Interactions of medicinal plants and drugs in patients with systemic arterial hypertension and Diabetes mellitus

Tiago Agostinho Ferreira
OrcID
Ydia Mariele Valadares
OrcID
Jullyana Bicalho Costa
OrcID
Andressa Barros Paschoalim
OrcID
Jéssica Aline Silva Soares
OrcID
Mariana Cristina de Assis Ramos
OrcID
Port.
OrcID

    Tiago Agostinho Ferreira

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0001-6758-1805

    He is graduating from the 9th period of the Pharmacy course at the Federal University of Juiz de Fora, Advanced Campus of Governador Valadares (UFJF-GV). He worked as a volunteer monitor in the discipline of Physiology IV and a fellow monitor in the discipline of Medical Parasitology and in the research area, promoting screening of antimicrobial activity of plant extracts and interactions between medicinal plants and allopathic medicines used in the treatment of systemic arterial hypertension and diabetes. .

    Ydia Mariele Valadares

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0001-6028-551X

    Graduated in Pharmacy from the Federal University of Minas Gerais (1998), Master's in Pharmaceutical Sciences from the Federal University of Minas Gerais (2000). PhD in Pharmaceutical Sciences from the Federal University of Minas Gerais (2009) with a sandwich internship at the University of Salamanca, Spain. He has experience in the area of natural products, with emphasis on phytochemistry, quality control of phytotherapics and organic synthesis, working mainly on the following subjects: chromatography, isolation and identification of natural products; standardization of methods for quality control of herbal medicines and synthesis of derivatives from natural products. Interactions between medicinal plants and medicines.

    Jullyana Bicalho Costa

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0002-7137-9359

    Graduated in Pharmacy, she has experience in fire safety, work safety and technical instructions.

    Andressa Barros Paschoalim

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0001-7875-2761

    She is currently a bacteriology monitor at the Federal University of Juiz de Fora- Campus Governador Valadares and participates in the extension project "evaluation of the use of medicinal plants and drug interactions with allopathic therapy in patients with arterial hypertension and diabetes mellitus users of Hiperdia Minas in Governador Valadares-Mg. Has experience in Pharmacy.

    Jéssica Aline Silva Soares

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0002-7311-6122

    Pharmacist (2019) graduated from the Federal University of Juiz de Fora Governador Valadares campus and Master's student at the Graduate Program in Medicines and Pharmaceutical Assistance (PPGMAF) at the Faculty of Pharmacy of the Federal University of Minas Gerais. Researcher at the Center for Studies in Pharmaceutical Care (CEAF-UFMG). He has a specialization in Health and Wellness Phytotherapy (2020) from Faculdade dos Vales Elbira Dayrell (FAVED). He is currently a professor of the undergraduate and graduate courses in pharmacy at Faculdade Pitágoras, Governador Valadares/MG and Ipatinga/MG. She performs care as a clinical pharmacist and herbalist in a private office. Pharmacist advisor to the Phytotherapy Technical Group of the Minas Gerais Regional Pharmacy Council (CRF-MG). She was a substitute professor for 2 years in the pharmacy department of the Federal University of Juiz de Fora, Governador Valadares campus (UFJF-GV). She worked as a Clinical Pharmacist at Hospital Bom Samaritano in Governador Valadares / MG with the implementation of the pharmaceutical clinical service of pharmacotherapeutic follow-up in intensive care units (ICUs) and for broad-spectrum antimicrobials. Experience in clinical and pharmaceutical services in community pharmacy. Founder and collaborator of the Academic League of Drug Therapy Management (LAGTM) at UFJF-GV. She works mainly in the following subjects: pharmaceutical care, clinical pharmacy, clinical pharmaceutical services, pharmacotherapy and clinical phytotherapy.

    Mariana Cristina de Assis Ramos

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0001-8830-6570

    Graduated in Pharmacy, Federal University of Juiz de Fora, Governador Valadares Campus

    Port.

    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.

