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Öğe Bilateral Supernumerary Kidney: A Very Rare Presentation(Kowsar Publ, 2014) Keskin, Suat; Batur, Abdussamet; Keskin, Zeynep; Koc, Abdulkadir; Ozcan, Irfan FiratTo our knowledge, bilateral supernumerary kidney is a very rare renal abnormality and there are five cases presented in the literature. It is difficult to diagnose supernumerary kidney and clinicians have not detected most cases preoperatively. Laboratory and imaging studies were acquired and carefully examined. The normal laboratory tests were found. Emergency ultrasonography was performed and they revealed no signs of parenchymal abnormality in both kidneys. Serial imaging study including enhanced computed tomography (CT) was performed. An imaging study identified bilateral supernumerary kidney with expanded collecting systems. On each side, significant rotation anomaly was found. In addition, there were two different renal arteries originating from the aorta. This report presents radiological determinations of supernumerary kidney bilaterally in a young man. We think that CT commonly appears to be enough for the diagnosis of supernumerary kidneys.Öğe Böbrek yetmezlikli hastalarda FLAIR imajlarda subaraknoid aralık hiperintensitesi: Tanısal bir tuzak(2015) Kalkan, Havva; Kireşi, Demet; Keskin, SuatSubaraknoid aralık (SAA) hiperintensitesi, manyetik rezonans görüntülemenin (MRG) FLAIR sekansında ayırıcı tanısı dikkatlice yapılması gereken önemli bir bulgudur. FLAIR sekansında SAA hiperintensitesinin subaraknoid kanama (SAK), leptomeningeal karsinomatozis, menenjit gibi ciddi tedavi gerektiren birçok nedeni vardır. Kontrast madde, vasküler pulsasyonlar, beyin omurilik sıvısı (BOS) pulsasyonları ve hareket artefaktları sadece tuzak görüntülerdir, bu nedenle de tedavi gerektirmezler. Böbrek yetmezlikli hastalar için birçok komorbidite sebebi bulunmaktadır. Bunlardan bir tanesi serebrovasküler olaylardır. Nörolojik semptomlara sahip hastalarda MRG tanı için en iyi tercihtir. Fakat hastaya beyin MR tetkiki öncesinde kontrastlı başka bir MRG incelemesi uygulan- mışsa gadolinyumun SAA'da gecikmiş klirensi ve persistansı ortaya çıkar. Sonuçta bu durum ciddi patolojileri taklit edebilir. Bu olgu sunumunda daha önce kontrastlı boyun MRG uygulanan böbrek yetmezlikli olgunun SAA hiperintensitesine ait ilginç görüntülerini sunmayı amaçladık.Öğe Caroli disease with bilateral severe bullous emphysema An unknown component(Saudi Med J, 2012) Keskin, Zeynep; Keskin, Suat; Yesildag, Mihrican Y.; Yesildag, AhmetWe suspected that the multi-bullous parenchymal disease of our patient could be related to Caroli disease (CD) because he had no pulmonary pathology before the diagnosis of CD. The CD associated with bilateral multiple bullous emphysema may be an unknown component. Saudi Med J 2012; Vol. 33 (11): 1227-1228Öğe Comparison of the Effect of Platelet-Rich Plasma and Simvastatin on Healing of Critical-Size Calvarial Bone Defects(Lippincott Williams & Wilkins, 2016) Seyhan, Nevra; Keskin, Suat; Aktan, Murat; Avunduk, Mustafa Cihad; Sengelen, Meltem; Savaci, NedimObjective: In previous studies, it has been shown that both simvastatin (chlolesterollowering drug) and platelet-rich plasma (PRP) were capable of promoting bone formation. The aim of this study was to compare the effects of PRP and simvastatin on healing of critical-size bone defects. Methods: A total of 33 rats (3 for PRP preparation) were used in the experiment. Critical-size defect 8-mm diameter was created in 30 rats' calvarium. Rats were divided into 3 groups. Each group contained 10 animals. In Group A the defect was filled with phosphate-buffered saline only, in Group B with 0.5 mL PRP, and in Group C with 0.1 mg simvastatin. The defects were evaluated by radiographic analysis at 8th and 16th weeks. The animals were sacrificed 16 weeks after the surgery. Histological examination was performed to assess the new bone-forming area. Vessels, fibroblasts, osteoblasts, and osteoclasts were marked in 524749.1-mu m(2) area and counted with using Clemex Vision Lite 3.5 Image Analysis program. The results were statistically analyzed.