luka Wonoayu Sidoarjo. This research was conducted in July 2022 at the Siti Hajar Sidoarjo Hospital. In the Pearson correlation statistical test, the results showed that there was no significant relationship between sodium levels and potassium levels (r = -0.250; p = 0.182). However, there is a significant relationship between sodium levels and chloride levels (r = 0.604; p = 0.000). The conclusion of this study is that there is a strong relationship between sodium levels and chloride levels in patients with diabetes mellitus with diabetic ulcers.
Hubungan Kualitas Fisik Air Bersih dan Kebiasaan Cuci Tangan Pakai Sabun dengan Kejadian Stunting Datunsolang, Sitti Wasila; Badjuka, Bun Yamin M; Ali, Indra Haryanto
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.981

Abstract

Stunting di Provinsi Gorontalo merupakan tertinggi keempat secara nasional yaitu sebesar 29,0%, untuk Kota Gorontalo yaitu sebesar 26,5% hal ini menjadi atensi bagi pemerintah dalam meningkatkan upaya percepatan penurunan stunting di Provinsi Gorontalo hingga 14% pada tahun 2024. Kondisi sanitasi dan hygiene lingkungan secara tidak langsung dapat mempengaruhi prevalensi stunting karena menyebabkan masuknya penyakit pada tubuh balita. Tujuan penelitian untuk mengetahui hubungan kualitas fisik air bersih dan kebiasaan cuci tangan pakai sabun dengan kejadian stunting di Kelurahan Lekobalo, Kecamatan Kota Barat, Kota Gorontalo. Desain penelitian kuantitatif dengan pendekatan cross sectional. Jumlah sampel sebanyak 80 sampel. Teknik pengambilan sampel penelitian yaitu simple random sampling menggunakan analisis univariat dan bivariat dengan uji Chi-Square. Analisis data menggunakan SPSS dengan indeks kepercayaan 0,05. Hasil uji statistik menunjukkan ada hubungan yang signifikan antara kualitas fisik air bersih (p-value 0,002) dan kebiasaan cuci tangan pakai sabun (p-value<0,001) dengan kejadian stunting di Kelurahan Lekobalo Kecamatan Kota Barat Kota Gorontalo. Kesimpulan terdapat hubungan kualitas fisik air bersih dan kebiasaan cuci tangan pakai sabun dengan kejadian stunting di Kelurahan Lekobalo, Kecamatan Kota Barat, Kota Gorontalo.Stunting in Gorontalo Province is the fourth highest nationally, namely 29.0% for Gorontalo City, namely 26.5%. This is a concern for the government as it increases efforts to accelerate stunting reduction in Gorontalo Province to 14% by 2024. Sanitation and hygiene conditions The environment can indirectly influence the prevalence of stunting because it causes disease to enter the bodies of toddlers. The aim of the research was to determine the relationship between the physical quality of clean water and the habit of washing hands with soap and the incidence of stunting in Lekobalo Village, Kota Barat District, Gorontalo City. Quantitative research design with a cross-sectional approach. The number of samples was 80. The research sampling technique is simple random sampling using univariate and bivariate analysis with the Chi-Square test. Data analysis used SPSS with a confidence index of 0.05. The results of statistical tests show that there is a significant relationship between the physical quality of clean water (p-value 0.002) and the habit of washing hands with soap (p-value <0.001) and the incidence of stunting in Lekobalo Village, Kota Barat District, Gorontalo City. The conclusion is that there is a relationship between the physical quality of clean water and the habit of washing hands with soap and the incidence of stunting in Lekobalo Village, West City District, Gorontalo City.
Faktor Risiko Keluhan Sick Building Syndrome (SBS) di Pekerja Perkantoran Suryadi, Iwan; Hidayat, Hidayat; Wulandari, Febby Bintang
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.982

