Teemu Karjalainen
@teemuvkarjalainen.bsky.social
Hand surgeon and clinical scientist focussing on msk efficacy/effectiveness research.
Endurance sports junkie on free time
Endurance sports junkie on free time
actaorthop.org/actao/articl...
"... if minimal invasiveness automatically guaranteed better outcomes, then the most minimally invasive strategy—doing nothing at all—could often be the most effective."
"... if minimal invasiveness automatically guaranteed better outcomes, then the most minimally invasive strategy—doing nothing at all—could often be the most effective."
Response to Letter: Uncertainty and risk of misleading conclusions: an umbrella review of the quality of the evi-dence for ankle arthroscopy
| Acta Orthopaedica
actaorthop.org
September 23, 2025 at 6:01 PM
actaorthop.org/actao/articl...
"... if minimal invasiveness automatically guaranteed better outcomes, then the most minimally invasive strategy—doing nothing at all—could often be the most effective."
"... if minimal invasiveness automatically guaranteed better outcomes, then the most minimally invasive strategy—doing nothing at all—could often be the most effective."
Fulfills definition of so called dirty bomb
"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"
"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"
Image of actual Nordic Bomb with lit fuse…
May 16, 2025 at 11:41 AM
Fulfills definition of so called dirty bomb
"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"
"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"
Reposted by Teemu Karjalainen
You regular reminder that millions has been spent on research into therapeutic benefits of insert placebos, to no avail, mainly because scientists who should know better still believe that the rooster crowing must make the sun rise.
zenodo.org/records/3886...
zenodo.org/records/3886...
Nonplussed by placebos: A response to Colloca and Barsky (2020)
In a recent review published in the New England Journal of Medicine (Placebo and Nocebo Effects), Colloca and Barsky concluded that “Placebo and nocebo effects are powerful, pervasive, and common in c...
zenodo.org
April 17, 2025 at 1:10 PM
You regular reminder that millions has been spent on research into therapeutic benefits of insert placebos, to no avail, mainly because scientists who should know better still believe that the rooster crowing must make the sun rise.
zenodo.org/records/3886...
zenodo.org/records/3886...
Consider Finnish president writing this about Helsinki Uni. Half life of his/her political career would be seconds.
April 16, 2025 at 5:53 PM
Consider Finnish president writing this about Helsinki Uni. Half life of his/her political career would be seconds.
Golden age has begun
The US economy is set to lose billions of dollars in revenue in 2025 from a pullback in foreign tourism and boycotts of American products.
US Economy Is Set to Lose Billions as Foreign Tourists Stay Away
The US economy is set to lose billions of dollars in revenue in 2025 from a pullback in foreign tourism and boycotts of American products, adding to a growing list of headwinds keeping recession risk ...
www.bloomberg.com
April 15, 2025 at 2:46 PM
Golden age has begun
Morons
Are
Governing
America
Are
Governing
America
RFK Jr: "By September we will know what has caused the autism epidemic and we will be able to eliminate those exposures."
April 11, 2025 at 7:16 AM
Morons
Are
Governing
America
Are
Governing
America
"Healed some 300"
Reminds me of orthobiologics
Reminds me of orthobiologics
The Health Secretary is promoting quack doctors in the midst of a measles outbreak and literally nothing was more predictable.
April 7, 2025 at 6:56 PM
"Healed some 300"
Reminds me of orthobiologics
Reminds me of orthobiologics
"Toivotaan että nyt alkaa se kultainen aika, minkä Trump on luvannut.”
- Sirpa
Ja toiveet toteutuivat.
- Sirpa
Ja toiveet toteutuivat.
April 7, 2025 at 6:31 PM
"Toivotaan että nyt alkaa se kultainen aika, minkä Trump on luvannut.”
- Sirpa
Ja toiveet toteutuivat.
- Sirpa
Ja toiveet toteutuivat.
"Yhdysvaltain tulleilta välttyivät ainoastaan Venäjä, Valko-Venäjä, Pohjois-Korea ja Kuuba"
April 7, 2025 at 4:02 PM
"Yhdysvaltain tulleilta välttyivät ainoastaan Venäjä, Valko-Venäjä, Pohjois-Korea ja Kuuba"
actaorthop.org/actao/articl...
We examined temporal and regional patterns of low value operations in Finland
Rates are declining but we found large regional disparities inconsistent with variability in morbidity.
Hospital size and past incidence (treatment culture) explain variance
We examined temporal and regional patterns of low value operations in Finland
Rates are declining but we found large regional disparities inconsistent with variability in morbidity.
Hospital size and past incidence (treatment culture) explain variance
Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register
| Acta Orthopaedica
actaorthop.org
April 7, 2025 at 9:44 AM
actaorthop.org/actao/articl...
We examined temporal and regional patterns of low value operations in Finland
Rates are declining but we found large regional disparities inconsistent with variability in morbidity.
Hospital size and past incidence (treatment culture) explain variance
We examined temporal and regional patterns of low value operations in Finland
Rates are declining but we found large regional disparities inconsistent with variability in morbidity.
