Category: 3. Business

  • With 70s vibes in the desert: unique Sonderwunsch Cayenne

    With 70s vibes in the desert: unique Sonderwunsch Cayenne




    The Icons of Porsche event is the largest car festival in the Middle East region. Porsche fans from all over the world came to Dubai this year to admire rare Porsche sports cars in front of a spectacular backdrop and to exchange ideas with like-minded people. One of the highlights was the elaborate conversion of a Cayenne as part of the Sonderwunsch program.


    Breaking new ground is part of the Cayenne’s product philosophy. This also applies to an unusual project: for the first time, Porsche has completely overhauled and extensively individualised a first-generation Cayenne on behalf of a customer as part of the “Factory Re-Commission” Sonderwunsch category.

    The Cayenne is an icon

    “So far, we have mainly carried out such elaborate Factory Re-Commission projects for classic Porsche or for rarities such as the Carrera GT,” says Alexander Fabig, Vice President Individualisation and Classic at Porsche. “The fact that we have now rebuilt a 16-year-old Cayenne to new car condition and made it an absolutely unique piece shows how diverse the dreams of Porsche enthusiasts are. And it once again underlines the iconic status of the Cayenne.” 

    The client was Phillip Sarofim, entrepreneur and passionate car collector. The American had turned to Porsche with very specific ideas: “The look of the 911 Spirit 70 made a lasting impression and inspired me. I really wanted such 1970s vibes for my Cayenne as well.” The basis was a 2009 Cayenne GTS with around 50,000 miles, the equivalent of almost 80,500 kilometers, on the odometer. The only catch: there was none – only a towbar had to be retrofitted. Because a dream trip with the new old Porsche also took shape early on: “From the very beginning, I had the idea of driving through the Rub al-Khali Desert near Dubai,” Sarofim recalls, “with a large Airstream caravan.”

    Cayenne GTS (2009), Sonderwunsch, 2025, Porsche AG





    A towbar was retrofitted for the American cult caravan, namely the typical US “receiver system” with square mount. Coarse tyres improve traction and underline the striking look. To achieve the desired retro look, the exterior is finished in Blackolive, a Paint to Sample color. The lower part of the body as well as the alloy wheels, on the other hand, are finished in matt black, which reinforces the off-road character of the SUV.

    In the interior, the extensive leather upholstery in English green (Leather to Sample) meets the iconic Pasha pattern in black/olive. The seat centres, but also the glove compartment inside, are covered with this typical Porsche textile. Cleverly arranged rectangles of different sizes create a kind of movement in the pattern. The trim strips on the passenger side and in the doors form a noble contrast: just like the door openers and their frames, they are finished in light-brushed aluminium.

    So there’s nothing to stop you from riding into the desert any time soon – and with this Factory Re-Commission, the Cayenne has once again proven its versatility and pioneering spirit.


    About Factory Re-Commission

    If customers want high-end vehicle customization for a vehicle they already own, they will find what they are looking for at Sonderwunsch Factory Re-Commission. As part of this offer, the colours and materials in the interior and exterior can be completely reselected. After contact has been established between the customer and the Sonderwunsch team, an initial assessment of the technical feasibility for the colour and equipment request is made. A cost estimate will be prepared as soon as the vehicle has been brought to Zuffenhausen for inspection by the Sonderwunsch experts. For these reasons, this offering focuses on whole-vehicle concepts rather than retrofitting individual options. The older the customer’s vehicle, the more likely it is that technical repair work will be necessary in combination with individualization. This is especially true for classic cars, where a factory restoration is often a mandatory part of the project.

    About the first Cayenne generation

    Ferry Porsche sensed the chances of success of a Porsche SUV as early as 1989: “If we built an off-road vehicle according to our quality expectations, and Porsche was written on the front, it would also be sold.” He was right: since 2002, the Cayenne has been opening up new customer bases as a family-friendly touring vehicle that is both a robust off-roader and a highly dynamic sports car. Developed under the code name Colorado, the first generation (internally called E1) was launched in 2002. In the meantime, these models, which were produced until 2010, have a loyal fan base, and Porsche is already looking after them as youngtimers.

    Continue Reading

  • A Fed rate cut next month seemed doubtful. Here’s why it’s now likely to happen.

    A Fed rate cut next month seemed doubtful. Here’s why it’s now likely to happen.

    By Greg Robb

    Despite dramatic differences among Fed officials, opinions are coalescing behind a third interest-rate cut in succession

    Federal Reserve Chair Jerome Powell speaks at a press conference in October.

    Over the past month, there have been sharp public disagreements among Federal Reserve officials about the likely path of the economy and the appropriate level of interest rates. These public debates led economists and market participants to doubt there was enough support within the Fed for another interest-rate cut at the central bank’s upcoming Dec. 10 policy meeting.

    However, in the last few days, perceptions have shifted – and investors and economists now think the Fed is likely to cut.

    What sparked this turnaround? Economists say Fed officials are coalescing around another rate cut due to continued concern about the health of the jobs market.

    “The deterioration we’ve seen in the labor market, I think, is enough justification for the Fed to cut in December,” said Tom Porcelli, chief economist at Wells Fargo, in an interview.

    The first important official data released since the end of the government shutdown showed the unemployment rate rose to 4.4% in September, the highest level in almost four years. And there was some indication that the “low hiring, low firing” dynamic seen in the labor market might be on the cusp of worsening.

    The jobs market remains “in a precarious spot,” said Matthew Luzzetti, chief U.S. economist at Deutsche Bank, in a note to clients.

