Alınamayan ilaç "KANSER" sebebi

Kanser tedavisinde etkisi yüksek, yan etki profili düşük olan akıllı moleküller ve immünoterapi ilaçlarının önemli bir kısmı Türkiye’de SGK’nın ödeme kapsamında değil. Hastanın hem yaşam kalitesini arttıran hem de ömrünü uzatan Sağlık Bakanlığı onaylı ilaçlar piyasada var ancak geri ödeme listesinde olmadığı için çok sayıda hasta bu ilaçlardan yararlanamıyor, çünkü maliyetleri çok yüksek. Yeni ve pahalı kanser ilaçlarına erişimin sadece Türkiye’nin değil, tüm dünyanın sorunu olduğunu belirten onkologlar, bu durumun onkoloji literatürüne “finansal toksisite”, yani ekonomik yan etki şeklinde bir terim eklediğini söylüyor.

Kanser tedavisinde çok önemli avantaj sağlayan bazı akıllı molekül ve immünoterapi ilaçları SGK’nın geri ödeme kapsamında bulunmuyor. Bu nedenle çok sayıda hasta, kemoterapiden daha fazla yarar göreceği ve yan etki yükünden önemli oranda kurtulabileceği bu ilaçları alamıyor, alınamayan bu ilaçlar hastayı mağdur ediyor. çünkü bu ilaçlar çok pahalı
Örneğin meme kanserinde hormonal terapilerle akıllı moleküllerin beraber kullanılmasının etkinliği ve hastalık kontrolünü çok önemli oranda artırdığını belirten İç Hastalıkları ve Tıbbi Onkoloji Uzmanı Prof. Dr. Gökhan Demir, “Maalesef immünoterapi ajanlarının veya akıllı ilaçların önemli bir kısmını SGK karşılamıyor. Türkiye’de bu ilaçlar piyasada var, yani Sağlık Bakanlığı onay verdi ama geri ödeme kurumu geri ödemeye almadı. Bu nedenle birçok hastamız mağdur oluyor. Hasta, göz göre göre progrese oluyor, yani hastalığı ilerliyor ama bu akıllı ilaçları veremediğimiz için etkinliği onlardan daha az, yan etkileri ise daha fazla olan kemoterapi veriyoruz” dedi.

Doktor Gökhan Demir, etkin ama pahalı ilaçların onkoloji literatürüne bir terim de eklediğini söyledi: Finansal toksisite:

“Biz eskiden ilaçların hep vücuda yaptığı bir toksisiteden, bir yan etkiden söz ediyorduk, mide bulantısı, saç dökülmesi, halsizlik, iştahsızlık gibi. İşte bu toksisitenin yanına bir de finansal toksisite eklendi. Finansal toksisite bugün bütün dünyada konuşulan bir şey. Çünkü yeni çıkan ilaçlar, hedefe yönelik tedaviler ve akıllı moleküller, çok korkunç maliyetler oluşturuyor ve bu ilaçların uzun yıllar kullanılması finansal toksisiteyi daha fazla artırıyor. ABD başta olmak üzere birçok gelişmiş ülke bütçelerinde bu yeni kuşak ilaçlara nasıl bir pay ayıracakları konusunu tartışıyor.”

İstanbul Tabip Odası Başkanı ve Tıbbi Onkoloji Uzmanı Prof. Dr. Pınar Saip de finansal yan etki konusunda farkındalığın giderek arttığını, iş kaybı, çalışamama, tedaviye erişememe gibi konuların da “finansal toksisite” kapsamında olduğunu söyledi, “Finansal yan etkiyi önlemek kanser araştırmacılarının ve sağlık sistemlerinin önemli görevlerinden olmalıdır. Finansal yan etkinin önlenmesi hem kanser kontrolünü hem de kanserde sağkalımı arttırır” ifadelerini kullandı.


Türk Tıbbi Onkoloji Derneği (TTOD) Yönetim Kurulu Üyesi ve Tıbbi Onkolog Prof. Dr. Mahmut Gümüş ise finansal toksisitenin sadece Türkiye’nin değil, tüm dünyanın sorunu olduğunu, her ülkede yeni ve pahalı ilaçlara erişimde sıkıntı yaşandığını söyledi, “Bu, öyle bir hal aldı ki artık Amerika veya Avrupa’da yapılan onkoloji kongrelerinde konuşmacılar ilacı anlatırken, ‘şu kadar etkilidir, şu kadar faydalıdır’ dedikten sonra bir de ilacın ekonomik maliyeti ile ilgili konuşma yapıyor” dedi.

