Short-listed entrants in RAMI Research Awards 2023, Tuesday 29th October 2024

RAMI Research Awards, Tuesday 29th October 2024

The three shortlisted papers and winning papers in each category are as follows:

Anaesthesia & Pain Management

Characterization of pain-, anxiety-, and cognition-related behaviors in the complete Freund’s adjuvant model of chronic inflammatory pain in Wistar-Kyoto rats

Mehnaz I. Ferdousi, Patricia Calcagno, Connie Sanchez, Karen L. Smith, John P. Kelly, Michelle Roche, David P. Finn/Pharmacology and Therapeutics, School of Medicine, University of Galway, Galway, Ireland, Centre for Pain Research, University of Galway, Galway, Ireland, Galway Neuroscience Centre, University of Galway, Galway, Ireland, Physiology, School

Weaning from mechanical ventilation in intensive care units across 0 countries

Tai Pham, Leo Heunks, Giacomo Bellani, Fabiana Madotto, Irene Aragao, Gaetan Beduneau, Ewan Goligher, Giacomo Grasselli, Jon Laake, Laurent Brochard, John Laffey/Department of Anaesthesia and Intensive Care Medicine, Galway University Hospitals and University of Galway

Comprehensive Assessment and Classification of Upper & Lower Limb Pain in Athletes – A Scoping Review

Ciarán Purcell, Ciara Duignan, Brona M Fullen, Shiofra Ryan,, Tomas Ward, Brian Caulfield/School of Public Health, Physiotherapy & Sport Science, University College Dublin, Dublin, Ireland; Insight SFI Research Centre for Data Analytics, University College Dublin, Dublin, Ireland; School of Public Health, Physiotherapy & Sport Science, University College Dublin, Dublin, Ireland; Insight Centre for Data Analytics, School of Computing, Dublin City University, Dublin, Ireland

The winner, Prof. John F. Laffey, was presented with a RAMI medal by the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon.

Biomedical Sciences

Complexation of histone deacetylase inhibitor belinostat to Cu(II) prevents premature metabolic inactivation in vitro and demonstrates potent anti-cancer activity in vitro and ex vivo in colon cancer

Ellen Finnegan, Wei Ding, Ziga Ude, Sara Terer, Tadhg McGivern, Anna M Blümel, Grainne Kirwan, Xinxin Shao, Flavia Genua, Xiaofei Yin, Alexander Kel, Sarinj Fattah, Parvathi A Myer, Sally-Ann Cryan, Jochen H M Prehn, Darran P O’Connor, Lorraine Brennan, Gregory Yochum, Celine J Marmion, Sudipto Das/School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland; Department of Surgery, Division of Colon & Rectal Surgery, Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, PA, 0, USA; Department of Chemistry, RCSI University of Medicine and Health Sciences, Dublin, Ireland; Department of Physiology and Medical Physics, RCSI University of Medicine and Health Sciences, Dublin, Ireland; UCD School of Agriculture and Food Science, UCD Conway Institute, Belfield, University College Dublin, Dublin, Ireland; GeneXplain GmbH, Wolfenbuettel, Germany; BIOSOFT.RU, LLC, Novosibirsk, Russia; Institute of Chemical Biology and Fundamental Medicine SBRAS, Novosibirsk, Russia; Montefiore Medical Center, Albert Einstein Cancer Center, Bronx, NY, USA; Department of Biochemistry & Molecular Biology, College of Medicine, The Pennsylvania State University, Hershey, PA, 0, USA; Department of Chemistry, RCSI University of Medicine and Health Sciences, Dublin, Ireland; School of Pharmacy and Biomolecular Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

Loss of compensation afforded by accessory muscles of breathing leads to respiratory system compromise in the mdx mouse model of Duchenne muscular dystrophy

O’Halloran KD, Maxwell MN, Marullo AL, Hamilton CP, Ó Murchú SC, Burns DP, Mahony CM, Slyne AD, Drummond SE/Department of Physiology, UCC

