Tampout endeavors to address the pervasive lack of access to affordable and safe menstrual product removal for women who are living in poverty. Menstrual products such as tampons and menstru

business plans project and need support to help me learn.

I am writing a grant proposal and need help answering one question:
Theory of Change and Existing Evidence: Allocate 2000 words to describe the theory of change behind your innovation and how it will lead to improved development outcomes. This section should also include evidence linking your innovation to its intended impact.
I have attached 2 documents to help you write this response for me. The first attachment is a draft of my grant proposal. The second is background information and links to possibly helpful sources. Use this information to help you respond to this.
Requirements: 2000 words
Table of Contents

Question 1. Problem Statement
Tampout endeavors to address the pervasive lack of access to affordable and safe menstrual product removal for women who are living in poverty. Menstrual products such as tampons and menstrual cups have become increasingly popular and are widely available for usage in schools and other educational facilities. However, these products can pose a risk to women’s health if they are not removed properly. Retained tampons, menstrual cups, or disks can create a perfect storm for deadly conditions such as Toxic Shock Syndrome (TSS), which would require urgent medical attention (Schlievert & Davis, 2020). Having to go to the hospital for this poses a significant financial burden on women, especially those living in poverty. This is especially detrimental given that they already lack the means to afford costly emergency room visits or live in remote areas far from healthcare facilities.
Tampout represents a cost-effective and safe alternative for women to assist them in removal of menstrual products. It aims to reduce the number of emergency room visits for women living in poverty. It accomplishes this through a patent-pending, medical-grade silicone, soft and flexible finger device. This device can easily be used in the comfort of a woman’s home to search and retrieve possible retained menstrual products such as tampons, menstrual cups, and discs. Moreover, the device is affordable and reusable, making it a sustainable and eco-friendly alternative to traditional single-use menstrual products that contribute significantly to environmental waste.
In addition to alleviating the financial burdens, Tampout meaningfully addresses the health risks associated with improperly removed menstrual products. Women living in poverty may not have access to proper healthcare facilities or may be unable to take time off work to visit a healthcare facility for menstrual product removal (Schlievert & Davis, 2020). Accordingly, Tampout provides a safe and effective way for women to remove menstrual products in the comfort of their own homes, thereby reducing the risk of TSS and other related health complications.
According to Casola et al. (2022), poverty is a key factor that prevents women from accessing menstrual hygiene products and treatment. Women may have to choose between food and menstrual supplies, which might strain their finances. Menstrual hygiene products prevent infections and other health problems. Women may also lack healthcare and menstrual hygiene information, which can have detrimental effects. Tampout is a safe and effective home menstrual product elimination option. Also, its price and accessibility make it suitable for poor women. Tampout is user-friendly for women of all ages and backgrounds. Medical-grade silicone makes the finger device comfortable and safe. Even with long fingernails, it removes menstruation products without pain or injury. Tampout can recover many menstruation products, making it perfect for women with varying preferences. Tampout also educates low-income women on menstrual health and hygiene, therefore improving their health.
Tampout’s ecological, reusable design reduces menstrual waste’s global environmental impact. Disposable menstruation products cause severe environmental damage, according to Harrison and Tyson (2022). Tampout is eco-friendly since it reduces menstrual waste. Tampout could improve the lives of impoverished women and raise menstrual health awareness.According to studies, menstruation affects women’s mental and emotional health and impoverished women (Casola et al., 2022). Menstrual shame and stigma can lower confidence, anxiety, and depression, which lowers women’s productivity and quality of life. Tampout offers an economical, accessible, and safe menstrual product removal option. Tampout can improve poverty-stricken women’s mental and emotional health and productivity by easing menstruation’s financial and mental stress. Tampout also educates poor women about menstrual health. Tampout’s safe and effective menstrual product removal solution can start a conversation about period health and cleanliness, improving outcomes.
Tampout’s eco-friendliness helps reduce menstrual waste pollution. Disposable menstruation products have polluted the environment for hundreds of years, according to Harrison & Tyson (2022). Disposing of these materials improperly can harm ecosystems and wildlife. Tampout’s reusable and sustainable design reduces menstrual waste in landfills. Tampout’s reusable and sustainable design could cut menstrual waste in landfills. Women use billions of menstrual hygiene items yearly, creating trash that can take 500 years to disintegrate. Tampout reduces women’s waste and helps the environment. The product’s durability and reusability make it affordable for low-income women who cannot afford disposable menstrual supplies.
