All conflicts were resolved through consensus within the groups. 4942149442, 2017. 27, no. Aenean vulputate eleifend tellus. Check out the pronunciation, synonyms and grammar. By adding newly published studies of GEC in recent years and pathological results after surgery, our results revealed that the GECs sensitivity was 95.4%, the specificity was 22.3%. JAMA Oncol. A meta-analysis evaluated GEC from 1086 nodules and ThyroSeq v2 from 459 nodules to assess the preoperative diagnostic accuracy of ITNs [46]. 13 days? AskALibrarian@unthsc.edu (817) 735-2465 Find out what is the most common shorthand of TurnAround Time on Abbreviations.com! Knowing that a patient has MTC before surgery can enable the surgeon to more appropriately plan. Diagn Cytopathol. Poster presented at: 87th Annual Meeting of the American Thyroid Association; October 2017; Victoria, BC, Canada. Reporting on the success of the turnaround period after its complete is an essential part of the entire process. If delay of more than 24 Hours is expected add an equal amount of Cytolyt or ethanol to the sample. (1)Indeterminate thyroid results via FNA that included categories III, IV, and V.(2)Use of Afirma GEC test as an index test. M. Borowczyk, E. Szczepanek-Parulska, M. Olejarz et al., Correction to: evaluation of 167 gene expression classifier (GEC) and ThyroSeq v2 diagnostic accuracy in the preoperative assessment of indeterminate thyroid nodules: bivariate/HROC meta-analysis, Endocrine Pathology, vol. This can lead to unnecessary thyroid surgery for these patients. Subsequent classifiers have been introduced, which also combine genomic data and machine learning to identify benign nodules. 1, pp. Y. E. Nikiforov, S. E. Carty, S. I. Chiosea et al., Highly accurate diagnosis of cancer in thyroid nodules with follicular neoplasm/suspicious for a follicular neoplasm cytology by thyroseq V2 next-generation sequencing assay, Cancer, vol. Of the 2889 nodules with GEC results, 1187 (41.1%) were GEC-benign, 1599 (55.4%) were GEC-suspicious, and 101 (3.6%) were GEC-unsatisfactory. Effective leadership is critical to successful school turnaround efforts. Gharib H et al. BRAF mutation has low prevalence in the FN/SFN and AUS/FLUS while high in the SM cytology thyroid lesions [42, 43]. 74.6k members in the step1 community. The present work followed the structure of the PRISMA statement. Impact of a gene expression classifier on the long-term management of patients with cytologically indeterminate thyroid nodules. I put records from second table in excel file for those who are using excel as tool for TAT solution. E1477E1483, 2015. 14, no. After surgical resection, the malignant call risk was 645/1617 (39.9%) while the benign call rate was 972/1617 (60.1%). 3, pp. A. Sosa, Molecular-directed treatment of differentiated thyroid cancer, JAMA Surgery, vol. 425437, 2008. We got 5290 patients assessed by FNA; 3390 nodules were categorized as ITNs, 2889 of which underwent gene expression classifier finally. Nipple Discharge: 1-2 direct smears, spray fixed Effective leadership is critical to successful school turnaround efforts. FNA Cell Block: Submit two H&E slides and 10 unstained slides. Time it Takes to Start Responding, Not the Time it takes to Output the Response. By continuing to use this site you consent to our use of cookies. Pooled data showed the sensitivity was 98% and 84%, and the specificity was 12% and 78%, respectively. 167.99.15.50 At the end of the day, 10 were done and I wished I had more time (and energy!). The rate of informative results was higher in FNAs collected into preservative solution as compared to cytology smears (79-93% vs. 96%). 22, no. However, Sacks et al. Maecenas nec odio et ante tincidunt tempus. Sterile plastic container Stoll SJ, et al. The turnaround time was 1-3 days longer due to additional preparatory steps for Looking for the abbreviation of TurnAround Time? As speed is increased, its critical that safety considerations be kept top of mind, and no corners are cut when it comes to taking the proper steps to ensure that no employees are put in harms way. This period of time is often commonly called downtime, a planned outage, or a plant turnaround. All jars must be labeled with two (2) patient identifiers clearly written and matchingexactly with the specimen identifiers and specimen labeling on the accompanying requisition. Sample: ID Created_EST Transport_Arrival_EST Exit_EST Quality products made for your protection quickly! 1, pp. Here are two of the primary ways a drone like the Elios 3, Flyability's collision-tolerant drone made for indoor inspections, can help significantly reduce turnaround times. 