Öğe Computed tomography findings in pulmonary involvement of wegener's granulomatosis: Pictorial review(Turkish Assoc Tuberculosis & Thorax, 2015) Poyraz, Necdet; Korkmaz, Celalettin; Yavsan, Durdu Mehmet; Keskin, Suat; Teke, Turgut; Odev, KemalWegener's granulomatosis is a necrotising granulomatous vasculitis which has a variable manifestations in the chest that are best described on computed tomography. Imaging findings may include masses or nodules, which may cavitate; consolidations and ground-glass opacities. Wegener's granulomatosis can mimic pneumonia, malignancy, and noninfectious inflammatory diseases. The purpose of this pictorial essay is to demonstrate the characteristic computed tomography findings of pulmonary Wegener's granulomatosis.Öğe CT Findings of Mycobacterium Avium Intracellulare Infections in the Lung(Modestum Ltd, 2014) Keskin, Suat; Sakarya, Mehmet Emin; Keskin, ZeynepMycobacterium avium intracellulare (MAI) is the most common pulmonary pathogen in the population with acquired immunodeficiency syndrome (AIDS). The most common radiological pattern was multiple pulmonary nodules. The commonly observed CT findings are centrilobular, peribronchovascular nodules, bronchiectasis, consolidation, tree-in-bud, pleural thickening, pleural adhesion.Öğe CT Findings of Mycobacterium Avium Intracellulare Infections in the Lung(Modestum Ltd, 2014) Keskin, Suat; Sakarya, Mehmet Emin; Keskin, ZeynepMycobacterium avium intracellulare (MAI) is the most common pulmonary pathogen in the population with acquired immunodeficiency syndrome (AIDS). The most common radiological pattern was multiple pulmonary nodules. The commonly observed CT findings are centrilobular, peribronchovascular nodules, bronchiectasis, consolidation, tree-in-bud, pleural thickening, pleural adhesion.Öğe Effective radiation exposure evaluation during a one year follow-up of urolithiasis patients after extracorporeal shock wave lithotripsy(Polish Urological Assoc, 2015) Kaynar, Mehmet; Tekinarslan, Erdem; Keskin, Suat; Buldu, Ibrahim; Soenmez, Mehmet Giray; Karatag, Tuna; Istanbulluoglu, Mustafa OkanIntroduction To determine and evaluate the effective radiation exposure during a one year follow-up of urolithiasis patients following the SWL (extracorporeal shock wave lithotripsy) treatment. Material and methods Total Effective Radiation Exposure (ERE) doses for each of the 129 patients: 44 kidney stone patients, 41 ureter stone patients, and 44 multiple stone location patients were calculated by adding up the radiation doses of each ionizing radiation session including images (IVU, KUB, CT) throughout a one year follow-up period following the SWL. Results Total mean ERE values for the kidney stone group was calculated as 15, 91 mSv (5.10-27.60), for the ureter group as 13.32 mSv (5.10-24.70), and in the multiple stone location group as 27.02 mSv (9.41-54.85). There was no statistically significant differences between the kidney and ureter groups in terms of the ERE dose values (p = 0.221) (p >0.05). In the comparison of the kidney and ureter stone groups with the multiple stone location group; however, there was a statistically significant difference (p = 0.000) (p <0.05). Conclusions ERE doses should be a factor to be considered right at the initiation of any diagnostic and/or therapeutic procedure. Especially in the case of multiple stone locations, due to the high exposure to ionized radiation, different imaging modalities with low dose and/or totally without a dose should be employed in the diagnosis, treatment, and follow-up bearing the aim to optimize diagnosis while minimizing the radiation dose as much as possible.