Particle Exposure Hazards of Visiting Outdoor Smoking Areas for Patients with Asthma or COPD Even in EU Countries with Comprehensive Smokefree Law

Sheila Keogan, Tamara Alonso, Salome Sunday, Joan Hanafin, Olena Tigova, Esteve Fernandez, Maria Jose Lopez, Silvano Gallus, Sean Semple, Anna Tzortzi, Roberto Boffi, Giuseppe Gorini, Angel Lopez-Nicolas, D K Arvind, Cornel Radu-Loghin, Joan B Soriano, Luke Clancy/ TobaccoFree Research Institute Ireland (TFRI), D02 HW71 Dublin, Ireland; Hospital Universitario de la Princesa, Universidad Autónoma de Madrid, 28049 Madrid, Spain; CIBER Respiratory Diseases (CIBERES), 28029 Madrid, Spain; Tobacco Control Unit, Catalan Institute of Oncology (ICO), 08908 Barcelona, Spain; Tobacco Control Research Group, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain; School of Medicine and Health Sciences, Bellvitge Campus, Universitat de Barcelona, 08007 Barcelona, Spain; Public Health Agency of Barcelona (ASPB), 08023 Barcelona, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain; Institut d’Investigació Biomèdica Sant Pau (IIB St. Pau), 08025 Barcelona, Spain; Istituto di Ricerche Farmacologiche Mario Negri IRCCS (IRFMN), 20156 Milano, Italy; Institute for Social Marketing and Health, Faculty of Health Sciences and Sport, University of Stirling (UNISTIR), Stirling FK9 4LA, UK; Institute of Public Health, The American College of Greece, GR-153 42 Athens, Greece; Fondazione IRCCS Istituto Nazionale dei Tumori (INT), 20133 Milan, Italy; Istituto per lo Studio, la Prevenzione, e la Rete Oncologica (ISPRO), 50139 Firenze, Italy; Department of Economics, Polytechnic University of Cartagena (UPCT), 30202 Cartagena, Spain; School of Informatics, University of Edinburgh, Edinburgh EH8 9YL, UK; European Network on Smoking and Tobacco Prevention (ENSP), 1050 Brussels, Belgium.

Hypoxia induces a glycolytic complex in intestinal epithelial cells independent of HIF-1-driven glycolytic gene expression

Kierans SJ, Fagundes RR, Malkov MI, Sparkes R, Dillon ET, Smolenski A, Faber KN, Taylor CT/University College Dublin, University of Groningen

Congratulations to the joint winners of the Biomedical Science category. Prof. Ken O’Halloran and Dr. Sarah Kierans both received a RAMI medal.

Dermatology

Variation in the practice of wide local excision for melanoma in Ireland and the UK – a questionnaire survey

Eileen O’Connor, Cathal O’Connor, Garret O’Connell, Howard Peach, Sally O’Shea/Dermatology, South Infirmary Victoria University Hospital, Cork , Ireland; Medicine, University College Cork, College Road, Cork , Ireland; Leeds Teaching Hospitals NHS Trust, Leeds , UK.

Early emollient bathing is associated with subsequent atopic dermatitis in an unselected birth cohort study

Cathal O’Connor, Vicki Livingstone, Jonathan O’B Hourihane, Alan D Irvine, Geraldine Boylan, Deirdre Murray/Paediatrics and Child Health, Cork University Hospital, Cork, Ireland; INFANT Research Centre, University College Cork, Cork, Ireland; Paediatrics and Child Health, Royal College of Physicians of Ireland, Dublin, Ireland; Department of Dermatology, Children’s Health Ireland at Crumlin, Dublin, Ireland.

Assessing the Skin and UV Neoplasia Transplant Risk Assessment Calculator in an Irish cohort of thoracic organ transplant recipients

Li Jie Helena Yoo, Stephanie Bowe, Claire Quigley, Liana Victory, Ciara Devenney, Patsy Lenane/ Department of Dermatology, Mater Misericoridiae University Hospital, Dublin, Ireland

The winner, Dr. Cathal O’Connor, was presented with a RAMI medal by the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon.