    In an interview, Josh Hirt, senior economist at Vanguard, said it was his personal view that the Fed would cut rates. He noted how, on Friday, New York Fed President John Williams, a close ally of Fed Chair Jerome Powell, made a strong case for a rate cut and said he “stills sees room for a further adjustment in the near term.”

    This moved financial markets, as the expectations of a December rate cut rose sharply to above 70%, from near 40% the day before.

    “I think the market has the right read on it,” Hirt said.

    The Vanguard economist added that Williams’s speech meant three of the most influential Fed officials – Powell, Williams and Fed governor Christopher Waller – all support another easing move.

    “We think that’s a pretty strong group to try to overcome,” Hirt said.

    Ethan Harris, former chief economist at BofA Securities, said the economy is starting to show more convincing signs of weakening, pushing the Fed to act.

    Economists think there will be a dissent from one or more Fed officials who want to hold interest rates steady.

    The Fed has already cut rates via two successive quarter-percentage-point moves in September and October, bringing its benchmark rate down to a range of 3.75% to 4%.

    Former Cleveland Fed President Loretta Mester said that Powell could use his press conference on Dec. 10 to send a message that this cut was an insurance move and the Fed would then wait and see how the economy reacts.

    Because of the record-length government shutdown, the Fed won’t have the government’s latest job and inflation data at their meeting.

    Stepping back, the Fed is facing an impossible challenge, Harris said. They are dealing with stagflationary dynamics – higher inflation and higher job losses at the same time – which do not have an obvious Fed policy response. This has divided the rate-setting committee.

    “There are some very fundamental disagreements,” Harris said.

    The first is whether current Fed policy is tight or loose. Fed officials who are uneasy about inflation say monetary policy works through capital markets, which are doing great – a sign policy might be easy already. Officials who want to cut rates say that financial conditions in key sectors like housing are tight.

    The second disagreement is over how to interpret inflation. Officials, like Williams, who want to cut rates said inflation would be low if it wasn’t for the temporary impact of tariffs. Officials who are worried about inflation see signs it is rising in sectors not impacted by tariffs.

    On top of that, all Fed officials are puzzled by the dichotomy between the weak job market and strong consumer spending.

    “It is going to be an interesting vote,” Harris said. The decision could be made in the meeting, he added.

    Hirt at Vanguard said the speeches by Fed officials who don’t want to cut rates in December have shown the market that the Fed isn’t just “cutting for the sake of cutting,” and so the bond market won’t start to price in higher inflation expectations.

    “It limits the negative consequences” of cutting with inflation so high and the labor market not in obvious distress, Hirt added.

    -Greg Robb

    This content was created by MarketWatch, which is operated by Dow Jones & Co. MarketWatch is published independently from Dow Jones Newswires and The Wall Street Journal.

    (END) Dow Jones Newswires

    11-22-25 0700ET

    Copyright (c) 2025 Dow Jones & Company, Inc.

    Continue Reading

  • Gold price rises by Rs2,300 per tola

    Gold price rises by Rs2,300 per tola

    – Advertisement –

    – Advertisement –

    – Advertisement –

    ISLAMABAD, Nov 22 (APP): The price of 24-karat gold increased by Rs2,300 on Saturday, reaching Rs428,862 per tola, compared to Rs426,562 on the previous day, according to the All Pakistan Sarafa Gems and Jewellers Association.
    Similarly, the price of 10 grams of 24-karat gold rose by Rs1,972, climbing to Rs367,680 from Rs365,708 a day earlier. The 10 grams of 22-karat gold were sold for Rs337,052, up by Rs1,808, against the previous rate of Rs335,244.
    In the international market, gold prices increased by $23, reaching $4,065 compared to $4,042 on the preceding day.
    Likewise, the per tola price of 24-karat silver surged by Rs48, settling at Rs5,270 against Rs5,222 on Friday. The price of 10 grams of 24-karat silver rose to Rs4,518, marking an increase of Rs41 from Rs4,477 previously.
    International silver was traded at $49.98, showing a rise of $0.48 compared to $49.50 on the last trading day.

    Continue Reading

  • How CEPI’s Digital Transformation Project Win Will Impact Cognizant Technology Solutions (CTSH) Investors

    How CEPI’s Digital Transformation Project Win Will Impact Cognizant Technology Solutions (CTSH) Investors

    • On November 20, 2025, the Coalition for Epidemic Preparedness Innovations (CEPI) selected Cognizant Technology Solutions to lead a multi-year digital transformation project, including the implementation of a new core HR and Expense Management System and enhancement of CEPI’s Salesforce platform.

    • This win underscores Cognizant’s recognized expertise in digital transformation and AI-enabled enterprise architecture across the healthcare and non-profit sectors.

    • We’ll look at how this significant multi-year client engagement bolsters Cognizant’s investment narrative and future growth prospects.

    Find companies with promising cash flow potential yet trading below their fair value.

    To own shares of Cognizant, an investor needs to believe in the company’s ability to stay ahead in digital transformation and AI-driven enterprise services, despite an industry marked by rapid change and cost pressures. The newly announced multi-year CEPI digital transformation deal reinforces Cognizant’s relevance in healthcare and non-profit sectors, supporting the current short-term catalyst of robust, recurring client wins, while the key risk remains the acceleration of AI and platform automation potentially eroding demand for traditional services. So far, this news adds positive evidence but does not change the largest risk facing the business.

    Among recent announcements, the launch of the ONE Bridge automation accelerator with Ataccama stands out as especially relevant. This tool enables clients to migrate data platforms more efficiently, which aligns with Cognizant’s strategy to win large digital transformation projects and could reinforce growth in recurring revenue if the company maintains its innovation pace.