Öğe Endovascular treatment of complex intracranial aneurysms by pipeline flow-diverter embolization device: a single-center experience(Maney Publishing, 2015) Keskin, Fatih; Erdi, Fatih; Kaya, Bulent; Poyraz, Necdet; Keskin, Suat; Kalkan, Erdal; Ozbek, OrhanObjective: Endovascular coil embolization has become an effective treatment modality for most intracranial aneurysms. However, complex aneurysms including large and giant aneurysms, fusiform shaped aneurysms, wide necked aneurysm, or small aneurysm that are unsuitable for coil embolization are still deterrent to be treated. Flow diversion is a novel concept that is applied in the treatment of these complex intracranial aneurysms. Method: We review the results and important features of 25 aneurysms in 24 patients who underwent endovascular treatment by using the pipeline flow-diverter embolization device. Result: At 6 month follow-up, all aneurysms (100%) showed total occlusion in our series. Only one patient who had giant vertebrobasilar aneurysm experienced major complication related to endovascular treatment. Discussion: We suggest that parent artery reconstruction via flow diversion with the PED is a valid and safe treatment modality.Öğe Evaluation of effects of bronchiectasis on bronchial artery diameter with multidetector computed tomography(Sage Publications Ltd, 2014) Kosar, Mehmet; Kurt, Aydin; Keskin, Suat; Keskin, Zeynep; Arslan, HalilBackground: Among patients with increased bronchial artery diameter there is a significant association between hemoptysis and bronchiectasis score. The higher score of bronchiectasis, the higher risk of hemoptysis development. Purpose: To investigate the association of stages of bronchiectasis based on a computed tomography (CT) grading system, with bronchial artery diameter and hemoptysis in patients with bronchiectasis. Material and Methods: Patients with lung pathologies other than bronchiectasis, which may cause hemoptysis, were excluded from the study. One hundred and forty-five patients who underwent contrast-enhanced thorax CT by a 64-detector CT for various indications, and who were diagnosed with bronchiectasis, were evaluated retrospectively. CT examinations were carried out by two radiologists with 9 and 4 years of experience with chest radiology, respectively. The diameters of the right and left bronchial arteries were measured 1 cm from the aortic origin and perpendicular to the vessel axis. Cases were assessed based on the Bhalla CT scoring system. The hemoptysis history of every patient was taken. Results: The diameters of the right and left bronchial arteries were significantly greater in patients with scores of 2 and 3 bronchiectasis than in patients with a score of 1. This was significantly greater in patients with a score of 3 than in patients with a score of 2 (P < 0.05). In patients with a score of 1, the right bronchial artery diameter was significantly greater than that of the left bronchial artery (P < 0.05). Right bronchial artery diameters were significantly greater than left bronchial artery diameters in score 3 patients (P < 0.05). A significant association was observed between hemoptysis and bronchiectasis in patients with increased bronchial artery diameter (P < 0.05). Conclusion: In patients with bronchiectasis, as the stage of bronchiectasis increases, the bronchial artery diameters and the risk of hemoptysis increase. We think that in patients who are diagnosed with bronchiectasis via multidetector CT (MDCT), based on scoring with bronchial artery diameters, the risk of hemoptysis can be estimated, and early management plans can be implemented.Öğe Gangrenous Appendicitis in a Boy with Mobile Caecum(Kowsar Publ, 2015) Keskin, Suat; Keskin, Zeynep; Gunduz, Metin; Sekmenli, Taner; Kivrak, Hatice YazarA mobile caecum and ascending colon is an uncommon congenital disorder, and it is even rarer as the cause of an acute abdomen during childhood. This report presents the case of a 6-year-old boy with acute gangrenous appendicitis with a mobile caecum and ascending colon. Data from the surgical course, as well as laboratory and imaging studies, were acquired and carefully examined. Emergency ultrasound (US) was performed and revealed no signs of appendicitis in the right lower quadrant. Serial imaging study, including non-enhanced computed tomography (CT), was performed. An imaging study identified epigastric appendicitis with mobile caecum. Surgery was executed under general anesthesia with a median incision extending from the epigastrium to the suprapubic region. The caecum was mobile and placed in the right epigastric area, next to the left lobe of the liver and gallbladder. The gangrenous appendix was discovered posterior to the caecum and transverse colon, enlarging to the left upper quadrant. Appendectomy was executed, the gangrenous appendix was confirmed pathologically, and the patient was released 4 days later. In the US, if there are unusual clinical findings or no findings in patients with abdominal pain, CT is beneficial in determining the location of the caecum and appendix and preventing misdiagnosis in children.