Prof. Dr. Gökhan Demir
Prof. Dr. Gökhan Demir

“TÜRKİYE’DE MEME KANSERİ İLAÇLARINA ERİŞİMDE SORUN YAŞANIYOR”

Bazı meme kanseri ilaçlarına erişimde de sorun yaşandığını söyleyen Doktor Pınar Saip, “Bugün Türkiye'de meme kanseri tedavisinde ruhsatı olan ama geri ödemesi olmayan pahalı ilaçlar, hem geri ödemesi hem de ruhsatı olmayan pahalı ilaçlar ve bulunmayan ucuz ilaçlar sorunu yaşanıyor. Pahalı ilaçlar için Türkiye’de geri ödeme referans ülkelere bakılarak saptanıyor. En düşük referans ülke fiyatı belli bir yüzdeyle çarpılıyor, sabitlenmiş döviz kuruna göre belirleniyor. Bu fiyatlar da ilaç firmalarını tatmin etmiyor. Türkiye'de geri ödeme alabilmiş ilaçlar dünyanın diğer ülkelerine göre daha ucuz” ifadelerini kullandı.

“KANSER hastaların ekonomisini de etkiliyor.
Meme kanserinin tek bir hastalık olmadığını, hastalığın biyolojik türlerine ve evrelerine göre tedavilerinde farklılıklar bulunduğunu hatırlatan Onkolog Saip, “Maalesef meme kanserinin bazı türlerinde etkili olan yeni ilaçların bazıları ülkemizde geri ödeme kapsamında değil. Kanser hastalığı hasta ve ailesinde ekonomik sorunlara yol açar ve bu durum hastalığın seyri açısından risk faktörüdür. Ülkelerin gelir düzeyi, sağlığa ayırdığı bütçe ve finansal yan etki arasında ilişki vardır. Örneğin batı Avrupa’da meme kanseri daha sık olmasına rağmen orta Avrupa’da seyirleri daha kötüdür. Bu da bakım ve ilaca erişimin ne kadar önemli olduğunu göstermektedir. Yeni geliştirilen ilaç fiyatları giderek artmaktadır. Eski ilaçlar ise ucuz oldukları için piyasada bulunmamaktadır” diye konuştu.

Prof. Dr. Pınar Saip
Prof. Dr. Pınar Saip

Hiçbir şey insan yaşamından daha kutsal değildir

Prof. Demir, akıllı molekül ve immünoterapi ilaçlarının yüksek maliyeti için, “Evet, bu ilaçların çok yüksek bir ekonomik gideri var ama bir insanın hayatına kazandıracağımız bir günün hiçbir maddi bedeli yok. Bir açıdan da böyle bakmak gerekiyor. Bu, bütün dünyanın uğraştığı bir problem, Türkiye de finansal toksisite üzerinde çalışıyor” derken, Prof. Saip, “Ülkemizin Sağlık Bakanlığı ve SGK'sı özellikle hastalarımıza yarar sağlayacak ilaçlar konusunda elinden geleni yapmalı. Başka gereksiz harcamalardan kısılıp ömrü uzatacak, insan sağlığı için ihtiyaç olan alanlara mali destek sağlamalı” değerlendirmesinde bulundu.

“Klinik yarar baz alınmalı”

Her yeni geliştirilen ve pahalı olan ilacın, etkili olmayabileceğinin altını çizen Dr. Saip, “klinik yarar” vurgusu yaparak şunları söyledi:

“Bazı yeni geliştirilen ilaçlar klinik olarak anlamsız ama istatistiksel olarak anlamlı sonuçlar verebiliyor. Sadece yarar önemli değil, bu yararın ne kadar olduğu, ne pahasına olduğu da önemli. Bazı yeni ilaçların yan etkisi az, etkisi çoktur, bu tür ilaçlara ilgili uzmanlık derneklerinin görüşü alınarak onay verilmeli, geri ödeme sağlanmalı. Ama yararı net olmayan veya yan etkisi çok olan ilaçlarda geri ödeme sağlanmayabilir. Yani sadece istatistiksel yarar değil, klinik yarar baz alınmalı. İlaç araştırma ve geliştirme çok pahalı ve uzun bir süreç. Bu süreç sadece ilaç firmalarına bırakılmamalı. Bağımsız araştırmacılar devlet aracılığı ile desteklenerek daha ucuz ve etkili ilaçların geliştirilmesi, devlet politikası olmalı.”

“Herkes fedakarlık yaparsa ”

Klinik yarar konusunda, “En doğru hastayı, etkin olacağından yüzde yüz emin olduğumuz, en fazla fayda sağlayacağımız hastayı belirlemek ve bu ilaçları o hastaya vermek için bir takım politikalar geliştiriliyor” sözleriyle değerlendiren Prof. Demir’e göre, hem ilaç firmaları hem de geri ödeme kurumu biraz fedakarlık yapabilir ve çok sayıda hastanın hayatı kurtulabilir:

“Aslında ilaç firmaları ellerinden geleni yapıyor. Türkiye’de çıkardıkları fiyat, yurt dışındaki fiyattan neredeyse yüzde 30, yüzde 40 daha ucuz. Ayrıca insani erişim programları açıyorlar, yani bu konuda çok duyarsız değiller. Ama ilaç firmalarının da Türkiye’nin ve ülkelerin ekonomilerine göre fiyat belirlemeleri gerekir. Örneğin; insani erişim programları az sayıda hasta ile kısıtlı. Bunun pazarlığı yapılarak insani erişim programının kapsamı genişletilebilir.”

