A step ahead with Trexo Plus robotic legs - Hamilton Health Sciences

UVA Health is expanding its advanced cardiovascular care capabilities as the first healthcare system in Virginia to offer a dedicated robotic cardiac surgery program. Led by Michael Ibrahim, MD, director of robotic cardiac surgery at UVA Health, the program brings cutting-edge, minimally invasive options for valve patients right now across Virginia and beyond. While robotic heart surgery was once limited to simple procedures, the program at UVA Health covers a broad spectrum of complex valve conditions as well as atrial fibrillation and coronary artery disease. The team's inaugural procedure demonstrated the clinical value of bringing this advanced technology to UVA Health. Rather than facing a traditional open-chest operation, the patient successfully underwent a robotic mitral valve repair. "This first patient was somewhere kind of in the middle. She had complex valve disease and was considering a transcatheter therapy versus surgery, “ says Ibrahim. “Because we were able to use surgery without having to open the chest, that's what she went with. And surgery is generally more durable and more definitively corrective than transcatheter therapy," he notes.

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing granulomatous vasculitis classically involving the upper and lower respiratory tracts and kidneys. Timely diagnosis requires a high index of suspicion for the presenting symptoms. Otolaryngologic manifestations are commonly reported but most often involve the nasal and paranasal sinuses. Sensorineural hearing loss (SNHL) as the sole initial manifestation of GPA is uncommon and may contribute to diagnostic delay. We report a case of a 67-year-old male who presented with rapidly progressive bilateral SNHL that preceded pulmonary and renal manifestations by several months, during which the patient was treated for otitis externa and Eustachian tube dysfunction without improvement. Development of pulmonary symptoms prompted additional workup, which demonstrated markedly elevated cytoplasmic anti-neutrophil cytoplasmic antibody (c-ANCA) and proteinase 3-anti-neutrophil cytoplasmic antibody (PR3-ANCA), raising concern for GPA. Histopathology then confirmed the diagnosis. The patient was treated with high-dose corticosteroids and rituximab with serologic remission; however, his hearing loss was largely irreversible. This case

What if the human brain works in ways that Sigmund Freud began describing more than 130 years ago? A new scientific analysis suggests that some of his ideas about the mind share surprising similarities with one of the most influential theories in modern neuroscience. Published in the scientific journal Entropy, the paper explores connections between Freud's original theories, later developments in psychoanalysis, and a modern approach to brain research known as the prediction paradigm.

At CHEST 2026, Pourshahid argued for matching patients to center-based, hybrid, or virtual pulmonary rehab based on a structured assessment. Arguing the pro side of a debate at the American College of Chest Physicians (CHEST) 2026 Annual Meeting in Phoenix, Omid Pourshahid, MD, MPH, FCCP, Medical Director, Pulmonary Rehabilitation, Temple University Hospital, said pulmonary rehabilitation should be tailored to each patient’s clinical status and barriers to care rather than delivered through a single center-based model.¹The position builds on a long-standing gap in pulmonary rehabilitation uptake. In a retrospective cohort of 197,376 Medicare beneficiaries hospitalized for COPD in 2014, only 2721 (1.5%) initiated pulmonary rehabilitation within 90 days of discharge.² Initiation within the 90-day window was associated with a lower risk of death at 1 year (hazard ratio [HR], 0.63; 95% CI, 0.57-0.69; P <.001).

From daily step counts to exercise after a cardiac event, new guidance examines how doctors can tailor physical activity to individual needs and what patients should know about exercising safely. Exercise Prescriptions for Cardiovascular Health in Adults: 2026 ACC Scientific Statement: A Report of the American College of Cardiology. Image Credit: 19 STUDIO / Shutterstock