Tampout improves women’s lives and the environment. Tampout’s user-friendly design and versatility make it a viable solution for women of various ages and backgrounds. Tampout helps women escape the shame and agony of monthly hygiene product shortages, enhancing their mental and emotional health. They can also assist society by promoting menstrual health and hygiene. Menstruation is taboo, and many women lack menstruation information and tools. Tampout’s promotion of menstrual cleanliness and health may help break these taboos. This could improve women’s menstrual health and reduce societal stigma. Several societies have stigmatized menstruation. Tampouts can help break down cultural barriers and promote menstrual acceptance by starting a conversation about period health. As women access menstrual health services and assistance, gender equality and empowerment increase.
Tampout is a novel and potentially transforming menstrual hygiene solution for impoverished women. Tampout’s economical, accessible, and safe menstrual product removal solution might reduce financial and health burdens, boost menstrual health education and awareness, and help create a more sustainable and ecologically friendly future. Tampout’s user-friendly design and flexible application can fulfil the demands and preferences of women from varied backgrounds, and it could influence society and the environment. Tampout could improve millions of women’s health, sustainability, and equity worldwide.
Its benefits go beyond physical and environmental impacts. Menstruation can significantly affect women’s mental and emotional health. Menstrual shame, anxiety, and sadness can lower productivity and quality of life (Casola et al., 2022). Tempt promotes good attitudes regarding menstruation by offering a safe and effective menstrual product removal option. This can boost poor women’s confidence, mental health, productivity, and quality of life. Tampout may help impoverished women find work. Women’s cooperatives could make and sell Tampout for a sustainable income. This empowers women and gives them financial stability. Tampout can help poverty-stricken women by providing jobs.
In conclusion, Tampout’s safe, inexpensive, and sustainable menstrual product removal could change women’s lives. It promotes menstrual health education and addresses incorrectly removed menstrual products’ financial and health hazards. Tampout can improve women’s mental and emotional health and give impoverished women jobs. Tampout empowers women, improves their lives, and makes the world healthier and more sustainable.
Question 2. Description of the Innovation
The innovation created by Dr. Yuliya Boruch is a medical grade, soft, and flexible finger device called Tampout. This device is designed to help women search and retrieve any possible retained menstrual products, such as tampons, menstrual cups, and discs. This device comes in a pair, and can be used with either a single or double finger technique. It can be used in the comfort of a woman’s own home and is easily washed with warm soap and water and stored in a storage pouch for the next menstrual cycle.
The tool is made to be soft and flexible, which makes it convenient and comfortable to use. In addition, Tampout is intended to help find and draw down a missing tampon string, as well as grab and pull down a tampon or cup, making it more flexible than current options and accepted practice. The device is also of a medical quality, making usage of it safe and hygienic.
Tampout is additionally made to be utilized in the convenience of a woman’s home, obviating the need to see a doctor or emergency department, and lowering the risk of infection by doing away with the potentially dangerous use of fingers or other objects to retrieve menstrual products. Finally, it should be noted that Tamput is designed to be easily and quickly cleaned with warm soapy water and dried before being placed in a storage pouch for the subsequent menstrual cycle.
Tampout offers women a much-need alternative for searching for and collecting any possibly retained menstrual products. When compared to current options, Tampout is a revolutionary breakthrough since it eliminates the need for pricey hospital trips and is a solution that can help prevent or avoid the onset of toxic shock syndrome. At present, there currently seems to be a lack of affordable and reliable options on the market to remove menstrual products.
One product available on the market is the “Bloody Buddy Cup”, which has drawn some criticism for its product name. Although some women find the name cheeky, edgy, or irreverent, many others have criticized the name for being distasteful and inappropriate (Rosas, 2021). Moreover, the name “Bloody Buddy” places more emphasis on the “bloody” aspect of menstruation. In comparison, Tampout is a more straightforward, discreet, and functional name. When people see the product, they immediately understand the purpose of the product – to help women manage their periods.
Tampout is made from medical-grade silicone, which is known to be a material that is both durable and long-lasting. In comparison, Bloody Buddy is a firm cup that is made from unspecified material. Although the company’s website claims that the product should be able to last for 10 years, they do not offer any details whatsoever about what type of material is used to create the product. Consequently, it is difficult to ascertain or believe the claim that their product will last for 10 years.