“Sağlık bakanlığı onkoloji dernekleri ile işbirliği yapmalı”

Finansal yan etkiyi önlemek için ilaç şirketleri dışında alternatif ilaç üretim yolları bulunması gerektiğini söyleyen Prof. Saip’in bu konudaki görüşü, “Akademi, SGK, Sağlık Bakanlığı ve Türk Tıbbi Onkoloji Derneği işbirliği yapmalı, klinik yararın büyüklüğüne göre geri ödeme politikaları uygulanmalı” şeklinde.

“EŞDEĞER VE BİYOBENZER İLAÇLARA AĞIRLIK VERİLMELİ”

Onkolojik ilaçlardaki ekonomik yan etkiyi azaltmak için çözüm odaklı düşünmek gerektiğini dile getiren TTOD Üyesi Prof. Gümüş’e göre, eşdeğer ve biyobenzer ilaçlara ağırlık verilmeli:

Prof. Dr. Mahmut Gümüş
Prof. Dr. Mahmut Gümüş

“Çözüm için atılacak adımlardan biri eşdeğer ilaçların geliştirilmesidir. Patent süreleri bittikten sonra eşdeğer ilaç üretilirse ilaç firmaları arasındaki rekabet sonucu fiyatlar düşecektir. İkincisi biyolojik ilaçlarda biyobenzer diye bir kavram var, bu da aynı şekilde patent sürelerinin bitmesiyle piyasaya yeni oyuncuların çıkmasını, benzer ilaçların üretilmesini ve ilaçların ucuzlamasını sağlıyor. Hem doktorlar hem de hastalar olarak bizim bunu desteklememiz lazım.”

“UCUZ İLAÇLAR SGK KAPSAMINDAN ÇIKARILSIN, KANSERE AYRILAN KAYNAK ARTIRILSIN”

Bu konuda yeni politikalar geliştirilmesi gerektiğine vurgu yapan Doktor Mahmut Gümüş, “Örneğin bazı ağrı kesici, mide veya vitamin ilacı gibi ucuz ilaçların SGK ödeme kapsamından çıkarılması, dolayısıyla kanser ilaçlarına daha fazla kaynak ayrılması söz konusu olabilir. Çünkü bu tür ilaçları toplumun büyük bir kısmı alabilir ama kanser ilaçlarını herkes alamaz” dedi.

“YENİ ÇIKAN HER İLACI ‘SGK ÖDESİN’ DEMEK SÜRDÜRÜLEBİLİR BİR ŞEY DEĞİL”

Bu tür önlemler alınarak, sağlığa ayrılan bütçe artırılarak hastaların bu ilaçlara daha kolay ulaşmalarını sağlamak için çaba gösterilmesi gerektiğini söyleyen Dr. Gümüş sözlerini, “Ama bunlar sürdürülebilir çözümler değil. Yani her yeni ilaç çıktığında ‘SGK ödesin’ demek sürdürülebilir bir şey değil. Gerçekten maliyetler o kadar fazla ki değil Türkiye’nin dünyanın gelişmiş ülkelerinin bile bunların üstesinden gelmesi mümkün değil. Ama bunun çok ciddi bir sorun olduğunu ve hastaları mağdur ettiğini kabul etmemiz lazım. Tabii ki israf yapılmasın, kaynaklar iyi yerlere harcansın ve sağlığa ayrılan pay artırılsın ama ülkenin de bir bütçesi var” şeklinde tamamladı.

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Summary
Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election
<a href=https://kra11-gl.com>kra6.cc</a&gt;
After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks

Harris said people leave Trump rallies early "out of exhaustion and boredom" - he said people don't go to hers in the first place
kra7.gl
https://kra10gl.cc
Trump criticised Harris's record on immigration and the border, and also her shifting policy positions - Harris blamed him for "Trump abortion bans" and for the 6 January attacks on the US Capitol

Snap polls suggest Harris won the debate, but Trump says afterwards that she "lost very badly"

With the election taking place on 5 November, Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states

Shortly after the debate, Taylor Swift endorsed Harris on Instagram, calling her a ''gifted leader''

Eddieeminy (doğrulanmamış) Pa, 15/09/2024 - 03:36

Summary
Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election
<a href=https://kra10gl.cc>kra9.gl</a&gt;
After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks

Harris said people leave Trump rallies early "out of exhaustion and boredom" - he said people don't go to hers in the first place
kra7.gl
https://kra11-gl.com
Trump criticised Harris's record on immigration and the border, and also her shifting policy positions - Harris blamed him for "Trump abortion bans" and for the 6 January attacks on the US Capitol

Snap polls suggest Harris won the debate, but Trump says afterwards that she "lost very badly"

With the election taking place on 5 November, Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states

Shortly after the debate, Taylor Swift endorsed Harris on Instagram, calling her a ''gifted leader''

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Adding to their bragging rights, New Yorkers saw three other pizzerias make the 2024 list, which included 101 restaurants in total (despite the “50” in the name of the awards). The rankings for the other New York pizzerias were Ribalta at No. 19, Don Antonio at No. 30 and L’industrie Pizzeria at No. 80.

Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list, including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria.

Showing how truly global the awards are, nations not exactly known for their pizza scenes –South Korea, Bolivia and India, to name three ­– were represented on the list.

DwayneJoigh (doğrulanmamış) Pa, 15/09/2024 - 03:46

Summary
Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election
<a href=https://kra6gl.net>kra8.gl</a&gt;
After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks

Harris said people leave Trump rallies early "out of exhaustion and boredom" - he said people don't go to hers in the first place
kra7.gl
https://kraken2-gl.com
Trump criticised Harris's record on immigration and the border, and also her shifting policy positions - Harris blamed him for "Trump abortion bans" and for the 6 January attacks on the US Capitol

Snap polls suggest Harris won the debate, but Trump says afterwards that she "lost very badly"

With the election taking place on 5 November, Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states

Shortly after the debate, Taylor Swift endorsed Harris on Instagram, calling her a ''gifted leader''

WalterCorie (doğrulanmamış) Pa, 15/09/2024 - 03:49

Summary
Kamala Harris and Donald Trump have had a fiery 90-minute debate in Philadelphia - their first of the 2024 US presidential election
<a href=https://kra5gl.cc>kra8.cc</a&gt;
After shaking hands - it was the first time they had met - the pair debated policy before moving onto more personal attacks

Harris said people leave Trump rallies early "out of exhaustion and boredom" - he said people don't go to hers in the first place
kra6.gl
https://kraken9-gl.cc
Trump criticised Harris's record on immigration and the border, and also her shifting policy positions - Harris blamed him for "Trump abortion bans" and for the 6 January attacks on the US Capitol

Snap polls suggest Harris won the debate, but Trump says afterwards that she "lost very badly"

With the election taking place on 5 November, Harris is slightly ahead in national opinion polls - but polls are very tight in key battleground states

Shortly after the debate, Taylor Swift endorsed Harris on Instagram, calling her a ''gifted leader''

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Marlonnum (doğrulanmamış) Pa, 15/09/2024 - 04:00

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
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Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”

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Gregorynat (doğrulanmamış) Pa, 15/09/2024 - 04:15

Рейдерский захват: что стоит за действиями следствия в отношении кооператива «Бест Вей»
<a href=https://www.pravda.ru/realty/2049298-delo-laif-iz-gud-germes-best-vei/>… работы кооператива Бест Вей</a>
В феврале этого года следственная группа по уголовному делу, связываемому следствием с кооперативом «Бест Вей», приказом начальника ГСУ питерского главка МВД генерал-майора юстиции Е.В. Негрозова была серьезно реформирована, так как в прежнем составе она никак не могла дать нужного результата расследования. Четверо арестованных в феврале прошлого года, несмотря на год содержания в тюрьме, не дали нужных показаний, количество потерпевших увеличивалось с большим трудом, суды с сомнением воспринимали аргументы следствия, то и дело отказывая в ходатайствах следствия.

В реформированную следственную группу вошло 35 только следователей, не считая дознавателей, а возглавил ее лично начальник следственной части по РОПД полковник юстиции А.Н. Винокуров, который и раньше курировал следствие, ведущееся в его следственной части, а теперь руководит им непосредственно.
https://svpressa.ru/society/article/421904
Седова Бествей
Ху из Винокуров А.Н.?
Газета «Сельская жизнь» еще в 2014 году писала о расследовании следователем А.Н. Винокуровым уголовного дела, связанного с одной из компаний, — против генерального директора, который был депутатом Законодательного собрания Санкт-Петербурга. Вот что писала газета:
«В начале 2014 года силовики провели в здании администрации „воспитательную работу“с целью дискредитации руководства, создания нервозной обстановки в трудовом коллективе, ухудшения делового климата. Следователи и оперативные работники применяли физическую силу, выгоняя сотрудников из кабинетов, били по дверям ногами, вели себя крайне агрессивно, неоднократно заявляя сотрудникам предприятия, что их генеральный директор является преступником».
Журналисты утверждали, что уголовное дело было сфабриковано в целях завладения имуществом компании, прекращения еедеятельности и устранения администрации. «Уголовное дело, возбужденное де-юре в отношении неустановленных лиц и находящиеся в настоящее время в производстве старшего следователя по ОВД ГСУ ГУ МВД РФ по СПб. и ЛО подполковника юстиции Винокурова А.Н., направлено не на объективное расследование, а на сбор компромата на руководителя компании и дискредитацию его в деловых кругах Санкт-Петербурга и Ленинградской области во исполнение «заказа» рейдерских структур».
И далее: «Незаконными действиями следователя Винокурова полностью парализована деятельность ЗАО, а его сотрудники незаконно привлечены к уголовной ответственности».
Следователь А.Н. Винокуров, действуя умышленно с целью опорочить честь и достоинство руководителя, в присутствии сотрудников предприятия не допускал его в личный кабинет депутата, сообщала газета. «По личному указанию следователя Винокурова А.Н. оперативные работникив нарушение требований ст. 12, 113 УПК РФ, ст. 25 Конституции, гарантирующих неприкосновенность жилища, проникли в квартиру, принадлежащую дочери кассира предприятия. Был проведен незаконный обыск. Спустя некоторое время сотрудниками УЭБиПК была совершена попытка покушения на то же преступление в отношении частной собственности гендиректора».
Следственными органами, писала «Сельская жизнь», игнорируются очевидные факты и обстоятельства, позволяющие говорить о заинтересованности следователя Винокурова А.Н. в привлечении должностных лиц компании к уголовной ответственности, что может быть следствием того, что следователь либо иные лица, имеющие на него влияние, финансово мотивированы рейдерскими структурами.
«Следователь Винокуров А.Н. умышленно вводит в заблуждение руководство о необходимости продления сроков предварительного следствия, указывая не соответствующие действительности результаты годичной работы, которой на самом деле не было».
А вот как комментировал стиль работы своего уже бывшего к тому времени начальника и руководства ГСУ питерского главка МВД следователь А.М. Беляев, изгнанный из ГСУ за нелояльность Винокурову.

