Houston palliative care startup partners with new platform to expand reach

palliative care partnership

Health systems working with Dallas-based Guidehealth can now deploy Koda Health’s Advance Care Planning platform to help navigate end-of-life decisions. Photo via Getty Images.

Houston-based Koda Health and Dallas’ Guidehealth, an AI-powered health care services platform, announced a strategic partnership to provide access to tech-enabled solutions to help improve care and reduce costs for patients navigating serious illness.

Health systems and clinically integrated networks working with Guidehealth can now deploy Koda Health’s Advance Care Planning (ACP) platform, which allows patients to document and share their care preferences, goals and advance directives for health systems. Guidehealth’s platform integrates into primary care workflows and allows providers to identify high-risk patients, coordinate care and reduce administrative burden.

Guidehealth also works with a team of virtual caregivers, known as Guidehealth Healthguides, who help patients navigate end-of-life decisions. With this new partnership, the Healthguides will be able to integrate Koda Health’s ACP platform into their workflows.

“Koda Health’s mission is to ensure that every patient’s voice is heard, especially during the most vulnerable times in their lives,” Dr. Desh Mohan, Chief Medical Officer and co-founder of Koda Health, said in a news release. “This partnership with Guidehealth accelerates our ability to reach patients at scale, especially those in value-based arrangements where care alignment and quality of life are top priorities.”

Guidehealth works with more than 500,000 patients and major systems, such as Emory Healthcare, according to the release. The company closed a $14 million seed round last year, which included investment from Memorial Hermann.

“Advance care planning is essential to delivering care that is not just high quality, but also compassionate and aligned with what matters most to each patient,” Dr. Sanjay Doddamani, founder and CEO of Guidehealth, said in a news release. “Koda Health brings a scalable, digital-first approach to a historically complex and emotional process. By embedding Koda into our value-based care ecosystem, we’re equipping providers to have meaningful conversations with patients, reduce unnecessary interventions and ultimately improve the experience for families and clinicians alike.”

Koda Health was born out of the TMC's Biodesign Fellowship and was launched by CEO Tatiana Fofanova, Dr. Desh Mohan, and Katelin Cherry in March 2020. It closed an oversubscribed seed round for an undisclosed amount last year, with investments from AARP, Memorial Hermann Health System and the Texas Medical Center Venture Fund. The company also added Kidney Action Planningto its suite of services in 2024.

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The Lone Star State isn't shining bright when it comes to equality. Photo by Claudio Schwarz on Unsplash

New study asserts Texas is the 2nd worst state for women's equality

all's not fair

Texas, WalletHub thinks we have a major equality problem. The Lone Star State has ranked at the bottom of the personal finance website's new nationwide analysis of gender equality.

The annual "Best & Worst States for Women's Equality" report, published August 19, ranked Texas No. 49 out of all 50 states where where women receive the most equal treatment in the U.S. Texas is accompanied in the bottom five by Utah (No. 50), Wyoming (No. 48), Idaho (No. 47), and Missouri (No. 46).

At the top of the list of the best states for women's equality is Hawaii (No. 1), followed by California (No. 2), Minnesota (No. 3), Maine (No. 4), and New Mexico (No. 5).

The study ranked each state based on 17 metrics in three key dimensions: Workplace environment, education and health, and political empowerment. Factors that were examined in the study include income disparity, job security disparity, the share of the population aged 25 and older with an advanced degree (higher than a bachelor's degree), and the disparity in the share of Congress members and other elected officials, among others.

Texas earned a miserable score of 39.75 points out of a possible 100. The state performed the best in the "workplace environment" equality rank, earning No. 23, but fell far behind as No. 40 in the "political empowerment" ranking. The state landed at the bottom in the national comparison of "education and health" equality, ranking No. 49.

Texas' ranking may not come as a surprise for women living in Houston, where the city's gender pay gap means men can earn over $4,000 more income than women.

Here's how WalletHub broke down Texas' ranking, where No. 1 is the best and No. 25 is average:

  • No. 21 – Earnings Gap
  • No. 21 – Entrepreneurship Rate Gap
  • No. 22– Work Hours Gap
  • No. 32 – Executive Positions Gap
  • No. 40 – Unemployment Rate Gap
  • No. 40 – Political Representation Gap

The WalletHub study is also doubling down on the unfavorable quality of life in Texas, as the state most recently ranked as the No. 15 worst state to live in the U.S.