    However, investors should keep in mind that if enterprise adoption of agentic AI accelerates faster than Cognizant’s ability to adapt its services offering…

    Read the full narrative on Cognizant Technology Solutions (it’s free!)

    Cognizant Technology Solutions’ outlook anticipates $23.5 billion in revenue and $2.9 billion in earnings by 2028. This is based on a forecast annual revenue growth rate of 4.7% and an earnings increase of $0.5 billion from the current earnings of $2.4 billion.

    Uncover how Cognizant Technology Solutions’ forecasts yield a $84.86 fair value, a 12% upside to its current price.

    CTSH Community Fair Values as at Nov 2025

    Eight members of the Simply Wall St Community estimate Cognizant’s fair value between US$66.06 and US$126.19 per share. While many focus on AI-powered deal wins, the ongoing risk of technology shifting client demand patterns could influence the company’s future growth path in several ways.

    Explore 8 other fair value estimates on Cognizant Technology Solutions – why the stock might be worth as much as 66% more than the current price!

    Disagree with existing narratives? Create your own in under 3 minutes – extraordinary investment returns rarely come from following the herd.

    • A great starting point for your Cognizant Technology Solutions research is our analysis highlighting 3 key rewards that could impact your investment decision.

    • Our free Cognizant Technology Solutions research report provides a comprehensive fundamental analysis summarized in a single visual – the Snowflake – making it easy to evaluate Cognizant Technology Solutions’ overall financial health at a glance.

    Right now could be the best entry point. These picks are fresh from our daily scans. Don’t delay:

    This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

    Companies discussed in this article include CTSH.

    Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team@simplywallst.com

    Continue Reading

  • What Aeva Technologies (AEVA)’s Shift to 4D LiDAR Solutions and $100M Funding Means for Shareholders

    What Aeva Technologies (AEVA)’s Shift to 4D LiDAR Solutions and $100M Funding Means for Shareholders

    • Aeva Technologies announced an exclusive partnership with D2 Traffic Technologies to deliver 4D LiDAR-based smart infrastructure solutions across the U.S. and secured a US$100 million investment from funds managed by Apollo Global Management to accelerate the sales and deployment of its LiDAR technology.

    • These actions mark a shift for Aeva from a LiDAR sensor supplier to a full-solution provider, offering integrated sensing, perception, and analytics for transportation infrastructure.

    • We’ll explore how this move toward comprehensive traffic management solutions shapes Aeva Technologies’ broader investment narrative.

    Trump has pledged to “unleash” American oil and gas and these 22 US stocks have developments that are poised to benefit.

    For investors considering Aeva Technologies, the underlying story continues to hinge on whether its advanced LiDAR platform can achieve meaningful commercial adoption and drive sustainable revenue growth. The recent exclusive partnership with D2 Traffic Technologies and US$100 million backing from Apollo Global Management signal a push beyond hardware into full-stack smart infrastructure solutions, which could reshape the company’s near-term catalysts. These developments bring new momentum at a time when high growth, particularly in traffic management and automotive sectors, is top of mind. However, previous data indicated a highly volatile share price, rising losses, and a price-to-sales ratio far above peers, suggesting Aeva remains a high-risk proposition. While the new capital and partnerships may address concerns over funding and market reach, investors now need to reassess whether the commercial pipeline can grow rapidly enough to offset persistent losses and justify today’s valuation. Yet, it’s the competitive pressures and uncertain path to profitability that most demand careful consideration.

    In light of our recent valuation report, it seems possible that Aeva Technologies is trading beyond its estimated value.

    AEVA Community Fair Values as at Nov 2025

    Ten fair value estimates from the Simply Wall St Community show a striking span from US$1.02 to US$52.96 per share, underlining wide disagreement on potential upside or risk. With recent moves aimed at full-solution delivery, the company’s ability to convert partnerships into sustained revenue remains a key focus for many market participants seeking clarity.

    Explore 10 other fair value estimates on Aeva Technologies – why the stock might be worth over 5x more than the current price!

    Disagree with this assessment? Create your own narrative in under 3 minutes – extraordinary investment returns rarely come from following the herd.

    These stocks are moving-our analysis flagged them today. Act fast before the price catches up:

    This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

    Companies discussed in this article include AEVA.

    Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team@simplywallst.com

    Continue Reading

  • Does Moody’s Recent Fintech Partnerships Justify Its Share Price in 2025?

    Does Moody’s Recent Fintech Partnerships Justify Its Share Price in 2025?

    • Wondering if Moody’s current share price reflects real value or just market hype? You’re not alone, and we’re about to break it down in plain terms.

    • After mostly holding steady this year, Moody’s stock has ticked up 1.4% year-to-date and gained over 80% in the last five years. This suggests long-term growth but also raises questions about future upside.

    • Recent headlines have focused on Moody’s expanding its risk assessment coverage and forming new partnerships in the financial technology space. These moves are driving fresh conversations about the company’s competitive position and its potential to navigate a shifting regulatory landscape.

    • Right now, Moody’s valuation score sits at 0 out of 6 checks for being undervalued, according to our framework. Let’s look at how different valuation methods approach the stock, and keep in mind there is an even more useful perspective coming up at the end of this article.

    Moody’s scores just 0/6 on our valuation checks. See what other red flags we found in the full valuation breakdown.

    The Excess Returns Model helps investors understand whether a company creates value above its cost of capital. It measures how much profit Moody’s can generate from its investments in comparison to the minimum return shareholders require, or the cost of equity.

    For Moody’s, the average return on equity is an impressive 62.98%. The company’s stable earnings per share are estimated at $17.17, with a cost of equity at $2.25 per share. This results in a robust excess return of $14.93 per share. The latest book value sits at $22.18 per share, and projections point to a stable book value of $27.26 per share, based on weighted estimates from multiple analysts.