General Practice

Facilitators and barriers to atrial fibrillation screening in primary care

Aileen Callanan, Farshid Bayat, Diarmuid Quinlan, Patricia M Kearney, Claire M Buckley, Susan M Smith, Colin P Bradley/School of Public Health, University College Cork. Department of General Practice, UCC. Irish College of General Practitioners, Dublin. Department of Public Health and Primary Care, Trinity College, Dublin.

Heartwatch an Irish cardiovascular secondary prevention programme in primary care a secondary analysis of patient outcomes

Fintan Stanley, Robyn Homeniuk, Joseph Gallagher, Claire Collins/ Research, Policy and Information, Irish College of General Practitioners, Dublin, Ireland; Research Hub, Irish College of General Practitioners, Dublin, Ireland; ICGP HSE Primary Care Lead for Integrated Care Programmes (Cardiovascular Disease), Irish College of General Practitioners, Dublin, Ireland; Research, Policy and Information, Irish College of General Practitioners, Dublin, Ireland

GP preferences for access to and use of evidence in clinical practice a mixed methods study

Emer O’Brien, Aisling Walsh, Fiona Boland, Claire Collins, Velma Harkins, Susan M Smith, Noirin O’Herlihy, Barbara Clyne, Emma Wallace/ Department of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Department of Public Health and Epidemiology, RCSI University of Medicine and Health Sciences, Dublin, Ireland; Data Science Centre, School of Population Health Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland; Irish College of General Practitioners, Dublin, Ireland; Department of General Practice, Royal College of Surgeons in Ireland (RCSI) University of Medicine and Health Sciences, Dublin, Ireland; Discipline of Public Health and Primary Care, Trinity College Dublin, Dublin, Ireland; Department of General Practice, University College Cork, Cork, Ireland.

Congratulations to Dr. Fintan Stanley, winner of the General Practice category.

Medical Microbiology

The microbial pathology of maternal perinatal sepsis

 James Powell, Irene Beirne, Brid Minihan, Nuala H O’Connell, Santosh Sharma, Margo Dunworth, Roy K Philip, Colum P Dunne/University Hospital Limerick, University of Limerick, University Maternity Hospital Limerick

Strongyloides coinfection in COVID-19 patients treated with corticosteroids-A systematic review

Sana Zulfiqar, Robin B Gasser, Sahar Ghodsian, Mustafa Almukhtar, Celia Holland, Ali Rostami/Trinity College Dublin

Large scale characterization of hospital wastewater system microbiomes and clinical isolates from infected patients

Stephen A Kelly, Nuala H O’Connell, Thomas P Thompson, Lucy Dillon, Jiaqi Wu, Chris Creevey, Patrick Kiely, Barbara Slevin, James Powell, Brendan F Gilmore, Colum P Dunne/University of Limerick, University Hospital Limerick, Queen’s University Belfast

The winner, Dr. James Powell, was presented with a RAMI medal by the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon. Dr. Powell attended with his wife Clodagh.

Oncology

Development Validation and Clinical Utility of a Six-gene Signature to Predict Aggressive Prostate Cancer

Krzyzanowska A, Barron S, Higgins DF, Loughman T, O’Neill A, Sheehan KM, Wang CA, Fender B, McGuire L, Fay J, O’Grady A, O’Leary D, Watson RW, Bjartell A, Gallagher WM/UCD School of Biomolecular and Biomedical Science, UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland.

SRF inhibitors reduce prostate cancer cell proliferation through cell cycle arrest in an isogenic model of castrate-resistant prostate cancer

Haleema Azam, Shane Maher, Shane Clarke, William M Gallagher, Maria Prencipe/Cancer Biology and Therapeutics Laboratory, Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland.

