16 research outputs found

    Use of Clinical Practice Guidelines and Quality Metrics to Assess Primary Care Management of Osteoporosis

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    Background: Clinical practice guidelines and quality measures provide recommendations for physicians addressing osteoporosis management. This study explored the alignment of osteoporosis clinical practice in a primary care geriatric clinic with recommended guidelines. Methods: This retrospective chart review included 388 patients 65 or older from a primary care geriatric clinic diagnosed with osteopenia or osteoporosis, with or without a fragility fracture. Data included history of falls and use of DXA scans, FRAX(R) fracture risk assessment tool, osteoporosis medication, and fall risk mitigation plans. Results: For age-related primary fracture prevention, 68% of women and 87% of men had documented DXA scans, and 45% of patients diagnosed with osteoporosis and 42% determined at high risk were prescribed osteoporosis medication. For secondary fracture prevention, 72% of women aged 67 to 85 had DXA scans and 21% were prescribed osteoporosis medication. Only 10% of patients with a history of falls had documented fall risk management plans. Conclusion: Although showing higher rates of primary and secondary prevention outcomes than did research results from general primary care, gaps were identified for high fracture risk patients and fall risk management documentation. Medical record review may not provide sufficient data to capture factors influencing decision-making for fracture prevention.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Participation in this publication was made possible for author, Kathlene Camp, by Grant Number K01HP33457 from the Health Resources and Services Administration (HRSA), an operating division of the U.S. Department of Health and Human Services. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Health Resource and Services Administration or the U.S. Department of Health and Human Services

    Impact of a Feedback Processing Framework on Feedback Orientation in First Year Pharmacy Students

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    Purpose: Despite the widely accepted value of feedback within pharmacy school curricula and clinical practice, there are limited tools and resources to help students effectively process feedback they receive. The 6 Ps of processing feedback (poise, process, positionality, percolate, proceed, and perspective) may be a useful method for teaching pharmacy students how to best evaluate and utilize feedback. Therefore, the purpose of this study is to determine the impact of this stepwise feedback processing framework on feedback orientation in first year pharmacy students. Methods: First-year pharmacy students enrolled at the University of North Texas System College of Pharmacy (COP) beginning August 2024 were included in this quasi-experimental pre-post study. Students were introduced to the 6 Ps of Processing Feedback framework via didactic lecture in Fall 2024 and were required to complete the validated Feedback Orientation Scale (FOS) via Qualtrics at baseline and immediately following the didactic lecture. The FOS is a 20-item assessment, broken into four dimensions of feedback orientation, 1) Utility, 2) Accountability, 3) Social Awareness, and 4) Feedback Self-efficacy. Each dimension contains five items which are ranked on a five-point Likert Scale. Higher FOS scores indicate stronger positive orientation towards feedback. Differences in overall pre- and post-FOS scores as well as scores on individual items, were evaluated via Sign tests. Students who did not complete both pre- and post-FOS due to tardiness or absences were excluded from data analysis. Results: Seventy-seven first-year students were enrolled in the COP at the time of this study. Sixty-six students completed both assessments and were included in the study analysis. The median overall FOS score increased from 86.5 points pre-intervention to 97 points post-intervention (p = 0.006). Analyzing individual items, three of five significantly increased in the Utility dimension, two of five significantly increased in the Accountability dimension, and all five items significantly increased in the Social Awareness and Feedback Self-efficacy dimensions when comparing pre-post intervention scores. Conclusions: This study demonstrates that implementation of a stepwise feedback processing framework into the pharmacy school curriculum improves feedback orientation in first year pharmacy students. Future research is planned to focus on whether this improvement is sustained once students receive substantial feedback during experiential rotations