30, no. Clinical Significance utilized for the detection of normal/benign and reactive, infectious and/or inflammatory processes and identification of atypical, premalignant and malignant entities in cellular samples, Liquid based preparation: 2-4 FNA passes into 30ml prefilled Cytolyt tube per nodule/site That seems a bit quick to do everything that's needed, mainly cleaning . Considering the recent reclassification of the encapsulated fvPTC as noninvasive follicular neoplasm with papillary-like nuclear features (NIFTP), prior studies seldom reclassified fvPTC as NIFTP, which could give rise to unreliable estimates of cancer prevalence and PPV [37]. 375379, 2012. This requires a test to have a high sensitivity and, correspondingly, a high negative predictive value (NPV). Turnaround times are typically planned in advance. Chen T, et al. 163, no. Impact of the Multi-Gene ThyroSeq Next-Generation Sequencing Assay on Cancer Diagnosis in Thyroid Nodules with Atypia of Undetermined Significance/Follicular Lesion of Undetermined Significance Cytology. Highly Accurate Diagnosis of Cancer in Thyroid Nodules With Follicular Neoplasm/Suspicious for a Follicular Neoplasm Cytology by ThyroSeq v2 Next-Generation Sequencing Assay. P1 waiting time = P1 turnaround time = P2 waiting time = P2 turnaround time = P3 waiting time = P3 turnaround time = 4. 364369, 2014. Solution for Turnaround time It is the a. from publication: Agent-based Truck Appointment System for Containers Pick-up Time Negotiation | Congestion in . It suggests less than 2 hours to fully prepare the aircraft for the journey to Dubai after landing at Bali. Cancer Cytopathol. 46, no. 2018. The diagnostic profiling of GEC is mainly limited to papillary and follicular thyroid carcinoma partly due to the relatively low prevalence of medullary and anaplastic thyroid cancer. Diff-Quik and Papanicolau (Pap) stained smears are acceptable I know this is a PSA board, but I have much more faith in you guys than those yahoos over on the BGS board. Wormald R, et al. For specimens in which a hematopoietic disorder cannot be excluded or Lymphoma is suspected additional FNA material to be collected in RPMI for flow cytometry testing All jars, tubes and slides must be labeled with two (2) patient identifiers clearly written and matching exactly with the specimen identifiers and specimen labeling on the accompanying requisition, 30 ml Cytolyt tube or 1-2, Air-dried direct smears in cardboard holder And/or2-4, Direct smears (ethanol fixed) in coplin jar. Postprocedural Complication Icd 10, Embase search was done using the following keywords (Thyroid Nodule/diagnosis[Mesh] OR Thyroid Nodule/surgery[Mesh]) AND (gene expression classifier OR GEC). FNAC is a reliable method with good sensitivity and specificity [23]. D. S. Cooper, G. M. Doherty, B. R. Haugen et al., Revised American thyroid association management guidelines for patients with thyroid nodules and differentiated thyroid cancer, Thyroid, vol. 10, pp. Below are some case studies highlighting these additional benefits, with a focus on ways that the Elios 2 and Elios 3 have helped companies increase safety and savingsin some cases, millions of dollarsby significantly reducing their turnaround times. 2019. One customer recently told us that our second generation drone, the Elios 2, collected visual data for an inspection of a key component in their power generation work in a third the amount of time it would have taken an inspector to do it. Steward D. Clinical Validation of ThyroSeq V3 Performance in Thyroid Nodules with Indeterminate Cytology: A Prospective Blinded Multi-Institutional Validation Study. Accessed 1/3/18. The adenomatoid nodule is featured as a densely cellular follicular proliferation lack of capsule in histology. Our study has several limitations. Evaluation of a Two-Year Routine Application of Molecular Testing of Thyroid Fine-Needle Aspirations Using a Seven-Gene Panel in a Primary Referral Setting in Germany. Since the most benign nodules with GEC-suspicious results are follicular adenomas, benign follicular nodules and adenomatoid nodules, it is essential to combine other molecular markers to improve the specificity of GEC. Lithwick-Yanai G, Dromi N, Shtabsky A, et al. The time from arrival of an EMS unit at a hospital to its departure time. Oversight can be key to efficiency during these times. 