Medical Clown Increases Pregnancy Rates with IVF

Time

A study of 229 Israeli women undergoing in-vitro fertilization (IVF) to treat infertility found that a 15-minute visit from a trained "medical clown" immediately after the embryos were placed in the womb increased the chance of pregnancy to 36%, compared with 20% for women whose embryo transfer was comedy-free.

After controlling for factors such as the women's age, the nature and duration of their infertility, the number of embryos used and the day on which they were transferred into the uterus, researchers found an even greater effect of therapeutic laughter: the women who were entertained by a clown were 2.67 times more likely to get pregnant than those in the control group. (More on Time.com: 5 Pregnancy Taboos Explained (or Debunked))

The quasi-randomized controlled study was published in one of the leading journals on infertility research, Fertility and Sterility, and led by Israeli researcher Shevach Friedler. It is considered only quasi-randomized because the timing of the recruitment of the control group was slightly different from that of the clown group.

In the trial, the professional medical clown — who was dressed as a chef and performed the same light routine each time — visited patients during the half-hour after embryo transfer, when women typically stay lying down and allow the embryos to settle in. The idea was to help reduce women's stress, which laughter has been shown to do, and, hopefully, reap the physiological benefits. [...]

Punishment after death for pleasure which is not for a mitzva or for the sake of heaven

Gra (Even Shleima 2:12): All the pleasures that a man enjoys in this world will become bitter in the grave. The lusting flesh will be punished in the travails of the grave. There in the grave, judgment will be exacted from every limb of his body which enjoyed material pleasure in this world that was not part of a mitzva. In fact the pleasure he experiences in this world will turn into the fiery venom of a snake. And even though the tzadikim will suffer the travails of the grave, but not for partaking in gratuitous pleasure in this world - since their intent was always for the sake of heaven. In fact for the tzadikim all the pleasure they have is considered as a mitzva since it is done for the sake of heaven and their eating is considered as a sacrificial offering.

Money Isn't Everything, Even to Doctors

Time Magazine

Many health policy experts, including those who wrote the Affordable Care Act, believe there's only one thing that can get doctors to change their behavior — money. A new study may blow a giant hole in that belief, just in time to save the government millions or even billions of dollars.

"Pay-For-Performance" is the theory that health care wonks believe could bring the U.S. health care system back from the financial brink. Pay for quality; compensate for competency. If we can just reward doctors when their patients stay or get healthy, we can solve a lot of what ails us systemically. Healthier patients are less expensive to care for and place less strain on the medical system. If doctors are incentivized to keep their patients from getting sick (or sicker), staggering amounts of money and time could be saved. At least that's the theory behind some of the most experimental and innovative provisions in the new health reform law. (More on TIME.com: In Rural Areas, There May Be No Doctors to Tend to Your Sick Kid)

Right now, doctors don't get paid this way. For the most part, the government (via Medicare or Medicaid) or private insurance companies pay physicians for each individual task they perform. There are no penalties or rewards if these doctors choose the wrong treatments or if a patient's chronic disease isn't well managed. The more treatments, surgeries, or office visits a doctor performs, the more money he or she makes. [...]

California rabbis bring show of unity

JPost

The diversity of Jewish religious practice was on display when an eclectic group of 37 male and female rabbis visiting from Northern California shuffled into the Bina Center for Jewish Identity and Hebrew Culture seminary in grimy south Tel Aviv last Thursday.

Some were affiliated with Chabad Hassidut and sported bushy beards and tallit fringes sticking out from their shirts. Others were Reform and Conservative rabbis wearing little or no visible Jewish garb, and at least one female rabbi was wearing a kippa.

They had agreed to put aside their differences and in a show of crossdenominational solidarity come to Israel for a week-long fact-finding mission. [...]

Bostoner Rebbe zt"l

Jewish Action

A very long and productive life came to an end last December—long not just because the Bostoner Rebbe died at the age of eighty-eight (18 Kislev 5770), but because of what he packed into each day.

Why Almost Everything You Hear About Medicine Is Wrong

Newsweek

If you follow the news about health research, you risk whiplash. First garlic lowers bad cholesterol, then—after more study—it doesn’t. Hormone replacement reduces the risk of heart disease in postmenopausal women, until a huge study finds that it doesn’t (and that it raises the risk of breast cancer to boot). Eating a big breakfast cuts your total daily calories, or not—as a study released last week finds. Yet even if biomedical research can be a fickle guide, we rely on it.