Unfortunately, closing these disparity gaps in Texas (and elsewhere) isn't so simple, according to WalletHub analyst Cassandra Happe. She said it's going to take much more than "giving men and women the same fundamental rights" to ensure true equality.

"States also need to work to make sure that women receive equal treatment to men when it comes to financial opportunities, education, and politics," Happe says in the report. "The best states for women’s equality have drastically reduced the disparities between men and women on multiple fronts."

According to WalletHub, the best state for women's equality is Hawaii, earning a score of 79.24 points out of 100. Hawaii has the third smallest gap in work hours between men and women, and no gap in the rate of men and women who are minimum-wage workers. Furthermore, the state has an equal share of political representatives that are men and women in the U.S. Senate and House of Representatives.

The full report and its methodology can be found on wallethub.com.

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This article originally ran on CultureMap.

Living in Texas is not all rainbows and sunshine, according to WalletHub. Photo via Getty Images

Texas tumbles to No. 36 in new 2024 ranking of best states to live

this just in

Texas is being ruled out as one of the top states to live in the country, according to a new livability study by WalletHub. The Lone Star State ranked No. 36 out of all 50 states.

WalletHub ranked every state based on 51 metrics in five major categories: Affordability, economy, education and health, quality of life, and safety. Factors that were considered include a state's housing affordability, the share of the population living in poverty, wealth gaps, the quality of the public school system, road quality, among others.

Texas' not-so-stellar ranking has now branded the state as the 15th worst state to live in the nation. For comparison, Massachusetts ranked as the No. 1 best state to live in, followed by Florida (No. 2), New Jersey (No. 3), Utah (No. 4), and New Hampshire (No. 5).

In a confusing ranking of states with the best economies, Texas placed No. 36, despite WalletHub's earlier 2024 report that declared Texas had the fourth best economy in the nation.

Here's how the study broke down Texas' ranking across the remaining four key dimensions:

  • No. 8 – Quality of life rank
  • No. 34 – Safety rank
  • No. 34 – Affordability rank
  • No. 38 – Education and health rank

The study's findings show Texas has the fifth lowest rate of homeownership nationwide, ranking No. 46 out of all 50 states. In the ranking of each state's population aged 25 and older who have earned a high school diploma or more, Texas ranked No. 49. The state similarly ranked at the bottom of the list for its proportion of the population that has insurance (No. 50). Texas workers also have the second-longest average work week, placing the state at No. 48 (tied with Wyoming) in the national comparison of average weekly work hours.

The only ranking that Texas excelled in (surprisingly) was the restaurants metric. Texas landed in a four-way tie with California, New York, and Florida for the No. 1 most restaurants per capita.

Other WalletHub studies have supported the idea that Texas may not be the best state for putting down roots. Most recently, the state landed a middling rank as the No. 29 best public school system in the U.S., and it ranked No. 28 in WalletHub's annual report of the "Best and Worst States for Military Retirees."

Moreover, Texas ranked 28th in a new report on best states for the arts by SmileHub, a nonprofit tech company founded by the same CEO as WalletHub.

"When deciding on a place to move, you should first consider financial factors like the cost of living, housing prices and job availability," said WalletHub analyst Cassandra Happe. "Many states have strong economies, though, so you should also consider a wide variety of other factors, such as how where you live will impact your health and safety, and whether you will have adequate access to activities that you enjoy. If you have children, a robust education system is also key."

At the opposite end of the study, Louisiana landed at the bottom of the national ranking as the worst state to live in for 2024. New Mexico (No. 49), Arkansas (No. 48), Alaska (No. 47), and Nevada (No. 46) round out the five worst states.

The full report can be found on wallethub.com.

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This article originally ran on CultureMap.

Houston could have ranked higher on a global report of top cities in the world if it had a bit more business diversification. Photo via Getty Images

Report ranks Houston as a top global city — with one thing holding it back

take note

A new analysis positions the Energy Capital of the World as an economic dynamo, albeit a flawed one.

