While recent advances in neurosurgery have made it possible to precisely target areas in the brain with minimum invasiveness -- using a small hole to insert a probe, needle or catheter -- there remains a disadvantage. The small size of the openings reduces or eliminates direct site visibility and requires greater dexterity, stability and precision by the surgeon.

Paying hospitals extra money does not appear to significantly improve the way they treat heart attack patients or how well those patients do. But giving hospitals the information that they need to improve heart attack care does help.

A team of researchers led by the Duke Clinical Research Institute looked at whether financial incentives to hospitals for adhering to specific treatment guidelines would improve patient outcomes. They found no evidence that financial incentives were associated with improved outcomes, nor that hospitals had shifted their focus from other areas in order to concentrate on the areas being evaluated for possible increased payments.

Researchers have discovered a completely new way to treat stroke and head trauma victims, potentially saving the lives of numerous such patients. The discovery was made by the NordForsk-financed Nordic Centre of Excellence on Water Imbalance Related Disorders (WIRED).

Robotic surgery may be coming to your town. Robots that perform surgery can be driven by surgeons who no longer stand by the patient, but direct the operation from a computer console. In most cases the surgeon is seated at a console within the theatre, only a few metres away from the patient.

Now a team of surgeons and scientists have shown that the surgeon and robot can be linked via a 4,000 mile Internet connection or even by satellite.

Researchers have discovered the molecule that links spontaneous physical activity and food intake in mice.

Scientists from the European Molecular Biology Laboratory (EMBL)say Bsx is the molecular link between spontaneous physical activity and food intake. Mice lacking the molecule show less spontaneous physical activity, perceive hunger signals differently and have a lower concentration of feeding hormones in their brain than normal mice. Being conserved across species Bsx might be a promising target for controlling diet-induced obesity in humans.

Ecstasy is an illicit recreational drug popular among young people, according to background information in the article. Research in both humans and animals suggests that the drug can harm the brain. Ecstasy may damage nerve cells that respond to the hormone serotonin, which is involved in mood, thinking, learning and memory.

By Christopher Millett, Jeremy Gray, Sonia Saxena, Gopalakrishnan Netuveli and Azeem Majeed

Many people with diabetes continue to smoke despite being at high risk of cardiovascular disease. We examined the impact of a pay-for-performance incentive in the United Kingdom introduced in 2004 as part of the new general practitioner contract to improve support for smoking cessation and to reduce the prevalence of smoking among people with chronic diseases such as diabetes.

In head-to-head trials of two drugs, the one deemed better appears to depend largely on who is funding the study, according to an analysis of nearly 200 statin-drug comparisons carried out between 1999 and 2005.

UCSF researchers examined 192 published results of trials comparing one cholesterol-lowering statin drug to another, or to a non-statin drug.

David Houle, media executive responsible for branding MTV, VH1 and CNN Headline News, has joined Science 2.0 start-up ScientificBlogging.com as a strategic advisor to handle marketing and corporate communications.