Experiences of cancer patients in receiving dietary advice from healthcare professionals and of healthcare professionals in providing this advice-a systematic review

Laura Keaver, Niamh O’Callaghan, Amy E LaVertu, Cherith J Semple, Ciara M Hughes, Jeffrey R Hanna, Lisa Ryan/Atlantic Technological University Sligo, Tufts University, Ulster University, Atlantic Technological University Galway

The winner was Dr. Maria Prencipe, on winning this Oncology category.  Dr. Prencipe was accompanied by her husband, Mr. Marco Cavicchia, and a very proud daughter, Marta Cavicchia.  Congratulations to all.

Ophthalmology

Usher Syndrome on the Island of Ireland A Genotype-Phenotype Review

 Kirk AJ Stephenson, Laura Whelan, Julia Zhu, Adrian Dockery, Niamh C. Wynne, Rebecca M. Cairns, Claire Kirk, Jacqueline Turner, Emma S. Duignan, James J. O’Byrne, Giuliana Silvestri, Paul F. Kenna, Jane Farrar, David J. Keegan/Clinical Ophthalmic Genetics Unit, Mater Misericordiae University Hospital, Dublin, Ireland; The School of Genetics & Microbiology, Trinity College Dublin, Dublin, Ireland; Next Generation Sequencing Laboratory, Pathology Department, Mater Misericordiae University Hospital, Dublin, Ireland; The Research Foundation, Royal Victoria Eye & Ear Hospital, Dublin, Ireland; Ophthalmology Department, Belfast Health and Social Care Trust Hospitals, Belfast, Northern Ireland.

Relationship between clinical parameters and quality of life in primary Sjögrens Syndrome a prospective study

E Greenan, Q Pilson, J Gabhann Dromgoole, CC Murphy/Royal Victoria Eye and Ear Hospital, Adelaide Rd, Dublin. Department of Ophthalmology, RCSI, University of Medicine and Health Sciences, Dublin. School of Pharmacy and Biomolecular Sciences, RCSI, University of Medicine and Health Sciences, Dublin. Department of Ophthalmology, Stepping Hill Hospital, Poplar Grove, Hazel Grove, Stockport, United Kingdom. School of Pharmacy and Biomolecular Sciences, RCSI, University of Medicine and Health Sciences, Dublin.

Matrix metalloproteinase-3 (MMP-3)-mediated gene therapy for glaucoma

Jeffrey O’Callaghan, Conor Delaney, Merissa O’Connor, Joseph van Batenburg-Sherwood, Martin Schicht, Elke Lütjen-Drecoll, Natalie Hudson, Sorcha Ni Dhubhghaill, Peter Humphries, Chris Stanley, Annahita Keravala, Thomas Chalberg, Matthew S Lawrence, Matthew Campbell/Smurfit Institute of Genetics, Trinity College Dublin, Dublin, Ireland; Virscio Inc., New Haven, CT, USA; Department of Bioengineering, Imperial College London, London, UK; Institute of Functional and Clinical Anatomy, University of Erlangen-Nuremburg, Erlangen, Germany; Department of Ophthalmology, Antwerp University Hospital (UZA), Edegem, Belgium; Exhaura, 10, Earlsfort Terrace, Dublin, Ireland.

 The winner, Dr. Jeffrey O’Callaghan was presented with a RAMI medal by the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon. Dr. Powell attended with his wife, Orla O’Callaghan.

Other Disciplines

Older People Want to Be in Their Own Homes A Service Evaluation of Patient and Carer Feedback after Pathfinder Responded to Their Emergency Calls

Grace Corcoran, Paul Bernard, Lawrence Kenna, Ailish Malone, Frances Horgan, Claire O’Brien, Peter Ward, Willie Howard, Laura Hogan, Rebecca Mooney, Siobhan Masterson/Occupational Therapy Department Beaumont Hospital

The use of deformation imaging in the assessment of patients pre and post transcatheter aortic valve implantation

Mark Coyle, Gerard King, Kathleen Bennett, Andrew Maree, Mark Hensey, Stephen O’Connor, Caroline Daly, Gregory Murphy, Ross T Murphy/Department of Cardiology, St James Hospital, Dublin, Ireland.