Another potential advantage that Tampout holds over this competitor is that Tampout offers a one-size-fits-all design. This eliminates the need for users to purchase multiple cups in different sizes. Not only does this reduce costs and waste associated with purchasing and discarding multiple cups, but it reduces the environmental impact. In comparison, Bloody Buddy offers three different sizes (Rosas, 2021). This could potentially lead to women discarding and replacing multiple cups as their needs change.
It should also be noted that Rosas (2021) found that the capacity of some of the Bloody Buddy cup sizes are less than average. In other words, their cup sizes will not hold as much menstrual fluid. This will be a concern for women who have a heavier flow. Tampout’s products is considerate of this, and we ensure that our products have a capacity to match each women’s individual menstrual needs.
Finally, Rosas (2021) noted that the Bloody Buddy cup tends to be on the longer side. This might make using the product uncomfortable for some women who have a low cervix. It is important to be considerate of this because women with a low cervix might find that a longer cup, like the one Bloody Buddy uses, will protrude from their vagina or cause discomfort.
A second comparable product that seems to have emerged on the market is “Cup Buddy”. Although Cup Buddy similarly markets itself as being a durable and long-lasting product, the material used raises reasonable doubt about this claim. On their Etsy product sales page, Cup Buddy (n.d.) claims that they use “medical grade material” and are otherwise vague about the material used. Meanwhile, in a review of the product, Rosas (2020) described the material used as plastic. Tampout is made of medical-grade silicone, which is a soft and flexible material that is generally believed to be safer and comfortable for internal use, especially compared to plastic materials (Harrison & Tyson, 2022). An added benefit of Tampout’s use of silicone is that it is more durable than plastic, meaning that Tampout’s products can be reused many times (Harrison & Tyson, 2022). This is in contrast to Cup Buddy, whose plastic products are more disposable and will need to be thrown away after use. The environmental impact of this is troubling.
It should also be pointed out that Tampout is much more versatile compared to Cip Buddy. While Cup Buddy is designed only for use with menstrual cups, Tampout is specifically designed to retrieve not only menstrual cups but also tampons and discs. This provides greater use to women. It also means that if a person uses multiple types of menstrual products, then they can rely on Tampout to retrieve all of them. This is clearly much more convenient than having to use multiple retrieval devices.
Another advantage of Tampout to Cup Buddy is the added flexibility. While Cup Buddy comes in a set of two devices, Tampout comes as a pair and can be used as both a single or double-finger devices. Thus, Tampout offers greater flexibility depending on the user’s preferences, whereas Cup Buddy users have less flexibility on how they can use it.
Neither of the current major alternatives that are on the market make a clear statement on their environmental or social impact. This is concerning, given the potential environmental impact of menstruation. As Harrison and Tyson (2022) noted, there is a growing environmental burden of menstrual products and hygiene products.
As a result of this, Tampout is – and will be marketed as – a socially responsible company that is focused on helping improve women’s menstrual health and hygiene. Customers who support Tampout will know that we are truly committed to improving menstrual health and hygiene. Not only that, but Tampout provides an advantage by using a sustainable and environmentally-friendly reusable packaging. This packaging is created with safety in mind, not only for women, but for the environment as well.
A unique feature of Tampout is its small protrusions and grapples that can help locate and pull down lost tampon strings. This is a very unique and beneficial feature that its other main alternatives do not offer. This feature will be advantageous to Tampout’s commercial viability because many women need assistance pulling down and retrieving tampon strings. Although the main alternatives offer important functions, neither of them offers the same level of versatility that Tamput offers in this regard.
Question 3. Target Population
Tampout is a medical device that is designed to assist menstruating women from all walks of life and backgrounds. It aims to be beneficial to women of all ages, lifestyles, shapes, and sizes. This wide-ranging applicability is particularly important when considered in tandem with research by the Duffin (2022), who found that there are approximately 166 million women in the United States. In addition, women accounted for at least 51.1% of the population and significantly outnumbered the number of men in many of the states across the United States (Duffin, 2022). Also worth noting is that the majority of these women are of reproductive age, which consequently represents a diverse group of women who could benefit from Tampout.