    OrcID https://orcid.org/0000-0002-1694-1556

    She has a Nursing Technician at the José Rodrigues da Silva Technical School (Governador Valadares-MG/2014). Currently a student of the pharmacy course at the Federal University of Juiz de Fora Advanced Campus of Governador Valadares - MG, fellow in the scientific initiation project "Pharmacist's clinical performance in the management of rheumatoid arthritis: scoping review", volunteer in the extension project "Microbial World in Action: Concepts of Microbiology and Parasitology in Elementary and Secondary Education" and founding participant of the Interdisciplinary Study Group in Pharmaceutical Care (GEICF). She was an undergraduate monitor in the discipline "Analytical Chemistry IV" between 04/2018 to 12/2018, volunteer collaborator in the extension project "Evaluation of the use of medicinal plants and drug interactions with allopathic therapy in patients with Systemic Arterial Hypertension and Diabetes Mellitus users from Hiperdia Minas in Governador Valadares - MG" between 04/2019 to 12/2019, volunteer in the extension project "The importance of the Pharmacy and Therapeutics Commission in the development of Pharmaceutical Assistance in Governador Valadares - MG" between 04/2019 to 12/ 2019, extension project that presented continuity with the name "Implementation of the Pharmacy and Therapeutics Commission in the development of Pharmaceutical Assistance in Governador Valadares - MG" between 04/2020 to 06/2021 and volunteer in the professional training "Application of chemical-analytical techniques of forensic toxicology to support the activities of the criminal expertise of the Civil Police of the State of Minas Gerais in Governador Valadares" en from 10/2019 to 10/2020.


Keywords

Plant-drug interactions
Rational use of medicinal plants
Systemic arterial hypertension
Diabetes mellitus tipo 2

Abstract

The prevalence of chronic diseases such as Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM) encourages the search for alternative treatments in addition to conventional pharmacotherapy, with emphasis on medicinal plants. However, the lack of information about medicinal plants, their interactions with drugs and self-medication are worrying factors. The objectives of the study were to identify medicinal plants and pharmacological classes used by patients with SAH and/or DM registered in the Hiperdia program in Governador Valadares, MG, to characterize these users and possible interactions between medicinal plants and a pharmacotherapy. A cross-sectional study was carried out with a semi-structured questionnaire. Of the respondents, 66.2% have SAH, 9% DM and 24.8% both pathologies. The majority (52.4%) use medicinal plants and 46.2% are subject to some type of plant-drug interaction, such as the use of Baccharis trimera, Allium sativum, Rosmarinus officinalis and Plectranthus barbatus with antihypertensives or Allium sativum and Matricaria chamomilla with oral antidiabetics. In this sense, an assessment of plant-drug interactions, adequacy of therapy and patient guidance are fundamental tools for preventing undesirable effects, contributing to the rational use of medicinal plants and improving the quality of life of patients with SAH and DM.