Abstract

Orang yang tinggal atau bekerja di gedung modern mengalami Sick Building Syndrom (SBS). Gejalanya termasuk kelelahan, sakit kepala, penurunan konsentrasi, serta peradangan pada kulit dan selaput lendir. Penelitian ini bertujuan untuk mengetahui faktor risiko keluhan SBS pada pekerja perkantoran karena pentingnya menilai kembali faktor risiko yang terkait dengan keluhan SBS. Penelitian ini melibatkan desain observasional analitik yang menggunakan pendekatan cross-sectional. Penelitian ini mengumpulkan sampling total dari 75 responden. Hasil penelitian menunjukkan bahwa masa kerja dan suhu ruangan memiliki hubungan dengan keluhan SBS, dengan masing-masing nilai p-value 0,04 dan 0,01. Sebaliknya, variabel lain yang diteliti, yaitu umur p-value 0,258 lebih besar dari 0,05, jenis kelamin p-value 0,109 lebih besar dari 0,05, status kesehatan p-value 0,100 lebih besar dari 0,05, kelembaban ruangan p-value 0,076 lebih besar dari 0,05, dan pencahayaan ruangan p-value 0,115 lebih besar 0,05. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara umur, jenis kelamin, status kesehatan, kelembaban, dan pencahayaan dengan keluhan SBS; sebaliknya, ada hubungan antara masa kerja dan suhu dengan keluhan SBS. Kualitas udara dalam ruangan diperbaiki oleh saran penelitian ini.People who live or work in modern buildings experience Sick Building Syndrome (SBS). Symptoms include fatigue, headaches, decreased concentration, and inflammation of the skin and mucous membranes. This study aims to determine the risk factors for SBS complaints among office workers because it is important to reassess the risk factors associated with SBS complaints. This research involved an analytical observational design using a cross-sectional approach. This research collected a total sample of 75 respondents. The research results showed that work period and room temperature were related to SBS complaints, with p-values of 0.04 and 0.01, respectively. In contrast, other variables studied were age p-value 0.258 greater than 0.05, gender p-value 0.109 greater than 0.05, health status p-value 0.100 greater than 0.05, room humidity p-value of 0.076 greater than 0.05, and room lighting p-value of 0.115 greater than 0.05. The research results showed that there was no relationship between age, gender, health status, humidity, and lighting and SBS complaints. On the contrary, there is a relationship between work period and temperature and SBS complaints. Indoor air quality is improved by this research suggestion.
Potensi Makanan Fermentasi Tradisional Khas Indonesia Penghasil Bakteri Asam Laktat Padang, Febriani Kapu’; Nurfadillah, Nurfadillah; Musdalifa, Musdalifa; Ismail, Ismail
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.832

Abstract

Indonesia dikenal sebagai negara yang kaya akan keanekaragaman terutama dibidang kulinernya. Memiliki banyak jenis makanan bahkan hampir seluruh daerah di Indonesia memiliki karakteristik dan cita rasa makanan yang berbeda. Metode yang digunakan dalam review artikel ini yaitu studi literasi dari berbagai artikel jurnal yang dieksplorasi dari PubMeb, Google Scholar dan sumber jurnal lainnya di internet yang membahas terkait berbagai macam makanan fermentasi tradisional khas daerah di Indonesia yang berpotensi sebagai penghasil Bakteri Asam Laktat (BAL). Pada setiap jurnal hanya mengambil hasil yang sesuai dengan tujuan review. Hasil studi literatur terkait makanan fermentasi tradisional khas Indonesia menunjukkan bahwa BAL yang paling banyak ditemukan dalam fermentasi makanan terdiri dari genus Lactobacillus 76,92%, Streptococcus 30,76%, Lactococcus 23,07%, Pediococcus 23,07%, Leuconostoc 15,38 %, Enterococcus 15,38%, Weissela confusa 7,6%, Bifidiobacterium 7,6%. Bakteri tersebut memiliki potensi sebagai probiotik.Indonesia is known as a country rich in diversity, especially in the culinary field. Even the entire Indonesian archipelago has different characteristics and flavors of food. The method used in this article review is a literacy study of various journal articles explored from PubMeb, Google Scholar, and other journal sources on the internet that discuss various traditional fermented foods typical of regions in Indonesia that have the potential to produce lactic acid bacteria. Each journal only takes results that are in accordance with the purpose of the review. The results of the literature study on traditional fermented foods typical of Indonesia showed that the most LAB found in fermented foods consisted of the genus Lactobacillus (76.92%), Streptococcus (30.76%), Lactococcus (24.07%), Pediococcus (24.07%), Leuconostoc (15.38%), Enterococcus (15.38%), Weissela confusa (7.6%), and Bifidiobacterium (7.6%). These bacteria have potential as probiotics.
The Effectiveness of Education about the First 1000 Days of Life for Early Mothers in Preventing Stunting Yuliani, Eva; Nurmagandi, Boby; Sastriani, Sastriani; Lusiana, Lusiana
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.992