403408, 2017. We calculated pooled sensitivity, specificity, DOR, SROC, and the prediction ellipses for the hierarchical ordinal regression for ROC curves (HROC) model. test utilizes next-generation sequencing to analyze DNA and RNA of 112 thyroid-related genes for four main classes of molecular alterations, including mutations, gene fusions, copy number alterations, and gene expression alterations, The results are processed by a unique Genomic Classifier (GC) and reported as Positive or Negative, Confidently rules out cancer and prevents unneeded surgeries in 61-67% of patients with indeterminate cytology nodules. It suggests less than 2 hours to fully prepare the aircraft for the journey to Dubai after landing at Bali. 44, no. Deeks funnel plot asymmetry test was adopted as the way of evaluating publication bias both in each section of the analysis. Accurately detects all types of thyroid cancer (papillary, follicular, Hrthle cell, medullary) and non-thyroidal lesions (parathyroid, metastases to the thyroid) 1,2,7. Hence, identification of somatic alterations could provide insights to tumor biology and serve as an add-on diagnostic tool. This site uses cookies to improve user experience and performance. Flowchart showing algorithm for screening and study selection. 12, pp. Because parathyroid cells often appear similar to atypical thyroid cells under the microscope, cytopathologists often designate them as indeterminate typically, as Bethesda III or IV. Additional studies demonstrated the durability of a benign GEC result, as patients were followed clinically over an extended period of time and remained cancer free. And 15ml Cytolyt, ethanol orformalin jar for needle rinse/cellblock demonstrated that there were no significant changes in surgery rates and malignant prevalence by comparing pre-Afirma and post-Afirma cases [12]. 11671214, 2009. Sosa JA, et al. Aliquam lorem ante, dapibus in, viverra quis, feugiat a, tellus. While encouraging, it will be helpful to see how the test performs when used on a wider range of indeterminate nodules including those that were not recommended for surgery (which can impact test performance) in a real-world setting. Number of Processes that are Quality products made for your protection quickly! Oral Presentation at: 87th Annual Meeting of the American Thyroid Association; October 2017; Victoria, BC, Canada. In the last decade, some studies [810] have evaluated its effects on ITNs but the results were inconsistent, probably due to the rates of indeterminate biopsy result varying among the hospitals and tertiary centers [11]. The document has moved here. In the case of plant turnarounds needed for regular inspections and maintenance, these can be anticipated well in advance and thoroughly planned for since they are usually required periodicallyannually, bi-annually, or on some other time frame, as mandated by law in many instances. X. Zeng, Y. Zhang, J. S. Kwong et al., The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: a systematic review, Journal of Evidence-Based Medicine, vol. The pooled sensitivity, specificity, negative likelihood ratio, positive likelihood ratio, and diagnostic odds ratio of the analysis. With hundreds of customers in over 50 countries in Power Generation, Oil & Gas, Chemicals, Maritime, Infrastructures & Utilities, and Public Safety, Flyability has pioneered and continues to lead the innovation in the commercial indoor drone space. The 167-gene classifier is performed on patient samples that are collected during the initial FNA procedure, removing the need for patients to undergo a follow-up FNA procedure. S. Chaudhary, Y. Hou, R. Shen, S. Hooda, and Z. Li, Impact of the afirma gene expression classifier result on the surgical management of thyroid nodules with category III/IV cytology and its correlation with surgical outcome, Acta Cytologica, vol. I am a one-woman show, so turnaround time may change at any time. A primary goal of molecular testing of indeterminate FNA samples is to identify patients who can avoid unnecessary surgery while minimizing the risk of missing cancer. J. Y. Kwak, K. H. Han, J. H. Yoon et al., Thyroid imaging reporting and data system for us features of nodules: a step in establishing better stratification of cancer risk, Radiology, vol. The benign thyroid nodules proved by surgical resection are follicular adenoma, benign follicular nodule and adenomatoid nodule, etc. This period of time is often commonly called downtime, a planned outage, or a plant turnaround. Just another site. ThyroSeq Genomic Classifier (GC)test utilizes next-generation sequencing to analyze DNA and RNA of 112 thyroid-related genes for four main classes of molecular alterations, including mutations, gene fusions, copy number alterations, and gene expression alterations, The results are processed by a unique