References

  1. Santos RL, Guimaraes GP, Nobre MSC, Portela AS. Análise sobre a fitoterapia como prática integrativa no Sistema Único de Saúde. Rev Bras Pl Med. 2011; 13(4): 486-91. ISSN 1615-0672. [http://dx.doi.org/10.1590/S1516-05722011000400014].
  2. Souza JBP, Ataliba FJB, Costa A, Farias AD. Interações planta medicinal x medicamento convencional no tratamento da hipertensão arterial. Infarma Ciênc Farm. 2017; 29(e2): 90-9. ISSN 2318-9312. [https://doi.org/10.14450/2318-9312.v29.e2.a2017.pp90-99].
  3. Lopes JR, Xavier BLS, Pereira FMV. Epidemiological profile of users served on health action in the coastal lowlands of Rio de Janeiro. Rev Pesqui Cuid Fundam [Online]. 2020; 10: 258-63. ISSN 2175-5361. [https://doi.org/10.9789/2175-5361.rpcfo.v12.8386].
  4. Sociedade Brasileira de Cardiologia / Sociedade Brasileira de Hipertensão / Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 2010; 95(1 supl.1): 1-51. ISSN 1678-4170. [https://doi.org/10.1590/S0066-782X2010001700001].
  5. Oliveira MM, Daher DV, Silva JLL, Araújo ASSC. Men’s health in question: seeking assistance in primary health care. Ciênc Saúde Colet. 2015; 20(1): 273-8. ISSN 1413-8123. [https://doi.org/10.1590/1413-81232014201.21732013].
  6. Santos M, Almeida A. Polimedicação no idoso. Rev Enferm Ref. 2010; III Série(no 2): 149-62. ISSN 0874-0283. [https://doi.org/10.12707/RIII1011].
  7. Silva NT da, Giacon TR, Costa MP da, Vitor ALR, Vanderlei LCM. Prevalência e correlação entre obesidade, hipertensão arterial e a prática de atividade física. Colloq Vitae. 2020; 3(1): 32-6. ISSN 1984-6436. [https://doi.org/10.5747/cv.2011.v03.n1.v045].
  8. Flor LS, Campos MR. Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional. Rev Bras Epidemiol. 2017; 20(1): 16-29. ISSN 1980-5497. [https://doi.org/10.1590/1980-5497201700010002].
  9. Alasbahi RH, Melzig MF. Plectranthus barbatus: a review of phytochemistry, ethnobotanical uses and pharmacology part 2. Pl Med. 2010; 76(8): 753-65. ISSN 1439-0221.[https://doi.org/10.1055/s-0029-1240919][https://pubmed.ncbi.nlm.nih.gov/20186655/].
  10. Ulbricht C, Brendler T, Gruenwald J, Kligler B, Keifer D, Abrams TR at al. Lemon balm (Melissa officinalis L.): an evidence-based systematic review by the Natural Standard Research Collaboration. J Herb Pharmacother. 2005; 5(4):71-114. ISSN 1522-9160. [https://doi.org/10.1080/J157v05n04_08]. [https://pubmed.ncbi.nlm.nih.gov/16635970/].
  11. Nicoletti MA, Oliveira-Júnior MA, Bertasso CC, Caporossi PY, Paula A, Tavares L. Principais interações no uso de medicamentos fitoterápicos. Infarma. 2007; 19(1/2): 32-40. ISSN 2318-9312. [ http://www.revistas.cff.org.br/infarma/article/view/222 ].
  12. Ekpenyong CE, Akpan E, Nyoh A. Ethnopharmacology, phytochemistry, and biological activities of Cymbopogon citratus (DC.) Stapf extracts. Chin J Nat Med. 2015; 13(5): 321-37. ISSN 2095-6975. [http://dx.doi.org/10.1016/S1875-5364(15)30023-6].
  13. Avoseh O, Oyedeji O, Rungqu P, Nkeh-Chungag B, Oyedeji A. Cymbopogon species; ethnopharmacology, phytochemistry and the pharmacological importance. Molecules. 2015; 20(5): 7438-53. ISSN 1420-3049. [https://doi.org/10.3390/molecules20057438].
  14. Singh SP, Kumar S, Mathan S V., Tomar MS, Singh RK, Verma PK at al. Therapeutic application of Carica papaya leaf extract in the management of human diseases. DARU J Pharm Sci. 2020; 28: 735-44. ISSN 2008-2231. [https://doi.org/10.1007/s40199-020-00348-7].
  15. Shojaii A, Abdollahi Fard M. Review of pharmacological properties and chemical constituents of Pimpinella anisum . ISRN Pharm. 2012; 2012: 1-8. ISSN 2090-5173. [https://doi.org/10.5402/2012/510795].
  16. Pontes VCB, Rodrigues DP, Caetano A, Gamberini MT. Preclinical investigation of the cardiovascular actions induced by aqueous extract of Pimpinella anisum L. seeds in rats. J Ethnopharmacol. 2019; 237: 74-80. ISSN 0378-8741. [https://doi.org/10.1016/j.jep.2019.03.050].