Hospital size and past incidence (treatment culture) explain variance
Reposted by Teemu Karjalainen
WATCH: “Ron Vara is an anagram of Navarro.”
@maddow.msnbc.com explains how Trump’s tariffs policy came from his economic advisor Peter Navarro, who invented a fake expert in his books to justify it🤦🏻♂️ 🤦🏼
And now markets are crashing 🎪 #TrumpTradeWar #AmericanBrexit
@maddow.msnbc.com explains how Trump’s tariffs policy came from his economic advisor Peter Navarro, who invented a fake expert in his books to justify it🤦🏻♂️ 🤦🏼
And now markets are crashing 🎪 #TrumpTradeWar #AmericanBrexit
April 6, 2025 at 2:46 AM
WATCH: “Ron Vara is an anagram of Navarro.”
@maddow.msnbc.com explains how Trump’s tariffs policy came from his economic advisor Peter Navarro, who invented a fake expert in his books to justify it🤦🏻♂️ 🤦🏼
And now markets are crashing 🎪 #TrumpTradeWar #AmericanBrexit
@maddow.msnbc.com explains how Trump’s tariffs policy came from his economic advisor Peter Navarro, who invented a fake expert in his books to justify it🤦🏻♂️ 🤦🏼
And now markets are crashing 🎪 #TrumpTradeWar #AmericanBrexit
Can experienced surgeons identify people whose chronic tennis elbow will not resolve without surgery?
If they could, they could operate selectively people who won't otherwise recover.
Unfortunately, they cannot.
journals.lww.com/clinorthop/a...
If they could, they could operate selectively people who won't otherwise recover.
Unfortunately, they cannot.
journals.lww.com/clinorthop/a...
Can Surgeons or Patients Predict the Likelihood of... : Clinical Orthopaedics and Related Research®
that resolution of symptoms is believed to be unlikely without surgery after a certain period, and surgeons can identify a subgroup to benefit from surgery. For this approach to be sound, surgeons mus...
journals.lww.com
April 4, 2025 at 6:52 PM
Can experienced surgeons identify people whose chronic tennis elbow will not resolve without surgery?
If they could, they could operate selectively people who won't otherwise recover.
Unfortunately, they cannot.
journals.lww.com/clinorthop/a...
If they could, they could operate selectively people who won't otherwise recover.
Unfortunately, they cannot.
journals.lww.com/clinorthop/a...
Reposted by Teemu Karjalainen
🔥 Sekoilun sietämätön keveys 🔥
Aluksi ajattelin kirjoittaa siitä, miten oikeistopopulismi toimii. Mutta te tiedätte ne kaikki jo: vastakkainasettelu, uhriutuminen, huomion kaappaaminen.
Joten käänsin kysymyksen toisinpäin: miksi sen vastustaminen ei toimi?
Me emme pelaa edes samaa peliä. 1/12
Aluksi ajattelin kirjoittaa siitä, miten oikeistopopulismi toimii. Mutta te tiedätte ne kaikki jo: vastakkainasettelu, uhriutuminen, huomion kaappaaminen.
Joten käänsin kysymyksen toisinpäin: miksi sen vastustaminen ei toimi?
Me emme pelaa edes samaa peliä. 1/12
March 25, 2025 at 3:06 AM
🔥 Sekoilun sietämätön keveys 🔥
Aluksi ajattelin kirjoittaa siitä, miten oikeistopopulismi toimii. Mutta te tiedätte ne kaikki jo: vastakkainasettelu, uhriutuminen, huomion kaappaaminen.
Joten käänsin kysymyksen toisinpäin: miksi sen vastustaminen ei toimi?
Me emme pelaa edes samaa peliä. 1/12
Aluksi ajattelin kirjoittaa siitä, miten oikeistopopulismi toimii. Mutta te tiedätte ne kaikki jo: vastakkainasettelu, uhriutuminen, huomion kaappaaminen.
Joten käänsin kysymyksen toisinpäin: miksi sen vastustaminen ei toimi?
Me emme pelaa edes samaa peliä. 1/12
Reposted by Teemu Karjalainen
Wow. "The reason I knew this is that Pete Hegseth, the secretary of defense, had texted me the war plan at 11:44 a.m. The plan included precise information about weapons packages, targets, and timing." www.theatlantic.com/politics/arc...
March 24, 2025 at 4:12 PM
Wow. "The reason I knew this is that Pete Hegseth, the secretary of defense, had texted me the war plan at 11:44 a.m. The plan included precise information about weapons packages, targets, and timing." www.theatlantic.com/politics/arc...
Reposted by Teemu Karjalainen
If you ever wondered how the KGB manipulated foreigners and got them to repeat Soviet propaganda, spend some time listening to Steve Witkoff talk about his wonderful conversations with Vladimir Putin.
March 23, 2025 at 1:55 PM
If you ever wondered how the KGB manipulated foreigners and got them to repeat Soviet propaganda, spend some time listening to Steve Witkoff talk about his wonderful conversations with Vladimir Putin.
Reposted by Teemu Karjalainen
I don't often ask people to write to their MPs. But I think they might listen to you on this, as it's so jaw-droppingly awful, and they're almost certainly unaware of it. www.theguardian.com/commentisfre...
