Teemu Karjalainen

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."

Fulfills definition of so called dirty bomb

"explosion could create fear and panic, contaminate property, and require potentially costly cleanup"

A Prospective, Single-Blind, Placebo-Controlled Trial of Bone Marrow Aspirate Concentrate for Knee Osteoarthritis - PubMed Early results show that BMAC is safe to use and is a reliable and viable cellular product. Study patients experienced a similar relief of pain in both BMAC- and saline-treated arthritic knees. Further...

Somehow I wasn't too surprised to learn this is from am j sports med.

Have a look at this conclusion. (the discussion of the mechanism of effect is priceless)

pubmed.ncbi.nlm.nih.gov/27566242/

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...

Consider Finnish president writing this about Helsinki Uni. Half life of his/her political career would be seconds.

Golden age has begun

You wouldn't promise such things even in your grant application (which are always overly optimistic).

But nevertheless he said by September we will know. Not sure what knowing means here

Morons
Are
Governing
America

"Healed some 300"

Reminds me of orthobiologics

"Toivotaan että nyt alkaa se kultainen aika, minkä Trump on luvannut.”

- Sirpa

Ja toiveet toteutuivat.

"Yhdysvaltain tulleilta välttyivät ainoastaan Venäjä, Valko-Venäjä, Pohjois-Korea ja Kuuba"

Never got such a lot of feed back on any of my work. Even personal emails and ofc letter to editor from a panel of keen&offended arthroscopists.

Letter and response better fun than the paper itself

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

Ei.

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

What happens if we don't operate people with failed nonoperative treatment?

They nevertheless recover.

Ineffective surgery does not magically become effective if other treatments are ineffective.

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...

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...

Rydmanin päiväkirjassa?

🔥 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

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...

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.

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

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.

I had to check they really used children at school desks as props for Trump dismantling the Department of Education.

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.

N=1 but such a large effect

It is also possible that other factors explain most of the observed variability and the effect could be (quite) constant, right?

How can you trust the rest of the article?

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?