    This model estimates Moody’s intrinsic share value at $327.15. Compared to the current market price, this implies the stock is about 46.6% overvalued. While Moody’s strong excess returns highlight its ability to create shareholder value, the current price appears to overshoot what the fundamentals justify.

    Result: OVERVALUED

    Our Excess Returns analysis suggests Moody’s may be overvalued by 46.6%. Discover 917 undervalued stocks or create your own screener to find better value opportunities.

    MCO Discounted Cash Flow as at Nov 2025

    Head to the Valuation section of our Company Report for more details on how we arrive at this Fair Value for Moody’s.

    For profitable companies like Moody’s, the price-to-earnings (PE) ratio is a widely accepted gauge of value. It tells investors how much they are paying for each dollar of current earnings, which is especially relevant for established businesses with reliable profits.

    Market expectations of growth and risk play a huge role in what a “normal” or “fair” PE ratio should be. Companies with expected higher growth, lower risks, or strong market positions often trade at higher multiples, while those facing challenges may warrant a discount.

    Moody’s current PE ratio is 38.13x, which stands well above the Capital Markets industry average of 23.63x and the peer average of 30.15x. On the surface, this suggests investors are paying a premium for Moody’s shares compared to both the broader industry and other peers. However, context is key. Factors like top-notch profit margins, growth resilience, and market stature can justify a loftier multiple.

    This is where the Simply Wall St “Fair Ratio” comes in. Unlike a plain industry or peer check, the Fair Ratio (17.84x for Moody’s) models what a justified multiple should be, considering Moody’s specific earnings growth outlook, profit margins, scale, and risk profile. This holistic approach digs deeper into the unique story behind the company, not just the sector it sits in.

    Comparing Moody’s current PE of 38.13x to a Fair Ratio of 17.84x, the stock trades at more than double what our model deems reasonable. This suggests it is significantly overvalued with respect to earnings potential and risk.

    Result: OVERVALUED

    NYSE:MCO PE Ratio as at Nov 2025
    NYSE:MCO PE Ratio as at Nov 2025

    PE ratios tell one story, but what if the real opportunity lies elsewhere? Discover 1422 companies where insiders are betting big on explosive growth.

    Earlier we mentioned that there is an even better way to understand valuation, so let’s introduce you to Narratives, an innovative approach that helps you make sense of a company’s potential by combining the story behind the business with financial forecasts and fair value estimates.

    A Narrative is simply your perspective on a company, weaving together your assumptions about its future revenue, earnings, and margins into a story that makes sense to you. With Narratives on Simply Wall St’s Community page, millions of investors can turn their insights into actionable forecasts, helping you see not just where the numbers come from, but what they mean for future performance.

    This tool empowers you to link Moody’s evolving business outlook directly to a calculated fair value, showing whether the stock is undervalued or overvalued compared to today’s price and making it easier to decide when to buy or sell. Best of all, Narratives update automatically as new news or earnings are announced, keeping your view aligned with real-world events.

    For example, some investors expect rapid revenue growth and margin expansion for Moody’s, driving price targets as high as $595, while others are more cautious due to regulatory pressures and set targets closer to $475. Your Narrative helps you decide which view fits your beliefs and investment goals.

    Do you think there’s more to the story for Moody’s? Head over to our Community to see what others are saying!

    NYSE:MCO Community Fair Values as at Nov 2025
    NYSE:MCO Community Fair Values as at Nov 2025

    This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned.

    Companies discussed in this article include MCO.

    Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email editorial-team@simplywallst.com

    Continue Reading

  • Chinese buyers downplay Japan tensions at auto show – Reuters

    1. Chinese buyers downplay Japan tensions at auto show  Reuters
    2. Japanese carmakers taking biggest hit from new Chinese entrants  Fleet News
    3. Japanese carmakers face difficulties in Chinese market  news.cgtn.com
    4. International Business: Chinese buyers downplay Japan tensions at car show  Gdnonline
    5. Japanese manufacturers “losing ground” to Chinese entrants  motortrader.com

    Continue Reading

  • D R. Towards an integrated clinical framework for patient with shoulder pain. Arch Physiother. 2018;8. https://doi.org/10.1186/s40945-018-0050-3.

  • Juel NG, Pedersen SJ, Engebretsen KB, et al. [Non-traumatic shoulder pain in the primary health service]. Tidsskr Den nor Laegeforening Tidsskr Prakt Med Ny Raekke. 2019;139(7). https://doi.org/10.4045/tidsskr.19.0116.

  • Ludewig PM, Kamonseki DH, Staker JL, Lawrence RL, Camargo PR, Braman JP. CHANGING OUR DIAGNOSTIC PARADIGM: MOVEMENT SYSTEM DIAGNOSTIC CLASSIFICATION. Int J Sports Phys Ther. 2017;12(6):884–93.

    Google Scholar 

  • Ludewig PM, Saini G, Hellem A, et al. Changing our diagnostic paradigm part II: movement system diagnostic classification. Int J Sports Phys Ther. 2022;17(1):7–17. https://doi.org/10.26603/001c.30177.

    Google Scholar 

  • May S, Chance-Larsen K, Littlewood C, Lomas D, Saad M. Reliability of physical examination tests used in the assessment of patients with shoulder problems: a systematic review. Physiotherapy. 2010;96(3):179–90. https://doi.org/10.1016/j.physio.2009.12.002.

    Google Scholar 

  • Lädermann A, Collin P, Zbinden O, Meynard T, Saffarini M, Chiu JCH. Diagnostic accuracy of clinical tests for subscapularis tears: A systematic review and Meta-analysis. Orthop J Sports Med. 2021;9(9):23259671211042011. https://doi.org/10.1177/23259671211042011.