In terms of general needs, it is important to be cognizant of the fact that every woman has a unique menstrual experience. Tampout is designed to strive to address some of the most common issues that woman face during their periods. These difficulties can include difficulty retrieving a lost tampon or menstrual cup, which is especially difficult for women with unique pelvic anatomy and vaginal configurations (Schlievert & Davis, 2020). Also, women with shorter fingers or limited flexibility also commonly experience difficulty retrieving menstrual products safely. Finally, Tampout might also benefit women who live in rural areas, such as regions with limited access to healthcare. Given that some women who have trouble retrieving menstrual products on their own might need to attend a hospital, Tampout benefits women who might not have the financial resources to go to the hospital.
Tampout is designed to meet the needs of menstruating women regardless of ethnicity, religion, socioeconomic status, age, race, or gender identity. It is especially beneficial for active women who participate in sports or travel frequently. It can also help women who prefer to use menstrual cups or discs remove these products without causing discomfort or injury. Finally, Tampout strives to help women who have a history of TSS or who are at risk of developing it due to family history, personal habits, or any other factor.
Teenagers are an important population that can benefit from Tampout. According to research by Lacroix et al. (2022), the average age of a girl’s first period is 12 years old, but their first menstrual period can also happen at as young as 10 years old. Many young women are unprepared for their first period, and are therefore more likely to struggle with the use of tampons or other menstrual products. Thus, Tampout can help female teenagers feel more confident and at ease during their periods. It might also be especially useful for teenagers who participate in sports or other physical activities, as it can help them avoid embarrassing leaks or accidents.
Another population that can benefit from Tampout are young adults. Tampons are more commonly used by women in their 20s and 30s than any other menstrual products, according to Choi et al. (2021). Tampout can assist these women, particularly if they lack experience with menstrual products or who are having difficulty retrieving a lost tampon. Tampout can also help young adults who are sexually active. It can also help women who have gynaecological problems such as endometriosis or pelvic inflammatory disease, since menstrual bleeding can be an especially painful and disruptive experience (Choi et al., 2021). Since Tampout is designed to fit comfortable, it will likely reduce pain and discomfort caused by menstrual bleeding.
Tampout is also helpful to mothers, particularly those who have recently given birth. According to the National Health Service (n.d.), many women’s pelvic anatomy changes after childbirth, making it more difficult to use tampons or menstrual cups. Tampout can help mothers recover lost menstrual products without having to see a healthcare provider, in addition to helping them feel more in control of their menstrual health.
Tampout can benefit menopausal women, particularly those who suffer from vaginal dryness or atrophy. This is because research by the North American Menopause Society (n.d.) suggests that many women experience changes in vaginal tissue and lubrication after menopause. Such changes make it difficult to use tampons or menstrual cups. Commons symptoms of menopause include hot flashes, night sweats, and mood swings (North American Menopause Society, n.d.). Tampout’s natural ingredients will likely be able to alleviate these symptoms, allowing women to sleep better and reduce stress.
Lastly, Tampout can help women with disabilities. Regardless of the nature and severity of the disability, women with disabilities will still face unique challenges when it comes to menstruation. Issues relating to limited mobility negatively affects their ability to practice safe menstrual hygiene techniques (Wilbur et al., 2022). Tampout alleviates these concerns, since it allows women with disabilities to manage their menstrual hygiene without added stress or discomfort.
In addition, women with physical disabilities frequently face barriers to obtaining products designed to meet their specific needs (Wilbur et al., 2022). As noted above, Tampout’s simple design and applicator can be especially beneficial for women who have limited dexterity or mobility. This would likewise be beneficial for women with mental disabilities, who might experience challenges managing their menstrual hygiene because of cognitive limitations (Wilbur et al., 2022).
Question 4. Theory of Change and Existing Evidence
Allocate 2000 words to describe the theory of change behind your innovation and how it will lead to improved development outcomes. This section should also include evidence linking your innovation to its intended impact. Use APA in-text citations.

References
Casola, A.R., Luber, K., Riley, A.H., & Medley, L. (2022). Menstrual health: Taking action against period poverty. American Public Health Association, 112(3).