    Development of a Stress Scale for Faculty: Preliminary Findings & Next Steps

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    Purpose: Faculty face multiple stressors balancing numerous responsibilities. Although validated instruments (e.g. Perceived Stress Scale) exist, there is none specifically for pharmacy faculty. The objective was to develop and validate a stress scale for pharmacy faculty. Methods: As prompted from discussions during faculty meetings and independent focus groups, a stress scale was developed to support faculty wellness initiatives. A literature search was conducted using PubMed, 2007-2017, key search terms: 'faculty stress and burnout', 'faculty job satisfaction', 'pharmacy faculty stress', and 'stress survey'. Over 40 articles including 20 stress scales were reviewed. Themes and 150 scale items were categorized. The survey was then administered via Qualtrics to select faculty across various institutions to evaluate the instrument's psychometric properties. Results: Respondents representing a wide range of backgrounds (e.g. age, rank, position) provided feedback on question wording, format, and preference (one year or month reference). Content and face validity were confirmed. Four constructs characterized faculty stress: Support systems (spirituality, social support, coping strategies), Mental health (emotional reactivity/health, personality traits), Physical health (energy, wellness activities), and Satisfaction (compensation, work-life balance). The final survey was refined to consist of 10 items. Conclusions: Results of this study demonstrate the reliability and validity of a new scale for evaluating faculty stress. Next steps include survey administration to faculty at multiple pharmacy schools allowing for comparisons of rankings based on demographics. Future research will include developing a modified version for other health disciplines to create strategies to reduce stress as indicators of targeted wellness initiatives

    Use of Clinical Practice Guidelines and Quality Metrics to Assess Primary Care Management of Osteoporosis

    No full text
    Background: Clinical practice guidelines and quality measures provide recommendations for physicians addressing osteoporosis management. This study explored the alignment of osteoporosis clinical practice in a primary care geriatric clinic with recommended guidelines. Methods : This retrospective chart review included 388 patients 65 or older from a primary care geriatric clinic diagnosed with osteopenia or osteoporosis, with or without a fragility fracture. Data included history of falls and use of DXA scans, FRAX® fracture risk assessment tool, osteoporosis medication, and fall risk mitigation plans. Results : For age-related primary fracture prevention, 68% of women and 87% of men had documented DXA scans, and 45% of patients diagnosed with osteoporosis and 42% determined at high risk were prescribed osteoporosis medication. For secondary fracture prevention, 72% of women aged 67 to 85 had DXA scans and 21% were prescribed osteoporosis medication. Only 10% of patients with a history of falls had documented fall risk management plans. Conclusion : Although showing higher rates of primary and secondary prevention outcomes than did research results from general primary care, gaps were identified for high fracture risk patients and fall risk management documentation. Medical record review may not provide sufficient data to capture factors influencing decision-making for fracture prevention

    Development of a real-time testbed for renewable energy integration studies

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    The datasets represent those used as part of the thesis titled, "Development of a real-time testbed for renewable energy integration studies". The dataset document titled, "Main testbed circuit section parameters", illustrates the developed testbed's main circuit, while also specifying applicable MATLAB parameters selected during the circuit setup for the case studies performed. The dataset document titled "MATLAB Live script code", represents the author-developed MATLAB code which based on user input, automatically selects the relevant grid code requirement parameters exported to the testbed before simulation. The document titled "V&F circuit inputs, case study 1-9 datasets" represent the grid representing input data replayed during the respective nine case studies performed. Finally, the document titled "Case study 1-9 real-time result datasets", represents the datasets obtained from the nine real-time simulations performed, and are those used for generating the simulation result graphs used in the thesis document. For the datasets, input data are referenced where applicable in the respective documents it appears. Furthermore due to the nature of the study, and the type of data collected and used, no ethical clearance was required for this work.</p