    Google Scholar 

  • Hegedus EJ, Goode AP, Cook CE, et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med. 2012;46(14):964–78. https://doi.org/10.1136/bjsports-2012-091066.

    Google Scholar 

  • Longo UG, Berton A, Ahrens PM, Maffulli N, Denaro V. Clinical tests for the diagnosis of rotator cuff disease. Sports Med Arthrosc Rev. 2011;19(3):266–78. https://doi.org/10.1097/JSA.0b013e3182250c8b.

    Google Scholar 

  • Barreto RPG, Braman JP, Ludewig PM, Ribeiro LP, Camargo PR. Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain. J Shoulder Elb Surg. 2019;28(9):1699–706. https://doi.org/10.1016/j.jse.2019.04.001.

    Google Scholar 

  • Eliason A, Harringe M, Engström B, Sunding K, Werner S. Bilateral ultrasound findings in patients with unilateral subacromial pain syndrome. Physiother Theory Pract. 2022;38(13):2568–79. https://doi.org/10.1080/09593985.2021.1962462.

    Google Scholar 

  • Miranda H, Viikari-Juntura E, Heistaro S, Heliövaara M, Riihimäki H. A population study on differences in the determinants of a specific shoulder disorder versus nonspecific shoulder pain without clinical findings. Am J Epidemiol. 2005;161(9):847–55. https://doi.org/10.1093/aje/kwi112.

    Google Scholar 

  • Weber S, Chahal J. Management of rotator cuff injuries. J Am Acad Orthop Surg. 2020;28(5):e193–201. https://doi.org/10.5435/JAAOS-D-19-00463.

    Google Scholar 

  • Kelley MJ, Shaffer MA, Kuhn JE, et al. Shoulder pain and mobility deficits: adhesive capsulitis: clinical practice guidelines linked to the international classification of Functioning, Disability, and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther. 2013;43(5):A1–31. https://doi.org/10.2519/jospt.2013.0302.

    Google Scholar 

  • van den Dolder PA, Ferreira PH, Refshauge KM. Effectiveness of soft tissue massage and exercise for the treatment of non-specific shoulder pain: a systematic review with meta-analysis. Br J Sports Med. 2014;48(16):1216–26. https://doi.org/10.1136/bjsports-2011-090553.

    Google Scholar 

  • Peek AL, Miller C, Heneghan NR. Thoracic manual therapy in the management of non-specific shoulder pain: a systematic review. J Man Manip Ther. 2015;23(4):176–87. https://doi.org/10.1179/2042618615Y.0000000003.

    Google Scholar 

  • Song A, Kim P, Ayers G, Jain N. Characteristics of Non-Spine musculoskeletal ambulatory care visits in the united States, 2009–2016. PM R. 2021;13(5):443–52. https://doi.org/10.1002/pmrj.12484.

    Google Scholar 

  • Sidhar K, Lim HJ, Gutierrez L. A simplified approach to evaluate and manage shoulder pain. J Am Board Fam Med. 2024;37(6):1156–66. https://doi.org/10.3122/jabfm.2024.240114R2.

    Google Scholar 

  • Cadogan A, McNair PJ, Laslett M, Hing WA. Diagnostic accuracy of clinical examination and imaging findings for identifying subacromial pain. PLoS ONE. 2016;11(12):e0167738. https://doi.org/10.1371/journal.pone.0167738.

    Google Scholar 

  • Somerville LE, Willits K, Johnson AM, et al. Clinical assessment of physical examination maneuvers for rotator cuff lesions. Am J Sports Med. 2014;42(8):1911–9. https://doi.org/10.1177/0363546514538390.

    Google Scholar 

  • Zoga AC, Kamel SI, Hynes JP, Kavanagh EC, O’Connor PJ, Forster BB. The evolving roles of MRI and ultrasound in First-Line imaging of rotator cuff injuries. AJR Am J Roentgenol. 2021;217(6):1390–400. https://doi.org/10.2214/AJR.21.25606.

    Google Scholar 

  • Expert Panel on Musculoskeletal Imaging:, Small KM, Adler RS, et al. ACR appropriateness Criteria® shoulder Pain-Atraumatic. J Am Coll Radiol JACR. 2018;15(11S):S388–402. https://doi.org/10.1016/j.jacr.2018.09.032.

    Google Scholar 

  • Karel YHJM, Scholten-Peeters WGM, Thoomes-de Graaf M, et al. Current management and prognostic factors in physiotherapy practice for patients with shoulder pain: design of a prospective cohort study. BMC Musculoskelet Disord. 2013;14(1):62. https://doi.org/10.1186/1471-2474-14-62.

    Google Scholar 

  • Feleus A, Bierma-Zeinstra SMA, Miedema HS, Verhaar JAN, Koes BW. Management in non-traumatic arm, neck and shoulder complaints: differences between diagnostic groups. Eur Spine J. 2008;17(9):1218–29. https://doi.org/10.1007/s00586-008-0710-1.

    Google Scholar 

  • Peurois M, Bertin M, Fouquet N, Adjeroud N, Roquelaure Y, Ramond-Roquin A. Factors associated with referral to physiotherapists for adult patients consulting for musculoskeletal disorders in primary care; an ancillary study to ECOGEN. BMC Prim Care. 2023;24(1):13. https://doi.org/10.1186/s12875-023-01970-5.

    Google Scholar 

  • Machlin SR, Chevan J, Yu WW, Zodet MW. Determinants of utilization and expenditures for episodes of ambulatory physical therapy among adults. Phys Ther. 2011;91(7):1018–29. https://doi.org/10.2522/ptj.20100343.