  17. Brasil. Ministério da Saúde (MS). Agência Nacional de Vigilância Sanitária (ANVISA). Monografia da espécie Matricaria chamomilla L. (Chamomilla recutita (L.) Rauschert, camomila). 221p. Disponível em: [https://portalarquivos2.saude.gov.br/images/pdf/2017/setembro/11/Monografia-Camomila.pdf]. Acesso em: 22 ago. 2020.
  18. Srivastava JK, Shankar E, Gupta S. Chamomile: a herbal medicine of the past with a bright future (review). Mol Med Rep. 2010; 3(6): 895-901. ISSN 1791-3004. [https://doi.org/10.3892/mmr.2010.377] [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2995283/].
  19. Silveira Rabelo AC, Caldeira Costa D. A review of biological and pharmacological activities of Baccharis trimera. Chem Biol Interact. 2018; 296: 65-75. ISSN 0009-2797. [https://doi.org/10.1016/j.cbi.2018.09.002].
  20. Gómez MA, Migues I, Caggiani M, Arias X, Laprovitera M, Blanco F at al. Vasorelaxant effect of a Baccharis trimera infusion on precontracted rat aortic rings. Nat Prod Commun. 2016; 11(3): 283-6. ISSN 1555-9475. [https://doi.org/10.1177/1934578X1601100304].
  21. Brasil. Ministério da Saúde (MS). Agência Nacional de Vigilância Sanitária (ANVISA). Monografia da espécie Allium sativum (Alho). 66p. Disponível em: [https://portalarquivos2.saude.gov.br/images/pdf/2017/setembro/11/Monografia-Allium.pdf]. Acesso em 29 ago 2020.
  22. Oliveira JR, Esteves S, Camargo A. Rosmarinus officinalis L . (rosemary) as therapeutic and prophylactic agent. J Biomed Sci. 2019; 8: 1-22. ISSN 1423-0127. [https://doi.org/10.1186/s12929-019-0499-8].
  23. Izzo AA, Hoon-Kim S, Radhakrishnan R, Williamson EM. A critical approach to evaluating clinical efficacy, adverse events and drug interactions of herbal remedies. Phytother Res. 2016; 30(5): 691-700. ISSN 1099-1573. [https://doi.org/10.1002/ptr.5591]. [https://pubmed.ncbi.nlm.nih.gov/26887532/].
  24. Hoefler R. Interações medicamentosas. Secretaria de Ciência, Tecnologia e Insumos Estratégicos/Ministério da Saúde – Formulário Terapêutico Nacional. [https://www.saudedireta.com.br/docsupload/1339871306intMed.pdf].
  25. Zanger UM, Schwab. Cytochrome P450 enzymes in drug metabolismo: regulation of gene expression, enzymes activities, and impact of genetic variation. Pharmacol Therap. 2013 Apr. 1; 138(1): 103-41. [https://doi.org/10.1016/j.pharmthera.2012.12.007].
  26. Brasil. Ministério da Saúde (MS). Agência Nacional de Vigilância Sanitária (ANVISA). Formulário de Fitoterápicos da Farmacopeia Brasileira. 126p. Disponível em: [https://portalarquivos2.saude.gov.br/images/pdf/2014/julho/14/Formulario-de-Fitoterapicos-da-Farmacopeia-Brasileira-sem-marca.pdf]. Acesso em: 06 set. 2020.
  27. Brasil. Ministério da Saúde (MS). Agência Nacional de Vigilância Sanitária (ANVISA). Memento Fitoterápico da Farmacopeia Brasileira. 1ª Edição. 114p. Disponível em: [http://www.farmacia.pe.gov.br/sites/farmacia.saude.pe.gov.br/files/memento_fitoterapico.pdf]. Acesso em: 09 set. 2020.
  28. Dalmarco JB. Estudo das propriedades químicas e biológicas de Rosmarinus officinalis L. 2012. Tese de Doutorado [Programa de Pós-graduação em Química] - Centro de Ciências Físicas e Matemáticas, Universidade Federal de Santa Catarina (UFSC). Florianópolis, SC. 2012. [https://repositorio.ufsc.br/handle/123456789/100930]
  29. Kwon YII, Vattem DA, Shetty K. Evaluation of clonal herbs of Lamiaceae species for management of diabetes and hypertension. Asia Pac J Clin Nutr. 2006; 15(1): 107-18. [http://apjcn.nhri.org.tw/server/APJCN/15/1/107.pdf] [https://pubmed.ncbi.nlm.nih.gov/16500886/].
  30. Nunes MGS, Bernardino A, Martins RD. Use of medicinal plants by people with hypertension. Rev Rene. 2015; 16(6): 775-81. ISSN 2175-6783. [https://doi.org/10.15253/2175-6783.2015000600002].
  31. Fakeye TO, Oladipupo T, Showande O, Ogunremi Y. Effects of coadministration of extract of Carica papaya Linn. (family Cariaceae) on activity of two oral hypoglycemic agents. Trop J Pharm Res. 2007; 6(1): 671-8. ISSN 1596-9827. [https://doi.org/10.4314/tjpr.v6i1.14645].
  32. Williamson E, Driver S, Baxter K. Stockley’s herbal medicines interactions. London. Pharmaceutical Press; 2009. ISBN: 978 0 85369 760 2.