Choi, H., Lim, N.K., Jung, H., Kim, O., & Park, H.Y. (2021). Use of menstrual sanitary products in women of reproductive age. Public Health and Research Perspectives, 12(1), 20-28. doi: 10.24171/j.phrp.2021.12.1.04
Cup Buddy. (n.d.). Cup buddy: Menstrual cup removal tool. Etsy. Retrieved from:
Duffin, E. (2022). General population of the United States by gender, 2010-2027. Statista. Retrieved from:
Harrison, M.E., & Tyson, N. (2022). Menstruation: Environmental impact and need for global health equity. International Journal of Gynecology & Obstetrics, 160(2), 378-382. doi:10.1002/ijgo.14311
Lacroix, A.E., Gondal, H., Shumway, K.R., & Langaker, M.D. (2022). Physiology, menarche. StatPearls. Retrieved from:
National Health Services. (n.d.). Your body after birth. Retrieved from:
North American Menopause Society. (n.d.). Changes in the vagina and vulva. Retrieved from:
Rosas, K. (2020). Cup buddy review. Period Nirvana. Retrieved from:
Rosas, K. (2021). Bloody buddy cup review. Period Nirvana. Retrieved from:
Schlievert, P.M.., & Davis, C.C. (2020). Device-associated menstrual toxic shock syndrome. Clinical Microbiology Reviews, 33(3). doi:10.1128/CMR.00032-19
Wilbur, J., Clemens, F., Sweet, E., Banks, L.M., & Morrison, C. (2022). The inclusion of disability within efforts to address menstrual health: A systematized review. Frontiers in Water, 4. doi:10.3389/frwa.2022.983789
Problem Statement (2000 words): Allocate at least 2000 words to provide a detailed and comprehensive explanation of the problem you are addressing. This section should include information on the root causes of the problem, its magnitude and scope, and its impact on people living in poverty.
Description of the Innovation (2000 words): Allocate 2000 words to describe your innovation in detail, including how it works, its key features and functions, and its potential advantages over existing alternatives.
Target Population (1000 words): Allocate 1000 words to describe the population that will benefit from your innovation, including their demographics, needs, and characteristics.
Theory of Change and Existing Evidence (2000 words): Allocate 2000 words to describe the theory of change behind your innovation and how it will lead to improved development outcomes. This section should also include evidence linking your innovation to its intended impact.
Current Impact and Reach (2000 words): Allocate 2000 words to describe the current impact and reach of your innovation, including achievements to date and the number of people it currently serves.
Anticipated Impact and Reach (2000 words): Allocate 2000 words to describe the specific social outcomes you expect your innovation to achieve over the next three years, and how many people you expect it to reach over this time period. This section should also include details on how you estimate the number of people served and the magnitude of impacts.
Evaluation Methodology (1000 words): Allocate 1000 words to describe the evaluation methodology you will use to measure the success of your innovation.
Key Performance Indicators (1000 words): Allocate 1000 words to describe the relevant metrics/key performance indicators (KPIs) you will use to track your innovation’s performance and how you will collect the data.
Cost and Potential Cost-Effectiveness (1000 words): Allocate 1000 words to describe the current cost of your innovation and what makes it more cost-effective than alternatives. This section should also include information on how costs change as your innovation scales.
Pathway to Scale (2000 words): Allocate 2000 words to describe how your innovation will scale and be funded sustainably. This section should also include information on your revenue model, how your innovation will reach millions of people, and how you estimate the number of people you expect to serve over the next ten years.
Activities to be Supported with Proposed Funding (1000 words): Allocate 1000 words to list and describe all major activities you will execute for the proposed project, including the approximate amounts to be spent on each activity. This section should also indicate the total amounts to be spent by major budget categories.
Anticipated Risks (1000 words): Allocate 1000 words to describe the biggest challenges or risks you expect to encounter and the measures you will take to mitigate them.
Lead Organization (500 words): Allocate 500 words to provide an overview of the lead implementing organization, including relevant past experience implementing similar activities. This section should also describe why your organization is uniquely positioned and has the capacity to solve the problem.
Key Personnel (500 words): Allocate 500 words to describe the key team members for implementation of grant activities and their level of effort.
Partner Organizations (500 words): Allocate 500 words to describe key partner organizations and explain how they have demonstrated their commitment to supporting or participating in the project activities. This section should also describe what skills, experience, or resources they will contribute.
