 Rama has established its presence in the center of the Russian mining region, Leninsk-Kuznetsky, where it conducts multi-specialty medical mission to support local doctors in such areas as cardiovascular surgery and neurosurgery, gynecology and orthopedics.Cooperation with Tomsk Regional Perinatal Center is another progressive development of RAMA medical missions in the region among other directions focusing on improving techniques of sustaining life of newborns with low and extremely low birth weight, surgery of newborns; retinopathy of prematurity and high-risk obstetrics.RAMA work in central Russia has developed close ties with a Yaroslavl Regional Clinic focusing on cardiovascular surgery.