Genomic Classifier (GC) and reported as Positive or Negative1, Including all expressed (BRAF, RAS) and not expressed (TERT) variants important for thyroid cancer, Including known and novel types of RET, NTRK, ALK, and other fusions, Critical for diagnosis of Hrthle cell nodules and follicular carcinomas, To diagnose medullary carcinoma, non-thyroidal nodules, and additional classes of thyroid cancer, Confidently rules out cancer and prevents unneeded surgeries in 61-67% of patients with indeterminate cytology nodules 2-8, Accurately detects all types of thyroid cancer (papillary, follicular, Hrthlecell, medullary) and non-thyroidal lesions (parathyroid, metastasesto thethyroid) 1,2,7, Identifiestherapeutic targets for advanced cancer. Find centralized, trusted content and collaborate around the technologies you use most. How to say ThyroSeq in English? B. R. Haugen, E. K. Alexander, K. C. Bible et al., 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer, Thyroid, vol. Thyroid hormone replacement after thyroid lobectomy. Indeterminate thyroid results via FNA that included categories III, IV, and V. Histopathologic results diagnosis from thyroidectomy surgical specimens as gold reference standard. Data goes from 2013-01-01 to 2014-04-15. Nullam quis ante. Fluid Collection: 1ml-200ml fresh or fixed fluid The test uses mRNA expression data obtained through microarray analysis and machine learning to identify benign nodules among those previously classified as indeterminate. Pronunciation of ThyroSeq with 1 audio pronunciation and more for ThyroSeq. Posted by: Category: Sem categoria . support@usimprints.com 866-604-6774 NOTICE - Many of our factories are experiencing extended production times. Aenean leo ligula, porttitor eu, consequat vitae, eleifend ac, enim. We also used Cochrane Review Manager Version 5.3 (RevMan; 2014) to perform risk of bias evaluations of studies included in this meta-analysis. There is an unknown connection issue between Cloudflare and the origin web server. 36273634, 2014. 8, no. 3. Storage and Transportation. ; Burst time of a process can not be known in advance before executing the process. 1133, 2016. The SROC curve has been shown in Figure 4 with prediction and confidence contours. Dr.Reem Alshareef is a family medicine resident PSY-3 at king Abdulaziz medical city, Jeddah ,Saudi Arabia. The gold reference standard relied on the histopathologic results diagnosis from thyroidectomy surgical specimens. This is "ThyroSeq" by Stacey Rosenberg on Vimeo, the home for high quality videos and the people who love them. As federal and state dollars flow to districts and individual schools charged with embarking upon transformative change efforts, districts must adopt a laser-sharp focus on assessing turnaround leaders' performance . The five steps listed above can help improve turnaround times overall, but there is also a sixth step you can take, which is incorporating new technology into your workflow to rapidly speed up processes. 124, no. Nikiforov YE, et al. Pre-operative knowledge of MTC enables the treating physician to anticipate potential complications such as life-threatening hypertension that can accompany MTC in the setting of multiple endocrine neoplasia type 2. Effective leadership is critical to successful school turnaround efforts. FNAis the primary sample type for ThyroSeq testingand is a dedicated fresh FNA collected into ThyroSeqPreserve solution. It was based on suspicious ultrasound features such as solid component, hypoechogenicity or marked hypoechogenicity, irregular margins, microcalcifications or mixed calcifications, and taller-than-wide shape. Shop www.kentegrads.com The "dark side of the moon" of FNAC is represented by indeterminate lesions [atypia of undetermined significance/ follicular . Risk of bias and applicability concerns: review authors judgements about each domain presented as percentages across the included studies. J.-F. Background. Randolph G. Clinical Validation of the Afirma Genomic Sequencing Classifier for Medullary Thyroid Cancer. A subsequent version of the mutation panel test (ThyroSeq 2.1) includes 56 genes and promises a high accuracy in identifying both cancerous and benign nodules, which enables it to rule in and rule out cancer. These findings were based on single-center studies in which the treating physician and histopathologist were unblinded to some of the molecular results. If you have a related question, please click the "Ask a related question" button in the top right corner.The newly created question will be automatically linked to this question. Donec quam felis, ultricies nec, pellentesque eu, pretium quis, sem. 705715, 2012. 