    Crackin' the code of post-race: post-1980s novels and post-race discourses

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    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro de Comunicação e Expressão, Programa de Pós-Graduação em Inglês: Estudos Linguísticos e Literários, Florianópolis, 2013.Abstract : The last decades has seen a shift in racial thought in the U.S. The discourses vary from the statement that the U.S. has moved beyond race to the post-racial neoliberalist discourse in which 'essential' identities are fragments of a social past and its continuance has the function of renewing race and racism. As these discourses gain ground in the U.S. society, the issue of fighting racism becomes more slippery. The present investigation analyzes the meanings attached to the rebirth of novels that deals with the concept of passing for white in this period and its relation with the fragmentation of the color line. More specifically, the aim of this dissertation is to unveil the forms through which No Telephone to Heaven, Caucasia, and The Girl Who Fell from the Sky respond to the discourses of racial liberalism and Critical Realism. Drawing upon Santiago?s concept of in-betweenness and Butler's concept of performativity, this dissertation sought to analyze the novels chosen as rich sources of insight about the changing racial thought in the U.S.As últimas décadas registraram uma mudança no pensamento racial nos Estados Unidos. Os discursos variam da afirmação de que os Estados Unidos transcendeu a questão racial ao discurso neoliberalista pós-racial que considera identidades 'essenciais' como fragmentos de um passado social e sua continuação apenas renova os conceitos de raça e racismo. A medida que esses discursos se tornam dominantes nos Estados Unidos, a questão do combate ao racismo se torna mais incerta. A presente investigação analisa os significados ligados ao reaparecimento de romances que lidam com o conceito de 'passar por branco' neste período e sua relação com a fragmentação da ?color line?. Mais especificamente, o objetivo deste estudo é investigar a forma que No Telephone to Heaven, Caucasia, and The Girl Who Fell from the Sky respondem aos discursos de liberalismo racial e Realismo Crítico. Com base no conceito de ?entre-lugar? de Santiago e o conceito de performatividade de Butler, esta tese procurou analisar as novelas escolhidas como fontes ricas de compreensão do pensamento racial nos Estados Unidos

    Anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft versus allograft in young patients

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    Objectives: Traditionally, bone-patella tendon-bone (BTB) autograft has been the gold standard graft choice for younger, athletic patients requiring ACL reconstruction. However, donor site morbidity, post-operative patella fracture, and increased operative time have led many surgeons to choose BTB allograft for their reconstructions. Opponents of allografts feel that slower healing time, higher rate of graft failure, and potential for disease transmission makes them undesirable graft choices in athletic patients. The purpose of this study is to evaluate the clinical outcomes, both subjective and objective, of young patients that who have undergone either BTB autograft or allograft reconstructions with a minimum of 2-year follow-up. Methods: One hundred and twenty patients (60 autograft, 60 allograft), age 25 and below at time of surgery, were contacted after being retrospectively identified as patients having an ACL reconstruction with either a BTB allograft or autograft by one senior surgeon. Patients were administered the Lysholm Knee Scoring Scale and IKDC Subjective Knee Evaluation questionnaires. Fifty (25 BTB autograft and 25 BTB allograft) of the 120 returned for physical examination as well as completion of a single leg hop test and laxity evaluation using a KT-1000 arthrometer evaluation. Of the 120 patients contacted, there were a total of 7 failures (5.8%) requiring revision, 6 in the allograft group (86%) and 1 in the autograft group (14%). Results: The average Lysholm scores were 89.0 and 89.56 and the average IKDC scores were 90.8 and 92.1 in the autograft and allograft groups respectively. The differences in the Lysholm scores and the IKDC scores were not significant. The single leg hop and KT-1000 scores were also not significantly different. One autograft patient had a minor motion deficit. Three allograft patients had a grade 1 Lachman and pivot glide. One autograft patient and two allograft patients had mild patellafemoral crepitus. There was no significant difference in anterior knee pain between the two groups Conclusion: There is no significant difference in patient-rated outcome between ACL reconstructions using BTB autografts versus allografts. However, the overall study group did reveal an increased failure rate requiring revision in the allograft group. © The Author(s) 2015