Öğe Hepatosellüler karsinomda radyolojik algoritma ve görüntüleme yöntemleri(2014) Küçükapan, Ahmet; Keskin, Suat; Keskin, Zeynep; Poyraz, NecdetRadyolojik görüntülemenin amacı hepatosellüler karsinomu erken evrede tespit etmektir. Bunun amacı lezyonu küratif tedavi evre- sinde yakalayabilmektir. Son yıllarda özellikle küçük karsinomların erken tespit edilebilmesi için fazlaca çaba sarf edilmektedir. Bu derlemenin amacı hepatosellüler karsinomların tespiti ve tanımlanmasında ultrasonografi, bilgisayarlı tomografi, manyetik rezonans görüntüleme, radyonüklid görüntüleme, pozitron emisyon tomografi ve dijital subtraksiyon anjiografi gibi invaziv olmayan görüntü- leme yöntemlerinin etkinliğini belirlemektir.Öğe The İncidence Of Renal Artery Stenosis İn Patients With Significant Stenosis Of Lower Extremity Arteries(2012) Keskin, Zeynep; Küçükay, Fahrettin; Keskin, SuatBu çalışmanın amacı, renal arter stenozu ile periferik arter hastalığı birlikteliğini değerlendirmek ve periferik arter hastalığı olan hastalarda insidental renal arter stenozu sıklığını saptamaktır. Bu çalışmaya alt ekstremite arterlerine yönelik DSA yapılan ve en az bir segmentinde %50 ve üzeri stenoz saptanan toplam 1502 hasta dahil edildi. Alt ekstremite arterleri aortoiliak, femoropop- liteal ve infrapopliteal olarak 3 segmente ayrılarak değerlendirildi. Segmentler tek segment ve multisegment tutulumu olarak sınıflandırıldı. Multisegmentler aortoiliakfemoropopliteal, aortoiliakinfrapopliteal, femoropoplitealinfrapopliteal ve aorto ilaikfemoropoplitealinfrapopliteal olarak isimlendirildi. En az bir segmentde %50 ve üzeri stenozu olanlar çalışmaya alındı. Segmental periferal arter hastalığı ve renal arter stenozu birlikteliğini karşılaştırmada ki-kare testi kullanıldı. Periferik vasküler hastalığı olan 1502 hastanın 228 inderenal arter stenozu saptandı. Renal arter stenozu sıklığı tek segment tutulumu olanlarda multi segment tutulumuna göre daha az bulundu (p0.03). Renal arter stenozu sıklığı tek segment tutulumunda %11,9 ve multi- segment tutulumunda %16,4 bulundu. Renal arter stenozu sıklığı diğerleriyle karşılaştırıldığında infrapopliteal tutulumda (%6) daha az bulundu (p0.027). Sağ, sol ve bilateral renal arter stenozuyla segment tutulumları karşılaştırıldığında segment grupları arasında fark bulunmadı (p0.086, p0.219). Kadınlarda renal arter stenozu sıklığı daha yüksek oranda bulundu (%23.6, p0.01). Renal arter stenozu periferal vasküler hastalığı olanlarda %15,2 sıklıkla görülmektedir. Renal arter stenozu infrapopliteal segment tutulumunda daha görüşmektedir. Multisegment tutulumu ile karşılaştırıldığında tek segment tutulumunda renal arter stenozu sıklığı kadınlarda erkeklere nazaran daha sıktır.Öğe Incidental Breast Lesions Detected on Computed Thorax Tomography(Aves, 2015) Poyraz, Necdet; Emlik, Ganime Dilek; Keskin, Suat; Kalkan, HavvaObjective: Although mammography is the primary imaging method of the breast, incidental benign and malignant breast lesions are increasingly being detected on computed tomographies (CTs) performed to detect different pathologies. Therefore, the detection and accurate identification of these lesions is important. In this study, we aimed to evaluate the frequency, morphological features, and results of incidental breast lesions on CTs performed for the detection of extramammarian pathologies. Materials and Methods: Incidental breast lesions on CTs performed in our department between 2011 and 2013 were evaluated. Patients who had previously diagnosed breast lesions were excluded from the study. The inclusion criteria were histopathologic diagnose and being followed - up for at least 2 years. Results: The study population consisted of 33 women whose mean age was 55 +/- 1.38 (37-78) years. Of the 33 women, 12 (36%) had malignant and 21 (64%) had benign or normal findings. The most common malignant lesion was invasive ductal carcinoma, and the most common benign lesion was fibroadenoma. Ill-defined contour and lymphadenopathy in malignant lesions and well-defined contour in benign lesions were the most important CT findings. Conclusion: Breast must be carefully evaluated if it is included in the scans. An accurate report of breast lesions gives an opportunity for early diagnosis and treatment.