Abstract

Stunting is a type of chronic malnutrition caused by a lack of nutrient intake for a long time, causing growth problems. One of the causes of stunting is early marriage, which has an impact on a mother's knowledge. Mothers, as primary caregivers for toddlers, must get sufficient information about how to optimize child growth and development in the first 1000 days of life so that they can help prevent stunting in children. The purpose of this study was to determine whether there was an effect of education on increasing the knowledge of early childhood mothers about preventing stunting in toddlers in the village of North Bonde. The research method used is pre-experimental design research with the type of one-group pretest posttest design. The sampling technique used is non-probability sampling by means of purposive sampling, so the samples used in this study amounted to 30. The results showed that before being given education, the number of mothers who had a good level of knowledge was 1 person (3.3%), mothers with a fair level of knowledge were 6 people (20%), and those with a poor level of knowledge were 23 people (76.7%). After being given education, there were 9 mothers with a good level of knowledge (30%), 12 mothers with a fair level of knowledge (40%), and 9 mothers with a poor level of knowledge (30%). the average knowledge before being given education was 46.00, after being given education there was an increase in the average knowledge to 64.50. In the results of the analysis of the marginal homogeneity test, it was found that education has an effect on increasing the knowledge of early childhood mothers about stunting prevention among toddlers in North Bonde Village. It is recommended for respondents to be more active in seeking information and increasing their knowledge from both the media and health workers regarding stunting prevention.
Gambaran Pengetahuan dan Keterampilan Pasien dengan Stoma Abdomen dalam melakukan Perawatan Stoma secara Mandiri: Scoping Review Ul Husna, Annisa Dirani; Yusuf, Saldy; Majid, Abdul
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.869

Abstract

Pasien dengan stoma cenderung mengalami hambatan dalam melakukan perawatan secara mandiri sehingga menimbulkan beberapa masalah diantaranya rasa malu akibat kebisingan kantong, gas dan bau, ketakutan terhadap kebocoran kantong serta komplikasi berupa rasa nyeri dan ekskoriasi kulit di sekitar lokasi stomal, diare stomal atau konstipasi dan enema. Studi ini bertujuan mengetahui gambaran tingkat pengetahuan dan keterampilan pasien dengan stoma abdomen (kolostomi dan ileostomi) dalam melakukan perawatan stoma mandiri serta metode edukasi yang digunakan. Penelitian ini merupakan penelitian literatur dengan desain scoping review pada 4 database: PubMed, Sciencedirect, DOAJ dan Ebscho dengan kata kunci  Self Care AND skill OR knowledge AND Colostomi OR ostomi OR ostomate OR Ileostomi serta penyaringan artikel menggunakan aplikasi Mendeley pada rentang tahun 2017-2022 dan didapatkan sebanyak 7 artikel. Hasil penelitian dari 7 artikel yang diperoleh, pasien dengan ostomi baru pasca pembuatan stoma memiliki tingkat pengetahuan yang kurang terhadap perawatan diri pada periode postoperative akibat dampak dari perubahan pada kondisi fisik serta emosionalnya dan meningkat seiring dengan intervensi perawatan dan keterlibatan pasien dalam merawat stomanya. Selain itu, pasien ostomi secara umum memiliki keterampilan dalam pengosongan dan penggantian kantong stoma, perawatan kulit peristomal serta modifikasi diet. Dalam proses memperoleh pengetahuan, ostomate memerlukan keterlibatan keluarga dan tenaga kesehatan serta edukasi yang sesuai dengan kebutuhan ostomate.Patients with a stoma tend to experience obstacles in carrying out treatment independently, which causes several problems, including embarrassment due to bag noise, gas, and odor, fear of bag leakage, and complications in the form of pain and skin excoriation around the stomal location, stomal diarrhea or constipation, and enemas. This study aims to determine the level of knowledge and skills of patients with abdominal stomas (colostomies and ileostomies) in carrying out independent stoma care and the educational methods used. This research is a literature study with a scoping review design on 4 databases: PubMed, ScienceDirect, DOAJ, and Ebscho, with the keywords Self Care AND skill OR knowledge AND Colostomi OR ostomi OR ostomate OR Ileostomi, as well as filtering articles using the Mendeley application in the period 2017–2022. There were 7 articles obtained. The results of the research from the 7 articles obtained showed that patients with a new ostomi after stoma creation had a poor level of knowledge regarding self-care in the postoperative period due to the impact of changes in their physical and emotional conditions, and this increased along with treatment interventions and patient involvement in caring for their stoma. In addition, ostomi patients generally have skills in emptying and changing the stoma bag, peristomal skin care, and diet modification. In the process of gaining knowledge, ostomates need the involvement of family and health workers, as well as education that suits the ostomate's needs.
Fraksi Daun Andong Merah (Cordyline fruticose (L.) A. Cheval) Berpotensi sebagai Sitotoksik Metode BSLT Utami, Yuri Pratiwi; Imrawati, Imrawati; Mus, Suwahyuni; Astri, Andi Astri Sri Nurul Fardila; Mustarin, Rahmah
JOURNAL OF NONCOMMUNICABLE DISEASES Vol 4, No 1 (2024): April 2024
Publisher : Poltekkes Kemenkes Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jond.v4i1.974