    Muslim discourses on integration and schooling

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    Since 2001 Muslim communities in Britain have largely been governed through the educational policy framing of integration and segregation. This Manichean bio-construct sees mono-cultural ethnic schools as problematic spaces, whilst integrated schools as the liberal ideal. By drawing upon the subaltern studies approach, this study provides a space for Muslim pupils and parents to articulate their own discourses on integrated and segregated schools in Britain. In doing so, it allows Muslim communities a position of power, by giving them agency to construct their own narratives on the policy debate on integration and schooling. This thesis attempts to make sense of Muslim discourses through a theoretic interpretation drawn from Muslim intellectual history. By using Ibn Khaldun’s (d. 1406) sociological theory of ‘asabiyya this study provides a broader theoretical context to the Muslim voice. The empirical and the theoretical perspectives contained in this study attempts to make significant contributions to the study of race, religion and Muslim studies in Britain. Public policy discourses has often seen the concept of integration as a linear cultural process, with minority groups gradually adopting the social mores of the host society. Evidence presented in this study sees integration as an analytical process and not as a fixed cultural template. It shows how the concept of integration can often be used, by political actors, as a tool for anti-Muslim racism. The discourses of Muslim parents and pupils have much in common with each other, especially when rejecting the idea of self-segregation, or highlighting the importance of ‘asabiyya based on religion, but they have little in common with the public policy framing of Muslim communities. Sociological studies have often demonstrated the disjuncture between public policy and lived experience. This study confirms this observation by elucidating the disconnect between political discourse of integration and lived cultural experience of Muslim communities. The discourses of Muslim communities in this study suggest a complex, paradoxical, intersectional reading of integration, which is fundamentally rooted within social constructionism. Most importantly it dismisses the integration and segregation binary, as seen within the educational framing of Muslims, whilst recognising the importance of Muslim group solidarity, or ‘asabiyya in Muslim discourse