ThomasBeply (doğrulanmamış) Pa, 15/09/2024 - 04:18

Scientists have solved the mystery of a 650-foot mega-tsunami that made the Earth vibrate for 9 days
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It started with a melting glacier that set off a huge landslide, which triggered a 650-foot high mega-tsunami in Greenland last September. Then came something inexplicable: a mysterious vibration that shook the planet for nine days.

Over the past year, dozens of scientists across the world have been trying to figure out what this signal was.

Now they have an answer, according to a new study in the journal Science, and it provides yet another warning that the Arctic is entering “uncharted waters” as humans push global temperatures ever upwards.
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Some seismologists thought their instruments were broken when they started picking up vibrations through the ground back in September, said Stephen Hicks, a study co-author and a seismologist at University College London.

It wasn’t the rich orchestra of high pitches and rumbles you might expect with an earthquake, but more of a monotonous hum, he told CNN. Earthquake signals tend to last for minutes; this one lasted for nine days.

He was baffled, it was “completely unprecedented,” he said.
Seismologists traced the signal to eastern Greenland, but couldn’t pin down a specific location. So they contacted colleagues in Denmark, who had received reports of a landslide-triggered tsunami in a remote part of the region called Dickson Fjord.

The result was a nearly year-long collaboration between 68 scientists across 15 countries, who combed through seismic, satellite and on-the-ground data, as well as simulations of tsunami waves to solve the puzzle.

AlfredBor (doğrulanmamış) Pa, 15/09/2024 - 04:24

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
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Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”

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Alfonsoicepe (doğrulanmamış) Pa, 15/09/2024 - 04:24

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
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Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”

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Rickeywatry (doğrulanmamış) Pa, 15/09/2024 - 04:26

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
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Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”

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Thomaslog (doğrulanmamış) Pa, 15/09/2024 - 04:27

Medical staff on the front line of the battle against mpox in eastern Democratic Republic of Congo have told the BBC they are desperate for vaccines to arrive so they can stem the rate of new infections.
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At a treatment centre in South Kivu province that the BBC visited in the epicentre of the outbreak, they say more patients are arriving every day - especially babies - and there is a shortage of essential equipment.
блэкспрут даркнет
https://bs2tsite-cc.net

Mpox - formerly known as monkeypox - is a highly contagious disease and has killed at least 635 people in DR Congo this year.
Even though 200,000 vaccines, donated by the European Commission, were flown into the capital, Kinshasa, last week, they are yet to be transported across this vast country - and it could be several weeks before they reach South Kivu.
“We've learned from social media that the vaccine is already available,” Emmanuel Fikiri, a nurse working at the clinic that has been turned into a specialist centre to tackle the virus, told the BBC.
He said this was the first time he had treated patients with mpox and every day he feared catching it and passing it on to his own children - aged seven, five and one.
“You saw how I touched the patients because that's my job as a nurse. So, we're asking the government to help us by first giving us the vaccines.”
The reason it will take time to transport the vaccines is that they need to be stored at a precise temperature - below freezing - to maintain their potency, plus they need to be sent to rural areas of South Kivu, like Kamituga, Kavumu and Lwiro, where the outbreak is rife.
The lack of infrastructure and bad roads mean that helicopters could possibly be used to drop some of the vaccines, which will further drive up costs in a country that is already struggling financially.
At the community clinic, Dr Pacifique Karanzo appeared fatigued and downbeat having been rushed off his feet all morning.
Although he wore a face shield, I could see the sweat running down his face. He said he was saddened to see patients sharing beds.
“You will even see that the patients are sleeping on the floor,” he told me, clearly exasperated.
“The only support we have already had is a little medicine for the patients and water. As far as other challenges are concerned, there's still no staff motivation.”

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RichardRon (doğrulanmamış) Pa, 15/09/2024 - 05:54

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Robertpow (doğrulanmamış) Pa, 15/09/2024 - 07:50

Hyundai and GM to work together on developing new cars
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Hyundai and General Motors (GM) have agreed to look for ways to work together on developing new vehicles, supply chains and technologies in an effort to cut costs and move more quickly.