The recently released Oxford Economics Global Cities Index, which assesses the strengths and weaknesses of the world’s 1,000 largest cities, puts Houston at No. 25.

Houston ranks well for economics (No. 15) and human capital (No. 18), but ranks poorly for governance (No. 184), environment (No. 271), and quality of life (No. 298).

New York City appears at No. 1 on the index, followed by London; San Jose, California; Tokyo; and Paris. Dallas lands at No. 18 and Austin at No. 39.

In its Global Cities Index report, Oxford Economics says Houston’s status as “an international and vertically integrated hub for the oil and gas sector makes it an economic powerhouse. Most aspects of the industry — downstream, midstream, and upstream — are managed from here, including the major fuel refining and petrochemicals sectors.”

“And although the city has notable aerospace and logistics sectors and has diversified into other areas such as biomedical research and tech, its fortunes remain very much tied to oil and gas,” the report adds. “As such, its economic stability and growth lag other leading cities in the index.”

The report points out that Houston ranks highly in the human capital category thanks to the large number of corporate headquarters in the region. The Houston area is home to the headquarters of 26 Fortune 500 companies, including ExxonMobil, Hewlett Packard Enterprise, and Sysco.

Another contributor to Houston’s human capital ranking, the report says, is the presence of Rice University, the University of Houston and the Texas Medical Center.

“Despite this,” says the report, “it lacks the number of world-leading universities that other cities have, and only performs moderately in terms of the educational attainment of its residents.”

Slower-than-expected population growth and an aging population weaken Houston’s human capital score, the report says.

Meanwhile, Houston’s score for quality is life is hurt by a high level of income inequality, along with a low life expectancy compared with nearly half the 1,000 cities on the list, says the report.

Also in the quality-of-life bucket, the report underscores the region’s variety of arts, cultural, and recreational activities. But that’s offset by urban sprawl, traffic congestion, an underdeveloped public transportation system, decreased air quality, and high carbon emissions.

Furthermore, the report downgrades Houston’s environmental stature due to the risks of hurricanes and flooding.

“Undoubtedly, Houston is a leading business [center] that plays a key role in supporting the U.S. economy,” says the report, “but given its shortcomings in other categories, it will need to follow the path of some of its more well-rounded peers in order to move up in the rankings.”

H-Town jumped 43 spots into No. 97 this year. Photo via Getty Images

Houston jumps significantly on annual list of best places to live in 2024

by the numbers

Things are looking a little brighter for Houston as the city was recently named among the top 100 best places to live in U.S. News and World Report's "Best Places to Live" list for 2024-2025.

Previously, H-Town had shockingly plummeted toward the bottom of the list as No. 140 in the 2023-2024 rankings. But the latest report has placed Houston at No. 97, suggesting substantial improvements over the last year.

U.S. News annually measures 150 top American cities for their livability and ranks them based on four major indexes: quality of life, value, desirability, and job market.

New for the 2024-2025 report, U.S. News updated its methodology to analyze city-based data rather than metropolitan area data. Secondly, the report's annual survey decided to place greater weight on a city's "value and job market" while "weights for desirability and quality of life took a slight dip" on the grading scale.

"Rising concerns about career prospects, housing affordability and increased cost of goods and services are reflected in this year’s rankings," said U.S. News loans expert and reporter Erika Giovanetti in a press release. "While quality of life remains the top priority for many Americans, a city’s value and job market are becoming increasingly important for those looking for a place to live."

There's many factors that draw folks to Houston, among them our city's diversity, the highly esteemed schools, top universities, and much more. Houston is also a great place for retirees looking to settle down without compromising on the big city lifestyle. The city truly has something for everyone.

The good news continues: Houston additionally moved up two spots to take No. 8 on the report's Best Place to Live in Texas list for 2024. The Bayou City ranked No. 10 last year.

Elsewhere in Texas
The recent focus on city-based data was likely a major factor that fueled Houston's improvement in the statewide and national rankings, but it also favorably shifted nine other Texas cities.

Austin – which previously ranked No. 40 in last year's rankings – became the only city to represent the Lone Star State among the top 10 best places to live in 2024. The Texas Capital jumped up 31 spots to claim No. 9 nationally, due to its "high desirability and job market scores," the report said.