Factors influencing medical students’ decision to pursue a career in obstetrics and gynaecology

Caoimhe Ni hEalaithe, Aoife Howard, Paul Corcoran, Claire M. Mc Carthy, Mary Horgan, Deirdre Bennett, Keelin O’Donoghue, Suzanne O’Sullivan/Department of Obstetrics and Gynaecology, University College Cork, Cork, Ireland; National Perinatal Epidemiology Centre, University College Cork, Cork, Ireland; Cork University Maternity Hospital, Wilton, Cork, Ireland; Royal College of Physicians of Ireland, Dublin, Ireland; Medical Education Unit, School of Medicine, University College Cork, Cork, Ireland; Irish Centre for Maternal and Child Health Research (INFANT), University College Cork, Cork, Ireland.

The winner, Dr. Paul Bernard, was the winner in the Prehospital specialty of the Other Disciplines category.  The first author of the paper Dr. Grace Corcoran was presented with a RAMI medal by the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon.

Psychiatry

The Limbic System in Children and Adolescents A Longitudinal Structural MRI Analysis With ADHD

 Michael Connaughton, Erik O’Hanlon, Timothy Silk, Julia Paterson, Aisling O’Neill, Vicki Anderson, Robert Whelan, Jane McGrath/Department of Psychiatry, School of Medicine, Trinity College Dublin, Dublin, Ireland; Trinity College Institute of Neuroscience, Trinity College Dublin, Dublin, Ireland; Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland; Department of Developmental Neuroimaging, Murdoch Children’s Research Institute, Melbourne, Victoria, Australia; Centre for Social and Early Emotional Development and School of Psychology, Deakin University, Geelong, Victoria, Australia; Department of Psychology, Royal Children’s Hospital, Melbourne, Victoria, Australia; Global Brain Health Institute, Trinity College Dublin, Dublin, Ireland.

 Bilateral Anterior Corona Radiata Microstructure Organisation Relates to Impaired Social Cognition in Schizophrenia

 Tom Burke, Laurena Holleran, David Mothersill, James Lyons, Nathan O’Rourke, Christina Gleeson, Dara M Cannon, Declan P. McKernan, Derek W. Morris, John P. Kelly, Brian Hallahan, Colm McDonald, Gary Donohoe/ School of Psychology, University of Galway, Galway, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland; School of Psychology, University of Galway, Galway, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland; Psychology Department, School of Business, National College of, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland; Clinical Neuroimaging Laboratory, Galway Neuroscience Centre, College of Medicine Nursing and Health Sciences, University of Galway, Galway, Ireland; Pharmacology & Therapeutics and Galway Neuroscience Centre, National University of Ireland Galway, H91 W5P7 Galway, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland; Department of Psychiatry, Clinical Science Institute, National University of Ireland Galway, H91 TK33 Galway, Ireland; School of Psychology, University of Galway, Galway, Ireland; Center for Neuroimaging Cognition and Genomics, University of Galway, Galway, Ireland.

Acute stress symptoms 1-2 weeks after stroke predict the subsequent development of post-traumatic stress symptoms: A prospective cohort study

Feely D, Slattery B, Walsh T, Galvin T, Donlon K, Hanlon M, Gormley D, Brown GM, Quinn S, Robinson S, Judge C, O’Donnell M, Sarma K, McGuire BE/School of Psychology, University of Galway, Galway, Ireland; Department of Stroke and Geriatric Medicine, University Hospital, Galway, Ireland

The winner, Dr. Michael Connaughton, was the winner in the Psychiatry category.  Congratulations. A RAMI medal was presented to Dr Connaughton.