Öğe Intracerebral Pial Arteriovenous Fistula With Aneurysm(Lippincott Williams & Wilkins, 2015) Keskin, Suat; Gokmen, Erdem; Koc, Osman; Cengiz, Sahika L.[Abstract Not Availabe]Öğe Is Neutrophil/Lymphocyte Ratio Predict to Short-term Mortality in Acute Cerebral Infarct Independently from Infarct Volume?(Elsevier, 2014) Tokgoz, Serhat; Keskin, Suat; Kayrak, Mehmet; Seyithanoglu, Abdullah; Ogmegul, AysegulBackground: Neutrophil/lymphocyte ratio (NLR) is related with increased mortality in both myocardial infarction and acute ischemic stroke. It remains unclear whether NLR is a simple marker of ischemic infarct volume or an independent marker of stroke mortality. The aim of this study is to investigate the relationship of NLR with infarct volume and short-term mortality in acute ischemic stroke (AIS). Methods: This retrospective study included 151 patients with first AIS that occurred within 24 hours of symptom onset. Patients were screened from the hospital's electronic record system by using International Classification of Diseases code (G 46.8). NLR was calculated as the ratio of neutrophils to lymphocytes. Short-term mortality was defined as 30-day mortality. Results: A total 20 of 151 patients died during follow-up. Both NLR and infarct volume of nonsurvived group were significantly higher than survived group (P < . 05). Infarct volume, NLR, and National Institutes of Health Stroke Scale (NIHSS) were independent predictors of the mortality in Cox regression analysis. The optimal cutoff value for NLR as a predictor for short-term mortality was determined as 4.81. NLR displayed a moderate correlation with both NIHSS and Glasgow Coma Scale (P < . 01). NLR values were significantly higher in the highest infarct volume tertile than both in the lowest volume tertile and midtertile of infarct volume (P = .001). Conclusions: NLR at the time of hospital admission maybe a predictor of short-term mortality independent from infarct volume in AIS patients. NLR should be investigated in future prospective trials investigating AIS.Öğe Magnetic Resonance Imaging Features of Idiopathic Granulomatous Mastitis: A Retrospective Analysis(Kowsar Publ, 2016) Poyraz, Necdet; Emlik, Ganime Dilek; Batur, Abdussamet; Gundes, Ebubekir; Keskin, SuatBackground: Granulomatous mastitis is a rare and benign inflammatory breast disease that may clinically and radiologically mimic breast cancer. Objectives: The aim of this study was to evaluate the features of idiopathic granulomatous mastitis (IGM) on breast magnetic resonance imaging (MRI) with mammographic and sonographic findings. Patients and Methods: A retrospective analysis was conducted on 20 patients with IGM who had been diagnosed by needle core or excisional biopsy at a single institution between 2006 and 2012. All of the patients underwent MRI for suspicious breast findings prior to biopsy. MRI examinations were performed on a 1.5 T scanner. The MRI findings were evaluated in accordance with the breast imaging-reporting and data system (BI-RADS) MRI lexicon established by the American College of Radiology. Results: MRI detected a total of 29 lesions in the 20 patients. Fourteen of these lesions were seen as mass enhancements, with the remaining 15 identified as non-mass enhancements (NMEs). The median size of all lesions was 3.6 cm (range, 0.7-6.7 cm). The most frequently observed features were masses with a round shape (9 out of 14, 64%), smooth contour (11 out of 14, 78%), and a rim enhancement pattern (10 out of 14, 71%). The most common features of the 15 NME lesions were segmental distribution (6 out of 15, 40%) and heterogeneous enhancement patterns (8 out of 15, 53%). The time-intensity curves of the dynamic studies showed benign type one signal intensity (persistent enhancement pattern) in the majority of lesions (10 out of 20, 50%). Conclusion: Our study suggests that breast MRI findings of IGM have a wide spectrum. Rim enhancement patterns are frequently seen on contrast enhanced images, but the imaging findings are nonspecific and cannot be used definitively to distinguish between benign and malignant lesions.