Abstract

Andong merah (Cordyline fruticosa (L.) A. Cheval) merupakan tanaman yang banyak digunakan sebagai obat tradisional. Kandungan senyawa yang ada pada tanaman andong merah berupa metabolit sekunder diantaranya polifenol, flavonoid, saponin, alkaloid, steroid dan triterpenoid sedangkan pada daun andong merah mengandung senyawa polifenol, tannin dan flavonoid. Tujuan dari penelitian ini yaitu untuk mengetahui sitotoksisitas fraksi daun andong merah (C. Fruticosa) terhadap larva udang Artemia salina Leach menggunakan metode BSLT. Ekstrak etanol 70% menghasilkan tiga fraksi yaitu fraksi n-heksan, fraksi etil asetat, dan fraksi etanol-air dengan teknik ekstraksi cair-cair (ECC) menggunakan tiga pelarut. Kemudian diuji sitotoksisitasnya dari seri konsentrasi 20 ppm, 40 ppm, 60 ppm, 80 ppm dan 100 ppm serta kontrol negatif. Hasil yang diperoleh dari penelitian ini berupa aktivitas sitotoksik fraksi dengan parameter nilai LC50 yaitu fraksi n-heksan 25,05 ppm ppm, fraksi etil aetat 85,21 ppm dan fraksi etanol-air 32,39 ppm. Kesimpulannya yakni fraksi dari daun andong merah (C. Fruticosa) termasuk dalam kategori sitotoksistas kuat. Cordyline fruticosa (L.) A. Cheval is a plant that is widely used as a traditional medicine. The compounds contained in the red oak plant are secondary metabolites including polyphenols, flavonoids, saponins, alkaloids, steroids and triterpenoids whereas in the leaves of the red andong contain compound polyphenol, tannins and flavanoids. The aim of the study was to determine the cytotoxicity of the C. fruticosa fraction to the larvae of the shrimp Artemia salina Leach using the BSLT method. The 70% ethanol extract produces three fractions namely the n-hexane fraction, the ethyl acetate fraction and the ethanole-water fraction using the liquid-liquid extraction technique (ECC) using three solvents. Then they tested their cytotoxicity from a series of concentrations of 20 ppm, 40 ppm and 60 ppm as well as negative controls. The results obtained from this study were fractional cytotoxic activity with LC50 parameters of 25.05 ppm n-hexane fraction, 85.21 ppm ethyl acetate fraction and 32.39 ppm ethanol-water fraction. The conclusion is that the fraction of the C. Fruticosa leaves belongs to the category of strong cytotoxists

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