Please also write to the Environment Secretary: steve.reed.mp@parliament.uk Thanks.
Please also write to the Environment Secretary: steve.reed.mp@parliament.uk Thanks.
What’s in the millions of tonnes of sludge spread on to UK farmland? Toxic waste – and ministers don’t care | George Monbiot
Water companies let waste disposers, for cash, dump their loads into sewage farms. When it is recklessly used as fertiliser, we are all at risk, says Guardian columnist George Monbiot
www.theguardian.com
March 22, 2025 at 8:25 AM
I don't often ask people to write to their MPs. But I think they might listen to you on this, as it's so jaw-droppingly awful, and they're almost certainly unaware of it. www.theguardian.com/commentisfre...
Please also write to the Environment Secretary: steve.reed.mp@parliament.uk Thanks.
Please also write to the Environment Secretary: steve.reed.mp@parliament.uk Thanks.
Reposted by Teemu Karjalainen
I had to check they really used children at school desks as props for Trump dismantling the Department of Education.
March 21, 2025 at 8:06 AM
I had to check they really used children at school desks as props for Trump dismantling the Department of Education.
Reposted by Teemu Karjalainen
A pro-Russian MP asks the PM of Estonia why when he uses Google, he is shown ads for "same-sex sex toys" and "swingers clubs."
PM Kristen Michal then explains how the Internet works. Algorithms track your prior activity and customize ads to display your interests.
PM Kristen Michal then explains how the Internet works. Algorithms track your prior activity and customize ads to display your interests.
March 20, 2025 at 11:12 PM
A pro-Russian MP asks the PM of Estonia why when he uses Google, he is shown ads for "same-sex sex toys" and "swingers clubs."
PM Kristen Michal then explains how the Internet works. Algorithms track your prior activity and customize ads to display your interests.
PM Kristen Michal then explains how the Internet works. Algorithms track your prior activity and customize ads to display your interests.
N=1 but such a large effect
Last month I did a little experiment.
I wanted to see how the exact same post would perform on both X (Twitter) and Bluesky.
The results were...interesting...
[Thread]
I wanted to see how the exact same post would perform on both X (Twitter) and Bluesky.
The results were...interesting...
[Thread]
March 17, 2025 at 12:54 PM
N=1 but such a large effect
How can you trust the rest of the article?
March 16, 2025 at 8:10 AM
How can you trust the rest of the article?
Reposted by Teemu Karjalainen
Karelia, once seized from Finland, now ranks as Russia's most depressive region. In contrast, Finland consistently tops global happiness rankings. This reflects the Russian tendency to conquer territories at great human cost, only to neglect them afterward.
February 11, 2025 at 4:23 PM
Karelia, once seized from Finland, now ranks as Russia's most depressive region. In contrast, Finland consistently tops global happiness rankings. This reflects the Russian tendency to conquer territories at great human cost, only to neglect them afterward.
"Witkoffilla ei nimittäin ollut aikaisempaa kokemusta kansainvälisestä politiikasta, Lähi-idästä saatikka diplomatiasta"
Miltähän tuntuisi olla potilaana, jos kirurgina olisi kiinteistönvälittäjä, jolla ei ole aiempaa kokemusta sairaaloista saatikka leikkaamisesta?
Miltähän tuntuisi olla potilaana, jos kirurgina olisi kiinteistönvälittäjä, jolla ei ole aiempaa kokemusta sairaaloista saatikka leikkaamisesta?
March 15, 2025 at 6:46 AM
"Witkoffilla ei nimittäin ollut aikaisempaa kokemusta kansainvälisestä politiikasta, Lähi-idästä saatikka diplomatiasta"
Miltähän tuntuisi olla potilaana, jos kirurgina olisi kiinteistönvälittäjä, jolla ei ole aiempaa kokemusta sairaaloista saatikka leikkaamisesta?
Miltähän tuntuisi olla potilaana, jos kirurgina olisi kiinteistönvälittäjä, jolla ei ole aiempaa kokemusta sairaaloista saatikka leikkaamisesta?
"Suomen kannattaisi lopettaa vikinä säännöistä ja luistella kansainvälisen politiikan maalintekoalueelle leijonaksi Yhdysvaltojen rinnalle"
-- Jari Ehrnrooth
yle.fi/a/74-20142204
-- Jari Ehrnrooth
yle.fi/a/74-20142204
Jari Ehrnroothin kolumni: Trump on nyt vauhdissa, ja Suomen pitää hypätä kyytiin
Suomen kannattaisi lopettaa vikinä säännöistä ja luistella kansainvälisen politiikan maalintekoalueelle leijonaksi Yhdysvaltojen rinnalle, Ehrnrooth esittää kolumnissaan.
yle.fi
March 5, 2025 at 4:12 PM
"Suomen kannattaisi lopettaa vikinä säännöistä ja luistella kansainvälisen politiikan maalintekoalueelle leijonaksi Yhdysvaltojen rinnalle"
-- Jari Ehrnrooth
yle.fi/a/74-20142204
-- Jari Ehrnrooth
yle.fi/a/74-20142204