Three cities in the Rio Grande Valley also ranked higher than Houston, suggesting that South Texas may be a better place to live than East Texas. The border towns of McAllen (No. 48) and Brownsville (No. 87) climbed into the overall top 100 this year after formerly ranking No. 137 and No. 134 last year. Meanwhile, Corpus Christi moved up from No. 132 last year to No. 77 in 2024.

Naples, Florida won the gold medal as the No. 1 best place to live in the U.S. in 2024. Rounding out the top five are Boise, Idaho (No. 2); Colorado Springs, Colorado (No. 3); Greenville, South Carolina (No. 4); and Charlotte, North Carolina (No. 5).

Here's how other Texas cities faired in 2024's Best Places to Live report:

  • No. 62 – El Paso (up from No. 128 last year)
  • No. 89 – San Antonio (up from No. 103 last year)
  • No. 95 – Dallas (up from No. 113 last year)
  • No. 99 – Beaumont (up from No. 131 last year)
  • No. 107 – Killeen (up from No. 122 last year)
The full report and its methodology can be found on realestate.usnews.com.

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This article originally ran on CultureMap.

Houston needs to lighten up a little, sheesh. Photo by Rome Wilkerson on Unsplash

Houstonians are pretty miserable, new study finds

frowns in H-town

Not-so-happy news for Texans living in Houston – they're living in one of the "unhappiest" cities in the nation.

A recent SmartAsset study ranked Houston the No. 81 happiest city in the U.S., based on an analysis of 90 large cities for their residents' quality of life, well being, and personal finances.

The city's rank in the bottom 10 — alongside Texas neighbors Dallas (No. 80), El Paso (No. 83), and Laredo (No. 89) – shows not everything about Houston is as easygoing as people think it is. We can hear Ken Hoffman's disagreement from here.

The study found 28.5 percent of all Houston households make a six-figure salary or more, and 16.2 percent of residents are burdened by their housing costs. Houston's poverty rate is 20.7 percent, so maybe it really is more difficult to live comfortably in the city, after all.

Houston has a marriage rate of 39.4 percent, and its residents have a life expectancy of 79 years old. Nearly 76 percent of residents have health insurance, and a Houstonian has nearly five "mentally unhealthy" days per month on average.

Our beloved city has had some bad press recently: H-Town isn't exactly revered for having the best drivers; the city and its suburbs are apparently less appealing for new residents making the move to Texas; and its popularity in the tech industry seems to be waning.

It's not all doom and gloom, though. There's always plenty of new restaurants to try, our city's inventive art scene remains unmatched, and plenty of hometown hero celebrities, Hall of Fame athletes, and talented musicians praise Houston for its culture and hospitality.

While money can't necessarily buy happiness, SmartAsset suggests that having a higher quality of life can influence a person's financial decisions, therefore leading to a greater probability of beneficial outcomes. Of course, that's assuming high financial literacy and strong money management skills.

"Depending where you live, certain quality of life factors, including metrics like life expectancy, infrastructure and the rate of marriage, can ultimately impact your happiness," the report's author wrote.

Elsewhere in Texas, the Dallas suburb of Plano soared to the top as the No. 2 happiest city in the nation. More than half (52.5 percent) of all Plano households make a six-figure salary or more, and only 12.1 percent of residents are burdened by their housing costs. Plano's poverty rate is less than five percent, its marriage rate is 56 percent, and nearly 90 percent of Plano residents have health insurance.

Other Texas cities that earned spots in the report, that notably aren't as happy as Plano, include: Fort Worth (No. 38), Arlington (No. 47), Irving (No. 64), Austin (No. 65), San Antonio (No. 70), Corpus Christi (No. 77), and Lubbock (No. 78).