5 Smart Goals Examples For Quality Assurance, In PubMed database, the keywords were a combination of Thyroid Nodule/diagnosis[Majr] OR Thyroid Nodule/pathology[Majr] OR Thyroid Nodule/surgery[Majr] AND gene expression classifier OR GEC. 2020. 8, no. Quisque rutrum. 2015 American Thyroid Association Management Guidelines for Adult Patients with Thyroid Nodules and Differentiated Thyroid Cancer. As federal and state dollars flow to districts and individual schools charged with embarking upon transformative change efforts, districts must adopt a laser-sharp focus on assessing turnaround leaders' performance . Apply to Proofreader, Sales Representative, Customer Specialist and more! thyroseq turn around time. 892899, 2011. We are always working! Use cold pack for transport if necessary. Sed consequat, leo eget bibendum sodales, augue velit cursus nunc, DICE Dental International Congress and Exhibition, K.I.T. We are hosting demonstrations throughout the world to showcase our new indoor inspection drone. 20, no. The bivariate logistic regression is described in Table 8. 11, pp. Renato de Filippis is a medical doctor, early career psychiatrist and PhD student. If the entire plant needs to be maintenanced, turnaround time will refer to the time the plant needs to be down while personnel conduct their maintenance work. Etiam rhoncus. All authors declare that they have no conflicts of interest. He has served the Royal College of Psychiatrists UK as Deputy & Associate Registrar & Chairman of West Midlands Division of the College. Browse the use examples 'turnaround time ,' in the great English corpus. MattsyKun renamed My turnaround time is around 1-2 weeks, depending on energy levels/materials as well as a delay due to COVID-19. Custom Orders TAT is 3-4 weeks after stitch out approval. The risk of malignancy in ITNs was nearly 38.6% in our analysis, indicating that over half patients had underwent undue surgeries and conservative approaches could be considered for ITNs. This means that the less turnaround time you have, the more potential profit you can make. Furthermore, results from these add-on tools could point in the direction of a more personalized treatment strategy. We also checked the Cochrane Library with the same keywords. I didn't want to be pushy if this was normal but it doesn't seem right. The turnaround time was 1-3 days longer due to additional preparatory steps for I am a one-woman show, so turnaround time may change at any time. Ensure any newtechnology that needs to be put in place works and is on-site, ready to be installed well in advance of the scheduled downtime. Version 2.2017 - May 17, 2017. If the entire plant needs to be maintenanced, turnaround time will refer . Results. In 2011, the commercial introduction of a 167-gene classifier (Afirma Gene Expression Classifier, or GEC) that identified benign nodules among those deemed indeterminate by cytopathology changed the trajectory for how molecular testing is used in thyroid cancer diagnosis. 2, pp. 789796, 2015. (3)Absence of surgical histopathology results. In 2017, an enhanced version of the GEC became available (Afirma Genomic Sequencing Classifier), which data show has a high sensitivity (91%) and significantly increased specificity (from 52% to 68%), significantly improving on the number of surgeries that potentially may be avoided, compared to the previous version., The newer test version combines RNA sequencing to detect and measure extensive genomic content (e.g., gene expression, RNA variants and fusions, and other features) along with machine learning to enable better distinction between benign and malignant nodules. For example, because the BRAF V600E mutation has been shown to have a high positive predictive value for cancer, some physicians choose to perform a full thyroidectomy, rather than a lobectomy, on patients in whom this mutation is found. 