  33. Shahamat Z, Abbasi-Maleki S, Mohammadi Motamed S. Evaluation of antidepressant-like effects of aqueous and ethanolic extracts of Pimpinella anisum fruit in mice. Avicenna J phytomed. 2016; 6(3): 322-8. ISSN 2228-7949. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4930539/].
  34. Samojlik I, Petkovic S, Stilinovic N, Vukmirovic S, Mijatovic V, Božin B. Pharmacokinetic herb-drug interaction between essential oil of aniseed (Pimpinella anisum L., Apiaceae) and Acetaminophen and Caffeine: a potential risk for clinical practice. Phytother Res. 2016; 30(2): 253-9. ISSN 1099-1573. [https://doi.org/10.1002/ptr.5523] [https://pubmed.ncbi.nlm.nih.gov/26619825/].
  35. Awad R, Muhammad A, Durst T, Trudeau VL, Arnason JT. Bioassay-guided fractionation of lemon balm (Melissa officinalis L.) using an in vitro measure of GABA transaminase activity. Phytother Res. 2009; Aug; 23(8): 1075-81. ISSN 1099-1573. [https://doi.org/10.1002/ptr.2712] [https://pubmed.ncbi.nlm.nih.gov/19165747/].
  36. Cases J, Ibarra A, Feuillère N, Roller M, Sukkar SG. Pilot trial of Melissa officinalis L. leaf extract in the treatment of volunteers suffering from mild-to-moderate anxiety disorders and sleep disturbances. Med J Nutr Metab. 2011; 4(3): 211-8. ISSN 1973-7998. [https://doi.org/10.1007/s12349-010-0045-4] [https://pubmed.ncbi.nlm.nih.gov/22207903/].
  37. Karam TK, Dalposso LM, Casa DM, Freitas GBL. Carqueja (Baccharis trimera): Utilização terapêutica e biossíntese. Rev Bras Pl Med. 2013; 15(2): 280-6. ISSN 1516-0572. [https://doi.org/10.1590/S1516-05722013000200017].
  38. Yarnell E, Abascal K. Interaction of herbal constituents with cytochrome P450 enzymes. Altern Complement Ther. 2007; 13(5): 239-47. ISSN 1076-2809. [https://doi.org/10.1089/act.2007.13508].
  39. Batiha E-SG, Beshbishy AM, Elewa YH, Al-Sagan AA, El-Hack A at al. Chemical constituents and pharmacological activities of garlic (Allium sativum): a review. Nutrients. 2020; 12(3): 872. ISSN 2071-6643. [https://doi.org/10.3390/nu12030872].
  40. Yu MH, Choi JH, Chae IG, Im HG, Yang SA, More K at al. Suppression of LPS-induced inflammatory activities by Rosmarinus officinalis L. Food Chem. 2013; 136(2): 1047-54. ISSN 0308-8146. [https://doi.org/10.1016/j.foodchem.2012.08.085].
  41. Okazaki K, Nakayama S, Kawazoe K, Takaishi Y. Antiaggregant effects on human platelets of culinary herbs. Phytother Res. 1998; 12(8): 603-5. ISSN 1099-1573. [https://doi.org/10.1002/(SICI)1099-1573(199812)12:8%3c603::AID-PTR372%3e3.0.CO;2-G].
  42. European Medicines Agency (EMA). Community herbal monograph on Pimpinella anisum L., fructus. Commite on Herbal Medicines Products. 6p. 2014. Disponível em: [https://www.ema.europa.eu/en/documents/herbal-monograph/superseded-final-community-herbal-monograph-pimpinella-anisum-l-fructus_en.pdf]. Acesso em: 08 out 2020.

Author(s)

  • Tiago Agostinho Ferreira
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0001-6758-1805
  • Ydia Mariele Valadares
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0001-6028-551X
  • Jullyana Bicalho Costa
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0002-7137-9359
  • Andressa Barros Paschoalim
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0001-7875-2761
  • Jéssica Aline Silva Soares
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0002-7311-6122
  • Mariana Cristina de Assis Ramos
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0001-8830-6570
  • Port.
    Universidade Federal de Juiz de Fora (UFJF), Faculdade de Farmácia e Bioquímica. Avenida Israel Pinheiro, nº 2000, Universitário, CEP 35020-070, Governador Valadares, MG, Brasil.
    https://orcid.org/0000-0002-1694-1556

Metrics

  • Article viewed 937 time(s)

How to Cite

1.
Interactions of medicinal plants and drugs in patients with systemic arterial hypertension and Diabetes mellitus. Rev Fitos [Internet]. 2022 Dec. 20 [cited 2024 Nov. 22];16(4):490-507. Available from: https://revistafitos.far.fiocruz.br/index.php/revista-fitos/article/view/1341
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 Revista Fitos

Report an error