The top 10 happiest cities in the U.S. are:

  • No. 1 – Arlington, Virginia
  • No. 2 – Plano, Texas
  • No. 3 – Fremont, California
  • No. 4 – San Jose, California
  • No. 5 – Seattle, Washington
  • No. 6 – Boise City, Idaho
  • No. 7 – Raleigh, North Carolina
  • No. 8 – Chesapeake, Virginia
  • No. 9 – San Francisco, California
  • No. 10 – Anchorage, Alaska
The report ranked the 90 most populous U.S. cities based on data from the U.S. Census Bureau 1-Year American Community Survey for 2022 and from the County Health Rankings and Roadmaps for 2023. Data that factored into each city's ranking included a city's household income, poverty level, life expectancy, health insurance rates, marriage rates, overcrowding rates, and more.The full report and its methodology can be found on smartasset.com

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This article originally ran on CultureMap.

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University of Houston debuts UH Health, expanding collaborative health care and research efforts

health care hub

The University of Houston has announced its cross-disciplinary academic venture, UH Health.

It will align UH’s efforts in education, research and clinical partnerships to create new opportunities to advance research and innovation, community impact, and education, according to a news release.

“From opening the state’s first college of optometry to developing groundbreaking vaccines, improving the health of all Texans has been a UH priority for decades,” UH President Renu Khator said in the release. “Now, with the launch of UH Health, we are bringing together the full strength of our health enterprise to expand our reach, advance research and transform the future of health for our communities.”

UH is adopting a fully collaborative model, with health professionals from various concentrations to help better understand overall patient care, which includes factors like clinical, behavioral and social factors that can influence health outcomes.

UH Health will also have partnerships with HCA Healthcare, Memorial Hermann Hospital, Baylor College of Medicine, MD Anderson Cancer Center and other Texas Medical Center facilities. In addition, UH Health will work with DHR Health in the Rio Grande Valley to create new opportunities for health care education, workforce development and research in one of Texas' medically underserved regions.

As part of UH Health, UH Health Family Care Center will provide integrated primary care and mental health services to the University and its surrounding communities at affordable prices to serve the Third Ward, East End and South Houston. The Household-Centered Care program will give students opportunities to work directly with community caregivers through patient home visits, while the 3rd Ward Place of Wellness offers health screenings, preventive services, education and other resources designed to support long-term health and well-being, according to UH. The College of Optometry will continue to see children and families via outreach programs and clinics across the community.

UH Health also aims to address shortages in health care professionals, providing a pipeline from the university to the workforce. According to the Texas Hospital Association, 64 percent of hospitals in the state are operating with reduced services and fewer beds due to staff shortages.

“Preparing the next generation of health care leaders is one of the most important investments we can make in the future of our state,” Jonathan McCullers, vice president for health affairs at UH and dean of the Tilman J. Fertitta Family College of Medicine at UH, added in the release. “UH Health is ensuring our graduates are equipped to work effectively in today’s complex healthcare environment.”

Additionally, UH shared it is investing $77 million into a 55,000-square-foot medical research facility aimed at boosting interdisciplinary research and scientific discovery.

“Healthcare is no longer delivered in isolation, and complex health challenges require coordinated solutions,” McCullers added. “UH Health allows us to work across disciplines to tackle health challenges, advance research and improve outcomes for patients and our community.”

Report: Houston ranks among 10 most affordable metros to raise a child

Family Matters

Raising a child is not an easy or inexpensive feat, but a new study has determined Houston parents have the 7th lowest childrearing costs in the country.

SmartAsset's new report, "Cost of Raising a Child in Major U.S. Metros – 2026 Study," calculated year-over-year changes in the annual cost of raising a child (factoring in childcare, additional housing costs, food, transportation, medical costs and other necessities) in the 48 largest U.S. metro areas. MIT's Living Wage Calculator was used to compare the living costs of a household with two working adults and one child to that of a childless household with two working adults.

Childrearing costs in Houston-Pasadena-The Woodlands have grown 3.37 percent since last year, totaling $22,605 for a family of three in 2026. That's $737 more than what it took to raise a child in 2025 and $1,209 higher than in 2024.

This is how SmartAsset broke down the annual cost for raising a child in the Houston area:

  • Cost of childcare: $10,265
  • Cost of food: $1,721
  • Other expenses: $10,619

Houston ranked 42nd in SmartAsset's national list of cities with the highest childrearing costs in 2026, making it the No. 7 most affordable U.S. metro.

San Francisco-Oakland-Fremont in California topped the list with the highest childrearing costs in the U.S., at $43,171. The cost for raising a child in this California metro soared nearly 11 percent higher since last year.