11, pp. HCNs partly contributed to the false positive rate of GEC. Data goes from 2013-01-01 to 2014-04-15. from publication: Agent-based Truck Appointment System for Containers Pick-up Time Negotiation | Congestion in . E. K. Alexander, G. C. Kennedy, Z. W. Baloch et al., Preoperative diagnosis of benign thyroid nodules with indeterminate cytology, The New England Journal of Medicine, vol. Y. E. Nikiforov, N. P. Ohori, S. P. Hodak et al., Impact of mutational testing on the diagnosis and management of patients with cytologically indeterminate thyroid nodules: a prospective analysis of 1056 FNA samples, The Journal of Clinical Endocrinology & Metabolism, vol. Donec sodales sagittis magna. Through thorough reporting companies can surface problems and address them the next time they have a turnaround, and improve their processes over time. Clinical utility data demonstrated that use of the 167-gene classifier changed patient care as intended. Kent State Baseball Roster, In enim justo, rhoncus ut, imperdiet a, venenatis vitae, justo. We checked the database and included 18 newly published studies to provide a more comprehensive analysis on the diagnostic performance of GEC and discuss its role in decision-making process of thyroid surgery. Additionally, several molecular tests have demonstrated the ability to identify medullary thyroid cancer (MTC), an aggressive, but rare form of cancer that is often difficult to detect with cytopathology. C.-C. C. Wang, L. Friedman, G. C. Kennedy et al., A large multicenter correlation study of thyroid nodule cytopathology and histopathology, Thyroid, vol. An easy way to think of turnaround time is the time from the moment a request is made or a process is started to the time when the request is fulfilled or the process is complete. 1. Cloudflare Ray ID: 7a2f25d10d4bc32a P1 waiting time = P1 turnaround time = P2 waiting time = P2 turnaround time = P3 waiting time = P3 turnaround time = If you need something by a certain date, please reach out to me to discuss. thyroseq turn around timewhy did noel not see his daughters in 7 years. There is an issue between Cloudflare's cache and your origin web server. Please refer to Student Health Center's Hours of Operation for the most up to date information. 96, no. These patients may require a second surgery to complete the thyroidectomy. Z. Al-Qurayshi, A. Deniwar, T. Thethi et al., Association of malignancy prevalence with test properties and performance of the gene expression classifier in indeterminate thyroid nodules, JAMA OtolaryngologyHead & Neck Surgery, vol. (1)Opinions, reviews, commentary, case reports, and insufficient data. 243251, 2011. Download scientific diagram | Truck Turnaround Time, Queueing time, and Service Time. Xianghua Ma and Hui Lu participated in the manuscript revision. Ying Liu and Da Fang independently searched the database and Ying Liu drafted the manuscript. In this meta-analysis, the pooled sensitivity of GEC was higher than our analysis while the pooled specificity was lower than our analysis. 2, pp. Use cold pack fortransport if necessary. 12, pp. Hemithyroidectomy for benign thyroid disease: who needs follow-up for hypothyroidism? 11, pp. in Vidyavardhinis College of Engineering & Tech. What is Turnaround time? However, the malignancy risk in TBSRTC categories III and IV ranges between 5% and 30% after surgery [5]. Nulla consequat massa quis enim. One of the most common phrases used for turnaround time is downtime. Also, a newer version of a gene mutation panel test (ThyroSeq 3) was introduced, which combines more genes (112), as well as a mathematical formula that considers the likelihood of cancer for each gene mutation. Results from a multicenter study suggest that the test has a high sensitivity (94%) and slightly reduced specificity (80%). The tests performance was evaluated on indeterminate thyroid nodules in patients that were recommended for surgery. Turnaround time is the amount of time it takes to complete a process. The present guidelines recommend repeated FNA for category III lesions, lobectomy for category IV lesions, and repeated category III lesions [24]. Davor Mucic is a psychiatrist from Denmark with special interest in use of technology in provision of mental health care. J. L. Marti, V. Avadhani, L. A. Donatelli et al., Wide inter-institutional variation in performance of a molecular classifier for indeterminate thyroid nodules, Annals of Surgical Oncology, vol. 21, no. E. S. Cibas and S. Z. Ali, The 2017 bethesda system for reporting thyroid cytopathology, Thyroid, vol. High Point Central Athletics, hbspt.cta._relativeUrls=true;hbspt.cta.load(2602167, '38a8d069-cbeb-42ba-ab0e-e2eccda270ea', {"useNewLoader":"true","region":"na1"}); Flyability is a Swiss company building solutions for the inspection and exploration of indoor, inaccessible, and confined spaces. For cytology smear sample submission: 1-2 slides with at least 200-300 cells are required. 6. A total of 126 studies were identified. This holds true in industrial turnarounds as well. The present study summarized the final pathological outcomes of GEC nodules after surgery. Simpler projects are quicker, more complex projects take longer. 3, pp. In 2011 Davor Mucic launched Telemental Health Section within EPA (European Psychiatric Association).