Öğe Nörofibromatozis tip 1: Kraniyal MRG Bulguları(2014) Keleşoğlu, Kazım Serhan; Keskin, Suat; Sivri, Mesut; Erdoğan, Hasan; Nayman, Alaaddin; Koplay, MustafaAmaç: Nörofibromatozis tip 1 (NF1, von Recklinghausen hastalığı, periferal nörofibromatozis) öncelikle nöral dokular olmak üzere birçok sistemi tutan nörokutanöz bir hastalıktır. Çocuklarda kanser yatkınlığını artırması sebebiyle bilinmesi ve tanı konması önem kazanan bir sendromdur. Amacımız kliniğimizde incelenen nörofibromatozis tip 1 hastalarının kraniyal MRG bulgularını tartışmak ve mevcut bulgular eşliğinde nörofibromatozis tip 1'in kraniyal tutulum şekillerini değerlendirmektir. Gereç ve yöntemler: Haziran 2011 ve Mart 2013 tarihleri arasında kliniğimizde Nörofibromatozis tip 1 tanısı olan ve en az 1 MRG incelemesi bulunan 21 hastanın 19'u değerlendirilmiştir. 6-32 yaş aralığında (ortalama yaş 15,3), 7 kız ve 12 erkek hastadan elde edilen kraniyal MRG incelemeleri retrospektif olarak taranmıştır. Çalışmaya dahil edilen olgulardaki lezyonların tipi ve lokalizasyonları farklı bir radyolog tarafından yeniden değerlendirilmiştir. Bulgular: Nörofibromatozis tip 1 tanısıyla takip edilen ve kraniyal MR görüntülemeleri değerlendirilen 19 hastanın 16'sında santral sinir sisteminde hamartomatöz lezyonlar, 5 hastada optik gliom ya da optik sinir kalınlaşması, 5 hastada pleksiform nörofibromlar ve 2 hastada nörofibrom odakları izlenmiştir. Sonuç: Birçok farklı tümör ve bulgu içermesi ve en sık kalıtılan santral sinir sistemi hastalığı olması Nörofibromatozis tip 1'in tanı kriterlerinin ve lezyonlarının bilinmesini ve akılda tutulmasını gerektirmektedir. Klinik bulguları Nörofibromatozis tip 1 kriterlerini karşılamayan, tanı kriterlerindeki lezyonlar gelişmeyen veya tanı konurken şüphede kalınan hastaların tanısı ve hastalığın tümöral oluşumların gelişmesine olan yatkınlığı sebebiyle Nörofibromatozis tip 1 hastalarında MR görüntüleme bulguları erken ve doğru tanı açısından önemlidir.Öğe A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience(Aves, 2016) Nayman, Alaaddin; Guler, Ibrahim; Keskin, Suat; Erdem, Tuba Berra; Borazan, Hale; Kucukapan, Ahmet; Ozbiner, HuseyinPURPOSE We aimed to demonstrate the success and reliability of a novel puncture, aspiration, injection, and reaspiration (PAIR) technique in liver hydatid cysts. METHODS Percutaneous treatment with ultrasonographic guidance was performed in 493 hepatic hydatid cysts in 374 patients. Patients were treated with a new PAIR technique by single puncture method using a 6F trocar catheter. The results of this novel technique were evaluated with regards to efficacy and safety of the procedure and complication rates. RESULTS Out of 493 cysts, 317 were Gharbi type I (WHO CE 1) and 176 were Gharbi type II (WHO CE 3A). Of all cysts, 13 were referred to surgery because of cystobiliary fistulization. Recurrence was observed in 11 cysts one month later. Therefore, the success rate of the PAIR technique was 97.7% (469/480). Minor complications (fever, urticaria-like reactions, biliary fistula) were seen in 44 treated patients (12%, 44/374); the only major complication was reversible anaphylactic shock which was observed in two patients (0.5%, 2/374). CONCLUSION This novel modified PAIR technique may be superior to catheterization by Seldinger technique due to its efficiency, easier application, lower severe complication rate, and lower cost. Further comparative studies are required to confirm our observations.Öğe Photoclinic Diagnosis: Primary Lipoma of the Diaphragm and Enormous Pericardial Fat Pad Presenting with Long-term Dyspnea(Acad Medical Sciences I R Iran, 2013) Keskin, Zeynep; Keskin, Suat; Yesildag, Mihrican; Yesildag, Ahmet[Abstract Not Availabe]