    Google Scholar 

  • Doiron-Cadrin P. Shoulder rotator cuff disorders: a systematic review of clinical practice guidelines and semantic analyses of recommendations. p.29.

  • Mertens MG, Meert L, Struyf F, Schwank A, Meeus M. Exercise therapy is effective for improvement in range of Motion, Function, and pain in patients with frozen shoulder: A systematic review and Meta-analysis. Arch Phys Med Rehabil. 2022;103(5):998–e101214. https://doi.org/10.1016/j.apmr.2021.07.806.

    Google Scholar 

  • Abdulla SY, Southerst D, Côté P, et al. Is exercise effective for the management of subacromial impingement syndrome and other soft tissue injuries of the shoulder? A systematic review by the Ontario protocol for traffic injury management (OPTIMa) collaboration. Man Ther. 2015;20(5):646–56. https://doi.org/10.1016/j.math.2015.03.013.

    Google Scholar 

  • Zadro JR, Michaleff ZA, O’Keeffe M, et al. How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment. BMJ Open. 2021;11(12):e052092. https://doi.org/10.1136/bmjopen-2021-052092.

    Google Scholar 

  • Zadro JR, O’Keeffe M, Ferreira GE, et al. Diagnostic labels and advice for rotator cuff disease influence perceived need for shoulder surgery: an online randomised experiment. J Physiother. 2022;68(4):269–76. https://doi.org/10.1016/j.jphys.2022.09.005.

    Google Scholar 

  • Cuff A, Littlewood C. Subacromial impingement syndrome – What does this mean to and for the patient? A qualitative study. Musculoskelet Sci Pract. 2018;33:24–8. https://doi.org/10.1016/j.msksp.2017.10.008.

    Google Scholar 

Continue Reading

  • Fiscal policy and growth in Europe

    Fiscal policy and growth in Europe

    Keynote speech by Christine Lagarde, President of the ECB, in the session “Central Banks in a Changing World” at the European Meeting of the Trilateral Commission in Vienna, Austria

    Vienna, 22 November 2025

    It is a pleasure to be here in Vienna.

    The relationship between central banks and governments has evolved substantially over the centuries.

    Historically, central banks were often created to provide governments with financing.[1] But if monetary history teaches us one lesson, it is that central banks kept under the thumb of the state tend to generate inflation.

    This insight emerged only gradually.

    In the early 19th century, Napoleon Bonaparte – who founded the Banque de France – is said to have acknowledged that a central bank should serve the state, but not be excessively dominated by it.[2] Well, that was a start at least.

    Over time, however, and especially in the second half of the 20th century, recognition grew that the more operationally independent a central bank became, the lower and less volatile inflation outcomes were. This relationship is well established in the empirical literature.[3]

    But there is always the concern that a short-sighted government may be tempted to try to force the hand of a central bank to finance its debt – despite the lessons of history.

    This concern tends to surface when public debt is elevated, as it is today in a number of jurisdictions.

    Indeed, this afternoon’s session asks the question of whether central banks may someday face a regime of fiscal dominance – in which governments burdened with large current or future spending needs compel them to provide finance regardless of the inflationary consequences.

    Today, I will begin by looking at Europe’s experience with monetary–fiscal interactions in recent years. I will then turn to the fiscal challenges ahead and discuss the ways in which Europe can mobilise its flexibility and collective strength to support higher growth.

    The experience of monetary policy and fiscal policy in recent years

    When we look at the policy actions taken in the euro area in recent years, the narrative of fiscal dominance does not hold.

    During the pandemic, monetary policy and fiscal policy worked hand in hand to help lift the economy out of the state of emergency.

    The ECB carried out large-scale bond purchases to safeguard price stability, while governments increased debt to finance furlough schemes and other support instruments.[4]

    Together, these measures were successful in stabilising the economy and putting the conditions in place for a fast recovery. Real activity in the euro area returned to its pre-pandemic level within seven quarters, compared with 29 quarters after the global financial crisis.[5]

    But they also left Europe with higher debt levels. At its peak in early 2021, public debt as a share of euro area GDP had risen by around 15 percentage points relative to its pre-pandemic level.[6]

    Yet the ability of monetary policy to pursue its mandate in full independence has not been constrained by fiscal policy.

    This was clearly demonstrated when, confronted with the largest inflation shock in a generation, we increased rates at a record pace – the sharpest tightening of monetary policy in our history.[7] Inflation fell dramatically and, today, is close to our 2% target.

    We also reduced the size of our balance sheet through quantitative tightening, reinforcing the stance of our monetary policy.[8] Our monetary policy securities portfolio has already declined by over €1.1 trillion from its peak.[9]

    At the same time, there has also been a significant improvement in primary balances.

    After dropping sharply in 2020 owing to the pandemic, the euro area primary balance improved by more than 4 percentage points of GDP by 2024, albeit with considerable variation across Member States.[10]

    Perhaps most importantly, the ECB’s independence is unchallenged. We have one of the strongest and most clearly defined forms of central bank independence in the world, firmly anchored in the EU Treaties.

    A different kind of fiscal challenge in the euro area

    In fact, when I think about monetary-fiscal interactions, I see a different type of problem in Europe.

    Public debt levels in the euro area remain elevated and need to come down. But the main challenge I see is not that governments widely fail to respect the fiscal rules.

    Rather, it is that governments need to place greater emphasis on spending that supports potential growth and key strategic priorities while consolidating their budgets.

    For example, the new EU fiscal rules give countries the opportunity to extend their fiscal adjustment period to as long as seven years if they commit to public investment and structural reforms that strengthen productivity and long-term growth.