Memphis, Tennessee ranked dead last as the most affordable U.S. metro for raising a child in 2026. Families will spend less than $20,000 to raise a child in Memphis, only 3.24 percent more than what was needed in 2025.

Raising a child in other Texas metros
It may come as no surprise that Austin is the most expensive place to raise a child in Texas, and it appeared as the 31st most expensive U.S. metro for families. Parents will spend nearly $25,000 to raise a child in the state's capital city, which is $703 higher than it was a year ago.

Two other Texas metros join Houston among the top 10 most affordable U.S. metros for raising a family: San Antonio-New Braunfels (No. 3) and Dallas-Fort Worth-Arlington (No. 10). Childrearing costs in San Antonio add up to $21,393 annually, and Dallas-Fort Worth parents will spend $23,340 to raise their children in 2026.

The top 10 most affordable U.S. metros for raising a child in 2026 are:

  • No. 1 – Memphis, Tennessee ($19,922)
  • No. 2 – Nashville, Davidson-Murfreesboro-Franklin, Tennessee ($21,216)
  • No. 3 – San Antonio-New Braunfels ($21,393)
  • No. 4 – Birmingham, Alabama ($21,684)
  • No. 5 – Virginia Beach-Chesapeake-Norfolk, Virginia ($22,314)
  • No. 6 – Atlanta-Sandy Springs-Roswell, Georgia ($22,470)
  • No. 7 – Houston-Pasadena-The Woodlands ($22,605)
  • No. 8 – Richmond, Virginia ($22,658)
  • No. 9 – Louisville/Jefferson County, Kentucky ($23,270)
  • No. 10 – Dallas-Fort Worth-Arlington ($23,340)
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This article originally appeared on CultureMap.com.

Axiom Space expands executive team with two C-suite hires

new leaders

Fresh off officially making Texas its legal headquarters, Axiom Space has named two new C-level executives.

The Houston-based spacetech company, which is developing the first commercial space station, announced earlier this month that it had appointed Zach Gitomer as its new chief financial officer and Erick Wegerer as chief information officer.

Gitomer served as vice president of investor relations and capital markets for Axiom from March to June of this year. Before joining Axiom, he held various leadership roles at Bank of America, Merrill Lynch, and Citi, where he supported technology and growth companies, according to Axiom.

"Building era-defining space infrastructure and pioneering the orbital economy is a complex endeavor that requires not just an audacious vision and stellar engineering talent, but the financial infrastructure, discipline, and capital strategy to match," Gitomer shared in a LinkedIn post. "I’m honored to take on this role ... I’m looking forward to partnering with the exceptional leadership team here at Axiom Space during a defining chapter for the company and commercial spaceflight broadly, as well as a crucial period for maintaining U.S. human presence in low-Earth orbit and leadership in space exploration."

Wegerer joins Axiom after most recently serving as CIO of Washington-based Insitu Inc., a subsidiary of Boeing that develops customized unmanned hardware for commercial, government and defense customers.

"My time at Insitu was defined by talented people, meaningful challenges, and work that mattered. I'm grateful for the teams, partners, and leaders who made progress there possible. Stepping into Axiom, I'm energized by the mission, the momentum, and the opportunity to help shape what's next," Wegerer shared.

Photo via LinkedIn

The duo was celebrated on the floor of the New York Stock Exchange last week.

“We are pleased to welcome these exceptional leaders to the Axiom Space team," Axiom CEO Jonathan Cirtain added in the announcement. “Their strong record of helping complex organizations advance their strategic priorities will strengthen our executive team to further advance our core business objectives."

It's been a busy summer for Axiom. The company tacked on an additional $175 million to a previously announced capital raise, bringing the oversubscribed round to a total of more than $525 million, in June.

It also announced plans to open a Japanese subsidiary July 1. It tapped veteran Japanese astronaut Koichi Wakata to lead Axiom Space Japan as chief technology officer in the Asia-Pacific region. It also shared plans to establish Axiom Space Switzerland, a wholly owned subsidiary based in Lucerne that is also expected to begin operations this summer.

Axiom also officially redomiciled its legal headquarters from Delaware to Texas last month. Read more here.

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