But what if wrong answers aren’t the exception but the rule? More and more scholars who scrutinize health research are now making that claim. It isn’t just an individual study here and there that’s flawed, they charge. Instead, the very framework of medical investigation may be off-kilter, leading time and again to findings that are at best unproved and at worst dangerously wrong. The result is a system that leads patients and physicians astray—spurring often costly regimens that won’t help and may even harm you. [...]

Students' Emotional Health at 25-Year Low; Girls Especially Hard Hit

ABC News

 new report -- the most comprehensive annual survey of full-time college students at four-year colleges -- concluding that the emotional health of college freshmen has dropped to its lowest level in 25 years.

The survey, "The American Freshman: National Norms Fall 2010," was conducted by UCLA's Higher Education Research Institute and included 200,000 students. The number of freshmen who said their emotional health was "below average" has risen steadily, according to the report. [...]

Egypt kills all Internet activity in attempts to stem protest tide

Haaretz

Almost simultaneously, the handful of companies that pipe the Internet into and out of Egypt went dark as protesters were gearing up for a fresh round of demonstrations calling for the end of President Hosni Mubarak's nearly 30-year rule, experts said.

Egypt has apparently done what many technologists thought was unthinkable for any country with a major Internet economy: It unplugged itself entirely from the Internet to try and silence dissent. [...]

Seeing others oppressed and not helping is considered being the oppressor

Ibn Ezra (Shemos 22:20): Concerning a ger - When the ger accepts not to worship idols do not upset him in your land just because you have much greater power than he does. Remember that you were once gerim like him. Just as the verse mentions the ger who is helpless, the Torah here also mentions the orphan and the widow who are Jews who are helpless. Furthermore it first says not to upset in the plural grammatical form and then it says if you upset in the singular form. That means whoever sees the orphan or widow being persecuted and doesn’t help them he will also be considered the oppressor.

Ibn Ezra (Shemos 21: 22): If you afflict – The punishment - when one person afflicts another who has no one to protect him – is on everyone [who did not help]. Therefore G d comes after them and in His anger kills all of them….

Nachum Gamzu: Knowing the consequences of delaying help to those in urgent need

Soncino translation.

Tannis (21a): It is related of Nahum of Gamzu that he was blind in both his eyes, his two hands and legs were amputated — and his whole body was covered with boils and he was lying in a dilapidated house on a bed the feet of which were standing in bowls of water in order to prevent the ants from crawling on to him. On one occasion his disciples desired to remove the bed and then clear the things out of the house, but he said to them, My children, first clear out the things [from the house] and then remove my bed for I am confident that so long as I am in the house it will not collapse. They first cleared out the things and then they removed his bed and the house [immediately] collapsed. Thereupon his disciples said to him, Master, since you are wholly righteous, why has all this befallen you? and he replied, I have brought it all upon myself. Once I was journeying on the road and was making for the house of my father-in-law and I had with me three asses, one laden with food, one with drink and one with all kinds of dainties, when a poor man met me and stopped me on the road and said to me, Master, give me something to eat. I replied to him, Wait until I have unloaded something from the ass; I had hardly managed to unload something from the ass when the man died [from hunger]. I then went and laid myself on him and exclaimed, May my eyes which had no pity upon your eyes become blind, may my hands which had no pity upon your hands be cut off, may my legs which had no pity upon your legs be amputated, and my mind was not at rest until I added, may my whole body be covered with boils. Thereupon his pupils exclaimed, ‘Alas! that we see you in such a sore plight’. To this he replied, ‘Woe would it be to me did you not see me in such a sore plight’.

Nabokov Butterfly Theory Is Vindicated

NYTimes

Vladimir Nabokov may be known to most people as the author of classic novels like “Lolita” and “Pale Fire.” But even as he was writing those books, Nabokov had a parallel existence as a self-taught expert on butterflies.

He was the curator of lepidoptera at the Museum of Comparative Zoology at Harvard University, and collected the insects across the United States. He published detailed descriptions of hundreds of species. And in a speculative moment in 1945, he came up with a sweeping hypothesis for the evolution of the butterflies he studied, a group known as the Polyommatus blues. He envisioned them coming to the New World from Asia over millions of years in a series of waves.

Few professional lepidopterists took these ideas seriously during Nabokov’s lifetime. But in the years since his death in 1977, his scientific reputation has grown. And over the past 10 years, a team of scientists has been applying gene-sequencing technology to his hypothesis about how Polyommatus blues evolved. On Tuesday in the Proceedings of the Royal Society of London, they reported that Nabokov was absolutely right. [...]