    But only seven out of 20 euro area countries have chosen this path.[11]

    This can lead to a situation that has been called “fiscal stagnation”, where the measures taken to consolidate public finances weaken growth potential, leading to still more need for consolidation, in what can become a vicious circle.[12]

    All this matters for central banks – not because of fiscal dominance in the classical sense – but because it can trap the economy in a low-growth equilibrium. This can make the central bank’s job harder in various ways.

    A scenario of persistently low productivity growth, for instance, can put downward pressure on the natural rate of interest. That can limit how far central banks can cut rates, as we saw during the pre-pandemic era. At the same time, weak potential growth can also keep inflation higher than it would otherwise be.

    By contrast, a scenario of stronger productivity growth can make the central bank’s job easier. In ageing societies, for example, faster productivity growth may moreover be key to compensate for shrinking labour supply and avoid upward wage pressures.

    Now, one of the main reasons that governments are deprioritising productive spending over current spending is the pressure to sustain Europe’s social model and support ageing societies in the short run.

    Yet it is precisely this productive spending that will enable Europe to generate the productivity gains needed to sustain its social model and its ageing population in the long run.

    The goal should be to foster a virtuous circle in which productive spending raises productivity growth. Higher productivity, in turn, strengthens potential growth. That would put Europe’s social model on a stronger and more sustainable economic footing.

    Mobilising Europe’s flexibility and collective strength

    I see three ways in which Europe can rise to the challenge of achieving this goal.

    First, countries should use the flexibility that the fiscal rules allow.

    For example, if Member States reallocated just 1% of GDP more of existing public spending to research and development and another 1% to education, the productivity and growth gains could be sizeable: one study finds that, together, these shifts could boost output by around 6% over the long run.[13]

    This should mean that, by the end of the seven-year adjustment period, government debt would be on a more sustainable path supported by higher potential growth, not higher taxes or cuts to productive expenditure.

    Second, Europe should deploy its collective resources more efficiently.

    Rather than each government reallocating existing national spending in isolation, we should explore ways to pool resources in high-multiplier areas where there are cross-border benefits and clear returns to scale can be achieved.

    As it happens, these are often strategic areas where Europe must strengthen its capabilities anyway – such as research and development to drive innovation and defence to deter hostile actors.

    We know what is possible when Europe puts its mind to it.

    An example of this is the European Organization for Nuclear Research – CERN – established back in the 1950s.

    By pooling national resources, European countries were able to pursue high-energy physics research at a scale and over time spans that individual countries could not have financed alone.[14]

    This joint initiative has produced major breakthroughs, notably the creation of the World Wide Web, as well as technological advancements in medical imaging and autonomous driving with artificial intelligence.

    More recently, in March this year, the European Commission launched Readiness 2030, an initiative that helps to pool defence procurement across EU countries.

    Under the initiative, €150 billion will be mobilised for investments in pan-European capability domains – such as air and missile defence, artillery systems, and anti-drone systems.[15]

    Third, there is strong potential to use EU budget instruments to mobilise private capital.

    Europe faces unprecedented investment needs to finance the green, digital and defence transitions. Together, these are estimated to require an additional €1.2 trillion of spending per year between now and 2031.[16]

    These vast amounts cannot be borne by the public sector alone, so private investment will need to contribute substantially. While deeper capital-market integration is essential to unlock this private investment, well-designed EU programmes can play an important complementary role.

    For instance, ECB research finds that the European Structural and Investment (ESI) funds – de facto the EU’s primary investment vehicle – generate significant crowding-in effects. Every euro of ESI funding has been matched by €1.10 of private investment.[17]

    Further ECB analysis shows that ESI-funded firms steadily increased their capital stock and experienced long-lasting gains in productivity.[18]

    Leveraging the synergies between targeted public investment and private finance will likely prove critical if Europe is to meet its investment needs and boost potential growth.

    If Member States and the EU make full use of these three opportunities, Europe could combine the best of both worlds: strengthening productivity growth while preserving its social model.

    In parallel, it would also reduce the risk of fiscal dominance emerging in the future.

    Conclusion

    Let me conclude.

    The composer Johann Strauss II is said to have remarked “If only I had more time; the ideas come faster than I can write them down.”

    I have no doubt that the beauty of this city was a constant source of inspiration to this famously creative son of Vienna.

    We all do what we can with the time given to us – and Strauss, it is fair to say, used his exceptionally well. I have used the time given to me this afternoon to offer several ideas on how Europe can best leverage its flexibility and collective strength to support higher growth.

    Crucially, each idea is within the realm of possibility – as there are already important precedents that demonstrate what is possible. Just as Strauss transformed inspiration into enduring works, Europe too can turn these opportunities into the growth needed to sustain its social model.

    Thank you.

    Continue Reading

  • Pinterest is leaning hard into AI. The strategy appears to be backfiring

    Pinterest is leaning hard into AI. The strategy appears to be backfiring


    New York
     — 

    Abigail Wendling, 23, uses Pinterest to curate everything in her life, from recipes to wallpapers. At least until she saw a one-eyed cat when searching for a wallpaper. In another instance, a search for healthy recipes turned up a puzzling image showing a slice of cooked chicken with seasonings sprinkled inside it.

    These posts were created by generative AI, which is quickly overtaking the photo-first platform. Pinterest, like other social media platforms, has grappled with a flood of AI slop since the launch of ChatGPT’s Sora video generation tool in 2024. The company has taken proactive steps to curb the content for users who don’t want it.

    But the presence of generative AI has struck a chord with Pinterest’s creative community, with users telling CNN that they feel unheard as the company’s C-Suite goes all in on the burgeoning technology.