Project Scope:
This project is intended to assist the Client in writing a product launch plan to fulfill the
requirements of USAID,
17,000 Words – Product Launch Plan, answering the 17 questions in the “Grant Questions” file.

Client:
I am working on applying for Start- up grant for my new product Development. i need detailed plan how the product will be lauched . Can you help with this ?
The questions that most likely be around 2000 words ( and these most likely determine the success to receive this grant) are 1,2, 4,5,6, 10,11.
Background:
Section1.  Founder and story behind product creation TAMPOUT:  
  ( you can look up my website 
a).  or 
b). use information about me  from business plan that you created before) 
c)  
d). 
The company was created by dr. Yuliya Boruch – OBGYN Nurse Practitioner and midwife with 20 years of OB-GYN experience. Running a small private ob-gyn practice in the heart of Manhattan- Yuliya noticed that that one area of women’s health was overlooked and never addressed. 
Use of menstrual product s such as tampons , menstrual cups and disk increased tremendously in the past decade. As women and teen girls living active life styles these menstrual products became invaluable in our every day live. Girls are able to participate in competitive sports such as gymnastics and swimming without a shame of being  bled- through. Tampons and other menstrual products freely available for usage in schools and other educational facilities. But with all these availability there are risks that no-one is talking about and in 100 year history of tampons being on market – its a gap that  Tampout product is trying to close. 
Section 2.  ( use stats from this source 
a) 
b) 
c) 
d) 
e) 
f) 
Problem: Women come in different sizes and shapes outside as well as inside. Unique pelvic anatomy and vaginal configurations- let market to create thousand of different size and shapes of tampons and menstrual cups. However, these products sometimes able to “hide” on the posterior wall of vagina and women is unable to remove either product. 
Menstrual cups or disks can create a seal around cervix- and requires women to go inside with a finger , break a seal nd remove the device. Due to certain anatomy restrains- the fingers are too short or there is not enough room to “break” the seal – and woman end up in doctors’s office or ER for removal. Today, in order to remove a retained menstrual product- woman needs to physically come-in to the office for provider to remove retained product. 
Same comes with Tampon usage- once its soaked – or the tampon strings becomes tanged behind the cervix— woman is unable to retrieve her tampon and this creates a “ perfect storm” from deadly condition called Toxic Shock Syndrome TSS.  In 21st century women still develop TSS from retained tampons 6 women in 100,000 per year and 1 in 100, 000 with lethal outcome. Yes, we send people to mars and moon and still have women die from using a simple form of personal hygiene. It only takes few days for retain tampon to have risk of Bacteria growth ( Staphylococcus aureus) and to travel inside body and cause septic-like symptoms ( fever, chills). Many of these symptoms are often mistaken for common cold or flu- thus making TTS development more dangerous and deadly. 
Section 3.   See patent and trademark info / see product pictures
Product description: ( take description and usage from patent/trademark info) 
Tampout is a patent-pending , medical-grade silicone, soft and flexible finger device  that can be used by woman in the comfort of women’s home to search and retrieve possible retained menstrual products such as tampons, menstrual cups and discs. 
We created safe and affordable product to any menstruating woman.The device comes as a pair : can be used as single finger or double-finger action.  
Single finger use technique:
Two-finger technique: 
 the device is usually put on index and middle finger of the dominant hand. The small protrusions and small grapples facing each other. Grabbles help to locate and pull down the lost tampon string. Small side silicone protrusions working to grab a tampon/cup and pull down.  
After use.  The product can be washed with warm soap and water and safely stored in inclosed storage pouch till m=next menstrual cycle.  Tampout provide a cost-saving alternative to  costly ER >$2,000 visit or women who live in far suburbs and unable to reach healthcare facility in timely matter. 
Section 4:  
What is your environmental footprint? 
  To start up the product we need to create a sustained and environment-friendly re-usable packing.  On average , each menstruating woman leaves behind over 200lbs of menstrual product waste , including plastic wraps and applicators. Most of this product waste end up in oceans and landfill ( tampons are once of the common waste on beaches) .  Our packing was created with safety in mind not just for women but for the environment too. 
Reusable packing= Less waste
Section 5.  Please elaborate this section with more details 
Projected expenses: 
Trademark and patent filing $15,000
Packing and branding development= $15,000
Website development $ 5, 000
Supply ordering with packing from door-to-door $ 10,000
Advertisement and educational materials $5,000

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