Public Health Medicine/Epidemiology

Provision of smoking cessation support for patients following a diagnosis of cancer in Ireland

 P Fitzpatrick, N Bhardwaj, M Masalkhi, A Lyons, K Frazer, A McCann, S Syed, V Niranjan, CC Kelleher, S Brennan, P Kavanagh, P Fox/Dept. of Preventive Medicine and Health Promotion, St Vincent’s University Hospital, D04 T6F4, Elm Park Dublin 4, Ireland; School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield Dublin 4, Ireland; School of Medicine, University College Dublin, Belfield Dublin 4, Ireland; School of Nursing, Midwifery and Health Systems, Health Sciences Centre, University College Dublin, Belfield Dublin 4, Ireland; 5UCD Conway Institute of Biomolecular and Biomedical Research and UCD School of Medicine, Ireland; College of Health and Agricultural Science (CHAS), University College Dublin, Belfield Dublin 4, Ireland; 7St Luke’s Hospital, Rathgar Dublin 6, Ireland; Health Service Executive Tobacco Free Ireland Programme, Strategy and Research, 4th Floor, Jervis House, Jervis Street, Dublin 1, D01 W596, Ireland.

 The influence of birthweight and breastfeeding status on BMI outcome at first year of primary school a retrospective study of an Irish child cohort Atlantic Technological

Doireann Chonaill, Bríd Brady, Emma Ball, Laura Keaver/Department of Health and Nutritional Science, Atlantic Technological University Sligo, Ash Lane, Sligo, F91 YW50, Ireland; Community Healthcare Organisation, Area 1, Health Service Executive, Sligo, F91 Y8EK, Ireland; Community Healthcare Organisation, Area 1, Ballyshannon Health Campus, College St, Ballyshannon, Co Donegal, Ireland; Department of Health and Nutritional Science, Atlantic Technological University Sligo, Ash Lane, Sligo, F91 YW50, Ireland.

Is the public ready for a tobacco free Ireland – A national survey of public knowledge and attitudes to tobacco endgame in Ireland

Ellen Juliet Cosgrave, Martina Blake, Edward Murphy, Aishling Sheridan, Frank Doyle, Paul Kavanagh/HSE Tobacco Free Ireland Programme, Health Service Executive, Dublin, Ireland. Department of Health Psychology, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland. Department of Public Health and Epidemiology, School of Population Health, RCSI University of Medicine and Health Sciences, Dublin, Ireland.

The winner, Dr. Ellen Juliet Cosgrave, winner of the Public Health Medicine and Epidemiology category was represented by a co-author Dr. Frank Doyle who kindly picked up the medal from the Editor of the RAMI Research Awards, Dr. Jeffrey Glennon. Dr. Cosgrave is on rotation with WHO, in Geneva.

Surgery

Reusable cloth masks in the operative room – Study of Feasibility

 Maxime Collard, Ana Vaz, Hugh Irving, Mohammad Faraz Khan, Deirdre Mullis, Kevin Nolan, Deirdre Brady, Ronan Cahill/General Surgery Department Mater Misericordiae University Hospital – Dublin Ireland; University College Dublin – Dublin Ireland; School of Mechanical and Materials Engineering University College Dublin – Dublin Ireland; Microbiology Department Mater Misericordiae University Hospital – Dublin Ireland.

Studies on Bankart Repair for Anterior Shoulder Instability Show Poor Reporting of Data and Reflect Low Level of Evidence A Systematic Review

Fergal Moran, Eoghan Hurley, James Storme, Mark Karavan, Sophia Downey, Christopher Klifto, Ruth Delaney, Hannan Mullet/Sports Surgery Clinic, Dublin, Ireland

Mechanical bowel preparation and antibiotics in elective colorectal surgery – network meta-analysis

Jonavan Tan, Éanna J Ryan, Matthew G Davey, Fiachra T McHugh, Ben Creavin, Maria C Whelan, Michael E Kelly, Paul C Neary, Dara O Kavanagh, James M O’Riordan/Department of Colorectal Surgery, Tallaght University Hospital, Tallaght, Dublin, Ireland. Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland. School of Medicine, Trinity College Dublin, College Green, Dublin, Ireland. Department of Surgical Affairs, Royal College of Surgeons in Ireland, Dublin, Ireland.

The winner, Dr. Ana Vaz, won the Surgery category.  A RAMI medal was presented to Dr. Vaz. Congratulations.