Global carmakers are under intense pressure to come up with new electric vehicle (EV) and battery technology because they face vehicle emissions regulations around the world. Those research and development efforts could cost tens of billions of dollars.

They’re also facing an onslaught of potential competition from Chinese automakers, particularly EV producers, trying to export their lower-cost models overseas in order to escape a huge oversupply problem at home.
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South Korea’s Hyundai and America’s GM (GM) said on Thursday they would collaborate on joint product development, manufacturing and future clean energy technologies. They plan to work together on internal combustion, clean-energy, electric and hydrogen vehicles.

The non-binding framework agreement was signed by Hyundai Motor Executive Chair Euisun Chung and GM Chair and CEO Mary Barra.

“Our goal is to unlock the scale and creativity of both companies to deliver even more competitive vehicles to customers faster and more efficiently,” Barra said in the statement.

Including its affiliate Kia, Hyundai Motor is the world’s third-largest automaker by sales, according to Reuters, while GM is currently America’s largest carmaker, having retaken that title from Toyota (TM) in 2022.

“This partnership will enable Hyundai Motor and GM to evaluate opportunities to enhance competitiveness in key markets and vehicle segments, as well as drive cost efficiencies and provide stronger customer value,” Chung said in the statement.

Carmakers are increasingly sealing partnerships as a way of becoming more competitive in a cut-throat industry driven by price wars.

Last year, Nissan and Renault finalized the terms of their revamped alliance, which will focus on developing EVs. GM and Honda (HMC), along with Cruise — GM’s autonomous driving subsidiary — have agreed to create a driverless ride-hailing company in Japan.

HaroldWix (doğrulanmamış) Pa, 15/09/2024 - 07:51

Scientists who discovered mammals can breathe through their anuses receive Ig Nobel prize
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The world still holds many unanswered questions. But thanks to the efforts of the research teams awarded the IG Nobel Prize on Thursday, some of these questions – which you might not even have thought existed – now have answers.

We now know that many mammals can breathe through their anuses, that there isn’t an equal probability that a coin will land on head or tails, that some real plants somehow imitate the shapes of neighboring fake plastic plants, that fake medicine which causes painful side-effects can be more effective than fake medicine without side-effects, and that many of the people famous for reaching lofty old ages lived in places that had bad record-keeping.
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The awards – which have no affiliation to the Nobel Prizes – aim to “celebrate the unusual, honor the imaginative – and spur people’s interest in science, medicine, and technology” by making “people laugh, then think.”

In a two-hour ceremony as quirky as the scientific achievements it was celebrating, audience members were welcomed to their seats by accordion music, before a safety briefing warned them not to “sit on anyone, unless you are a child,” not to “feed, chase or eat ducks” and to throw their paper airplane safely. There were two “paper airplane deluges” during the ceremony in which the audience attempted to throw their creations – safely – at a target in the middle of the stage.
Among those collecting their prizes was a Japanese research team led by Ryo Okabe and Takanori Takebe who discovered that mammals can breathe through their anuses. They say in their paper that this potentially offers an alternative way of getting oxygen into critically ill patients if ventilator and artificial lung supplies run low, like they did during the Covid-19 pandemic.

American psychologist B.F Skinner was posthumously awarded the peace prize for his work attempting to use pigeons to guide the flight path of missiles, while a European-wide research team was awarded the probability prize for conducting 350,757 experiments to demonstrate that a coin tends to land on the same side it started when it is flipped.

LutherWaype (doğrulanmamış) Pa, 15/09/2024 - 08:06

Scientists who discovered mammals can breathe through their anuses receive Ig Nobel prize
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The world still holds many unanswered questions. But thanks to the efforts of the research teams awarded the IG Nobel Prize on Thursday, some of these questions – which you might not even have thought existed – now have answers.

We now know that many mammals can breathe through their anuses, that there isn’t an equal probability that a coin will land on head or tails, that some real plants somehow imitate the shapes of neighboring fake plastic plants, that fake medicine which causes painful side-effects can be more effective than fake medicine without side-effects, and that many of the people famous for reaching lofty old ages lived in places that had bad record-keeping.
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The awards – which have no affiliation to the Nobel Prizes – aim to “celebrate the unusual, honor the imaginative – and spur people’s interest in science, medicine, and technology” by making “people laugh, then think.”

In a two-hour ceremony as quirky as the scientific achievements it was celebrating, audience members were welcomed to their seats by accordion music, before a safety briefing warned them not to “sit on anyone, unless you are a child,” not to “feed, chase or eat ducks” and to throw their paper airplane safely. There were two “paper airplane deluges” during the ceremony in which the audience attempted to throw their creations – safely – at a target in the middle of the stage.
Among those collecting their prizes was a Japanese research team led by Ryo Okabe and Takanori Takebe who discovered that mammals can breathe through their anuses. They say in their paper that this potentially offers an alternative way of getting oxygen into critically ill patients if ventilator and artificial lung supplies run low, like they did during the Covid-19 pandemic.