    “It makes me want to put my phone down and do something else,” said Wendling, who also uses Instagram and TikTok. “I would say Pinterest has the most AI-generated photos and videos out of every social media app I’m using right now … I have to look over everything with a microscope now.”

    Diving headfirst into AI has been a priority for Pinterest CEO Bill Ready, who took over the company in 2022. The former Venmo and Braintree leader has rebranded Pinterest “from a platform of window shopping” to “an AI-powered visual-first shopping assistant” in its latest earnings call this month. And it’s not alone: Pinterest joins Google, OpenAI and Amazon in a push to revamp the online shopping experience with AI.

    Pinterest logged 600 million global monthly active users, half of which are Gen Z and many of whom use it for shopping inspiration. Its third-quarter revenue recently grew 17% year-over-year to $1 billion.

    Artificial intelligence, a technology that Silicon Valley is racing to adapt and monetize, is at “the heart of the Pinterest experience,” he said.

    What that means for Pinterest users is the stress of trying to navigate AI slop, more advertisements and less content they want to see on the platform, users told CNN.

    “I want to see art that a human being has put time and effort into, not some gorge spit out by someone who typed a few words into an image generator,” Amber Thurman, a 41-year-old Pinterest user from Illinois, said to CNN.

    Over the past year, Pinterest has responded to user complaints. It rolled out a “tuner” last month to adjust how much AI content users want to see and was an early adoptor in labeling Gen AI images on its platform earlier this year.

    “While many people enjoy GenAI content on Pinterest, we know some want to see less of it,” a Pinterest spokesperson said in an email to CNN, adding: “Pinterest prioritizes high-quality content and what is inspirational to our users – whether it’s AI-generated or not.”

    However, Pinterest users who spoke to CNN said they no longer recognize the app they signed up for and argue that the platform hasn’t kept up with the daily flood of AI content. The tools to limit AI, they argue, aren’t enough.

    “There’s not a precise ability for any platform to catch 100% of what is AI-generated,” Ready said in the earnings call.

    Pinterest once served as a haven from fast-talking commentary on TikTok, life updates from former classmates on Instagram and relatives arguing over politics on Facebook.

    Founder Ben Silbermann told CNN in 2019 that the platform’s primary goal was to inspire users. Users curated mood boards and pinned cookie recipes. Creatives and artists flocked to the app to find real-life design inspiration.

    The Pinterest app in February 2017, before it got rebranded as a shopping platform.

    But in 2025, tech giants are racing to capitalize on a technology that some have called as impactful as the smartphone or the internet itself. And that includes finding new ways to monetize. AI.Meta, for example, will soon start using user conversations with its AI assistant to inform targeted ads.

    For Pinterest, its future hinges on AI-powered shopping. Its algorithm pinpoints products for users based on their searches in the app.

    In its latest quarter, the number of people clicking on advertiser links grew by 40% compared to the year before and has increased by more than five times in the last three years, according to earnings reports. The company is doubling down on that momentum by introducing more AI features, such as a shopping assistant users can converse with that acts as “a best friend,” the company said.

    However, some long-time users are not buying Pinterest as a shopping ad.

    Hailey Cole, a 31-year-old creative director from California, began using Pinterest’s competitor Cosmos for design inspiration recently. She said she’s never purchased anything from the platform and is worried that Pinterest’s AI content may be stealing intellectual property, as she said it happened to her. Pinterest’s policy states it will take down accounts of those who repeatedly infringe on copyright or intellectual property.

    “I’ve heard the CEO say (Pinterest is a shopping app); I don’t know where he came up with that… I think that’s him more just envisioning or manifesting,” Cole said.

    Wendling said she worries about authenticity on Pinterest. With the sheer amount of fake content on the platform, even if she sees something she likes, she said she would go to another site and buy it.

    Users will have to “live with both” slop and new technology as companies work to monetize the technology, Jose Marichal, a professor of political science at California Lutheran University, told CNN.

    Pinterest’s leaders certainly are.

    Over time, AI will follow a similar trajectory to Photoshop, Ready said. “Almost every piece of content you see will have been at a minimum edited by AI in some form or another.”

    But that approach could jeopardize the authentic feel that drives users to the platform in the first place.

    The Pinterest website in July 2023. Pinterest users who spoke to CNN in 2025 said they no longer recognize the app they signed up for.

    AI-generated posts often lead to off-platform websites that profit off affiliate marketing, Casey Fiesler, associate professor of information science at the University of Colorado Boulder, told CNN.

    For example, one of the first search results for “chocolate chip cookie recipe” on Pinterest led to a photo of the dessert. The post linked to a different site that was riddled with ads and had an AI-generated image of a chef. The recipe itself matched almost exactly to a ChatGPT query asking for “the best chocolate chip cookie recipe ever.”

    On an algorithm-driven social media site, the one thing that users can control is their own engagement with AI content. Even leaving a hate comment or sending it to a friend as a joke can signal to the algorithm that you want to see more of that content, Fiesler said.

    Media literacy is also more important than ever as users will need to sniff out slop on their own.

    “These platforms are looking to gain short-term metrics, but they are degrading user experience and long-term trust,” said Tony Sampson, senior academic at the University of Essex.

    So far, the users that spoke to CNN have been cutting down on their Pinterest usage. While some are moving to new apps like Cosmos, others are finding themselves back on older sites like Tumblr.

    “For something like Pinterest in particular, I imagine it makes people a little sad,” Fiesler said. “They used to see a lot of human-created content that they found inspiring, and now it’s just a lot of very non-human, perhaps not inspiring content.”

    Continue Reading