American psychologist B.F Skinner was posthumously awarded the peace prize for his work attempting to use pigeons to guide the flight path of missiles, while a European-wide research team was awarded the probability prize for conducting 350,757 experiments to demonstrate that a coin tends to land on the same side it started when it is flipped.

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ThomasBeply (doğrulanmamış) Pa, 15/09/2024 - 11:25

Scientists have solved the mystery of a 650-foot mega-tsunami that made the Earth vibrate for 9 days
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It started with a melting glacier that set off a huge landslide, which triggered a 650-foot high mega-tsunami in Greenland last September. Then came something inexplicable: a mysterious vibration that shook the planet for nine days.

Over the past year, dozens of scientists across the world have been trying to figure out what this signal was.

Now they have an answer, according to a new study in the journal Science, and it provides yet another warning that the Arctic is entering “uncharted waters” as humans push global temperatures ever upwards.
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Some seismologists thought their instruments were broken when they started picking up vibrations through the ground back in September, said Stephen Hicks, a study co-author and a seismologist at University College London.

It wasn’t the rich orchestra of high pitches and rumbles you might expect with an earthquake, but more of a monotonous hum, he told CNN. Earthquake signals tend to last for minutes; this one lasted for nine days.

He was baffled, it was “completely unprecedented,” he said.
Seismologists traced the signal to eastern Greenland, but couldn’t pin down a specific location. So they contacted colleagues in Denmark, who had received reports of a landslide-triggered tsunami in a remote part of the region called Dickson Fjord.

The result was a nearly year-long collaboration between 68 scientists across 15 countries, who combed through seismic, satellite and on-the-ground data, as well as simulations of tsunami waves to solve the puzzle.

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Bradleykilky (doğrulanmamış) Pa, 15/09/2024 - 12:08

National Park calls out ‘world changing’ impact of dropped Cheetos bag
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Plain water is the only thing visitors are allowed to consume inside the huge cavern at Carlsbad Caverns National Park in New Mexico. Cheetos are a no-go, and the recent park visitor who dropped a bag full of them created a “huge impact” on the cave’s ecosystem, the park said Friday in a Facebook post.

“At the scale of human perspective, a spilled snack bag may seem trivial, but to the life of the cave it can be world changing,” the park said in its post about the garbage found off-trail in the Big Room.
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“The processed corn, softened by the humidity of the cave, formed the perfect environment to host microbial life and fungi. Cave crickets, mites, spiders and flies soon organize into a temporary food web, dispersing the nutrients to the surrounding cave and formations. Molds spread higher up the nearby surfaces, fruit, die and stink. And the cycle continues.”

The park said rangers spent 20 minutes carefully removing molds and foreign debris from surfaces inside the cave, noting that while some members of the ecosystem that rose from the snacks were cave-dwellers “many of the microbial life and molds are not.”
The post called that particular impact on the cave “completely avoidable,” contrasting it with the hard-to-prevent fine trails of lint left by each visitor.

“Great or small we all leave an impact wherever we go. Let us all leave the world a better place than we found it,” the post urged park goers.
The park’s website says that eating and drinking anything other than plain water attracts animals into the cavern.

Carlsbad Caverns followed up its post about the Cheetos bag with a post about the “leave no trace” principle of disposing of waste properly.

“Contrary to popular belief, the cave is NOT a big trash can,” the post said, yet rangers pick up waste left behind every day.

“Sometimes this can be a gum wrapper or a tissue, other times it can unfortunately mean human waste, spit, or chewing tobacco.” Visitors are asked to make sure they don’t leave trash in the cavern and to use designated restrooms.

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Brucemit (doğrulanmamış) Pa, 15/09/2024 - 12:37

Scientists have solved the mystery of a 650-foot mega-tsunami that made the Earth vibrate for 9 days
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It started with a melting glacier that set off a huge landslide, which triggered a 650-foot high mega-tsunami in Greenland last September. Then came something inexplicable: a mysterious vibration that shook the planet for nine days.

Over the past year, dozens of scientists across the world have been trying to figure out what this signal was.

Now they have an answer, according to a new study in the journal Science, and it provides yet another warning that the Arctic is entering “uncharted waters” as humans push global temperatures ever upwards.
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Some seismologists thought their instruments were broken when they started picking up vibrations through the ground back in September, said Stephen Hicks, a study co-author and a seismologist at University College London.

It wasn’t the rich orchestra of high pitches and rumbles you might expect with an earthquake, but more of a monotonous hum, he told CNN. Earthquake signals tend to last for minutes; this one lasted for nine days.

He was baffled, it was “completely unprecedented,” he said.
Seismologists traced the signal to eastern Greenland, but couldn’t pin down a specific location. So they contacted colleagues in Denmark, who had received reports of a landslide-triggered tsunami in a remote part of the region called Dickson Fjord.

The result was a nearly year-long collaboration between 68 scientists across 15 countries, who combed through seismic, satellite and on-the-ground data, as well as simulations of tsunami waves to solve the puzzle.

JeffreySheva (doğrulanmamış) Pa, 15/09/2024 - 12:42

Scientists who discovered mammals can breathe through their anuses receive Ig Nobel prize
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The world still holds many unanswered questions. But thanks to the efforts of the research teams awarded the IG Nobel Prize on Thursday, some of these questions – which you might not even have thought existed – now have answers.

We now know that many mammals can breathe through their anuses, that there isn’t an equal probability that a coin will land on head or tails, that some real plants somehow imitate the shapes of neighboring fake plastic plants, that fake medicine which causes painful side-effects can be more effective than fake medicine without side-effects, and that many of the people famous for reaching lofty old ages lived in places that had bad record-keeping.
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The awards – which have no affiliation to the Nobel Prizes – aim to “celebrate the unusual, honor the imaginative – and spur people’s interest in science, medicine, and technology” by making “people laugh, then think.”

In a two-hour ceremony as quirky as the scientific achievements it was celebrating, audience members were welcomed to their seats by accordion music, before a safety briefing warned them not to “sit on anyone, unless you are a child,” not to “feed, chase or eat ducks” and to throw their paper airplane safely. There were two “paper airplane deluges” during the ceremony in which the audience attempted to throw their creations – safely – at a target in the middle of the stage.
Among those collecting their prizes was a Japanese research team led by Ryo Okabe and Takanori Takebe who discovered that mammals can breathe through their anuses. They say in their paper that this potentially offers an alternative way of getting oxygen into critically ill patients if ventilator and artificial lung supplies run low, like they did during the Covid-19 pandemic.

American psychologist B.F Skinner was posthumously awarded the peace prize for his work attempting to use pigeons to guide the flight path of missiles, while a European-wide research team was awarded the probability prize for conducting 350,757 experiments to demonstrate that a coin tends to land on the same side it started when it is flipped.

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DavidTuh (doğrulanmamış) Pa, 15/09/2024 - 12:55

The world’s best pizza for 2024 isn’t in Naples – or even in Italy. Here’s where it is …
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Many New Yorkers will gladly tell anyone who’ll listen – and even those who won’t – about how they have the best pizza. And now they’ve got some mouth-watering new back-up for their long-standing culinary claims.

This week, the Italy-based 50 Top Pizza Awards came out with its 2024 worldwide list, and a Lower East Side restaurant came out on top.

Una Pizza Napoletana, opened by pizza maestro Anthony Mangieri in March 2022, not only beat out US competitors but also global ones. That includes pizzerias in Naples, Italy, the holy land for pizza aficionados and foodies in general.

“It’s inspiring to be recognized for this 30 years into my career, especially in Naples where pizza originated,” Mangieri said in an email to CNN Travel on Thursday.
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Adding to their bragging rights, New Yorkers saw three other pizzerias make the 2024 list, which included 101 restaurants in total (despite the “50” in the name of the awards). The rankings for the other New York pizzerias were Ribalta at No. 19, Don Antonio at No. 30 and L’industrie Pizzeria at No. 80.

Italy still managed to dominate the overall list with 41 eateries while the United States got a total of 15 places recognized. And Naples managed to best New York with five entries on the list, including a tie for the No. 2 spot with Diego Vigtaliano Pizzeria.

Showing how truly global the awards are, nations not exactly known for their pizza scenes –South Korea, Bolivia and India, to name three ­– were represented on the list.

Robertpow (doğrulanmamış) Pa, 15/09/2024 - 16:47

Hyundai and GM to work together on developing new cars
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Hyundai and General Motors (GM) have agreed to look for ways to work together on developing new vehicles, supply chains and technologies in an effort to cut costs and move more quickly.

Global carmakers are under intense pressure to come up with new electric vehicle (EV) and battery technology because they face vehicle emissions regulations around the world. Those research and development efforts could cost tens of billions of dollars.

They’re also facing an onslaught of potential competition from Chinese automakers, particularly EV producers, trying to export their lower-cost models overseas in order to escape a huge oversupply problem at home.
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South Korea’s Hyundai and America’s GM (GM) said on Thursday they would collaborate on joint product development, manufacturing and future clean energy technologies. They plan to work together on internal combustion, clean-energy, electric and hydrogen vehicles.

The non-binding framework agreement was signed by Hyundai Motor Executive Chair Euisun Chung and GM Chair and CEO Mary Barra.

“Our goal is to unlock the scale and creativity of both companies to deliver even more competitive vehicles to customers faster and more efficiently,” Barra said in the statement.

Including its affiliate Kia, Hyundai Motor is the world’s third-largest automaker by sales, according to Reuters, while GM is currently America’s largest carmaker, having retaken that title from Toyota (TM) in 2022.

“This partnership will enable Hyundai Motor and GM to evaluate opportunities to enhance competitiveness in key markets and vehicle segments, as well as drive cost efficiencies and provide stronger customer value,” Chung said in the statement.

Carmakers are increasingly sealing partnerships as a way of becoming more competitive in a cut-throat industry driven by price wars.

Last year, Nissan and Renault finalized the terms of their revamped alliance, which will focus on developing EVs. GM and Honda (HMC), along with Cruise — GM’s autonomous driving subsidiary — have agreed to create a driverless ride-hailing company in Japan.

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