    0005

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    THE DAILY PALO ALTO TIMES. Bjununuaiu nunununununuBi HUDSON r, 9 I % r 9 9 9 $ ns* ns*ns* ns*ns*ns*ns*nf*nfAnM Up-to n.it.- JEWELER On Tbe Circle Opposite the Depot. nununununu nunun<*nunu n 1 ELITE MARKET Kalrllars**-) BSd Ho»*-kill**d MEATS All Pure Meal Product* GEO. J. CAREY I I I f i 9 i 9 i i I nf*ns*ns*ns*ns*ns*ns*ns* nf*ns* -"unununununununununuoi Telephone Main 38 i i 9 \ f WOItllBI.L. l-r,i|,rl,-i„r. .. I j Corner Alma street and y X Hamilton avenue, Palo, Atto. c < Opposite Freight Depot. (\ **n.^n,-*ns*nMnf*ns*nf*nf*ns*-nZ Hay, Grain, Wood and Coal Delivered at market rate*. In Hot or Cold Weather There Is equal need for the soothing -"ppllcatlon of TAL- CUM POWDER. Try a box of onr delightful and refreshing "UY-LO" A liberally large box for 2o Eagle Drug Co. (Yellow Drug Store) PA.LO ALTO. Phono Main 88. Colonist Rates To California Via Southern Pacific lines ' dally, August 27 to October 31. 1906. Prom Sioux City 127.00 .From Council Bluffs 25.00 From Omaha 26.00 .From St. Joseph 2S.00 From Kansas City 25.00 From I,oavenworth 26.00 From Denver 25.00 ■From Houston 25.00 From St. I .■.mi:: 30.00 From New Orleans 30.00 .From Peoria '. 31.00 From Pittsburg 42.00 From Memphis 31.65 From Bloomington 32.00 From St. Paul 34.90 From Chicago 13.00 Kt nm Now York 60.00 The cost of a ticket can be deposited at once with any Southern Pacific -agent In California, and tho ticket will be furnished to the passenger in the Bul. while these low rates are In effect. Stopovers allowed at all points In California, except Lo* Angeles and San Francisco, and at certain Intermediate stations in Arizona and Nevada, up to November 16, 1906. A. A. HaAFOOOD, Agent, Palo Alto. B. SCHILLINGSDDRO, D. P. San Jose. Oa* Year KnlUtaaeate. Much adverse criticism 1* beard on the proposltlsQ of Colon*! J. G. Gal brnlth of the regulnr nrniy that the term of enlistment be reduced to oue -rear. It is assumed offhand by the crltlcs thst a year Is too short a time In whlcb to make n g* od soldier out ol a t*t*-ct-olL Tbe object of * reduction of tbe term Is said to tie to remove the "opposition of labor unions to a young man signing away hla time for a loot.' term of years.** Whether 11 is wlae to regulate the term of a lolilier's enlistment according to the views of labor unions Is one question, and tbe relative value to the seri'Ic-) of a long or short term Is another. Views of military men have changed radically upon this subject within the post few years, a change dating from civil war experiences. In that crisis some companies and regl ment*. not to speak of Individuals, took to soldiering from thc start. Other Individuals nnd organisations never attained to the Ideal nor arrived anywhere near II, Needless to say that the nature of raw material, lhe conditions of lendersblp and environment during the .nuLil first weeka determined the matter largely. Army ofll- cers have paid much attcntloii to this matter of Initiation of recruits daring past years, and It Is contended t\v many that the raw ttoy can master tin* technique of his calling In tbe course of a few weeks—that Is to any, he can master It In thnt length of time If he ever can. But It does not follow that a so! dler*s period of ncrvico must end srltt ono enlistin.'iit of oue yonr. Soldier-* ate now encouraged to re-enlt**t if they ar* deairaMe. and If they are not suit ed to Ihe service it will In* ileinonstnit ed to thr mllsfactlotl ut llmniselve and of their coromaudrp* during a onr year's trial, lu one **rn*-o II Is a wasli of value to hnve n Ht.-iliviirt yotin;: man we-klt-.. t» coin para live lilletfe-**:* In tbe army. The aohller should nol be allowed" to deteriorate either in morals or .■Hlclency ns nu economic factor. The government could t-ecure all lhe -nldler* It wauts In (hue of peace l.y making the service attractive as ii training school for tbe recruit*. Tbey could be langht something useful to equip (bom for the battle of life when tbey -.hull cenw* lo be soldiers. Such a pn**-**-s*« of training would make It worth while io n recruit to re-eniisl at the end of one year uud continue re- enlisting until he had completed his training. He would then tie a good soldier, ready ror his country's call lu an emei-goni-y. and also a competeul worker In the tndnstrlal sphere. New Lines In 'Mraeric*." Dr. Henry Van Dyke, professor, essay 1st and |M>rt. spoke not long ago In ■half of ihe sufferers by the San mclsco earthquake and fire. He il to the "love of tbe Und" that part of the love of country and eugg-Mted Unit the touch of New Eng- Innd scenery in tbe good old bymn "aAmerica" might be supplemented by some other lines in praise of tho un- tional glories of all America. The line* that Dr. Van Dyke repeated were original wllh him, but were luaecnrBte- ly reported and widely circulated. Thousands of scbool children hav* been singing them all orer the country. One enterprising firm of publishers has tried lo copyright them In tholr incorrect form and without a particle of authority. There Is not and wll! not be any copyright on Uie vorses. Any ono who_ loves "America" ls welcome to use them, but the author naturally prefers tbem lo be used In their correcl form ns follows; I love thlM Inland **-*. Thy grove** of -elant trees. Thy rvlllit* plain*. Thy rlvrrs* mighty sweep. Thy taymic canyons deep. Thy mountains witd and ate-*-*. All thy domains; Tby silver eastern ■itarnla. Thy CoMtn Oats that atanda ironUng the west; Thy do*.-ry southland fair, Tby sweet and crystal air- O land beyond compare, Thee I lave b***! Dr. Van Dyke's verses were written ta follow tbe second stanza of tb* fs miliar hymn. In lhe course of a laudatory study of Charles Dickens that robust !<ondou critic. Gilbert K. Chesterton, arrives at tbls definite statement: "Whatever tht word 'great' means, Dickens was what It mean*." Mr., ehe-it"*rton takes n wbol* l-ook for the exploitation of hlr views and arguments, but seems lo miss his gout, whlcb Is to "account for" Dickens. I»ver* of Dickens will find attraction In (he boot and lay It down with a feeling that after all genius I* unaccountable. Sickness and star-ration bare been added lo the" horrors which tho poop!" of Itiissia are compelled Io faco at the beginning of Ihelr long winter. Isn't It sbont lime for the civilised power* ta tell iv:ir Nicholas he must straighten things ont quick or some one else will be pat on tbe job. Tho death of the original Mark Twain's "Tom Sawyer" brings out th*. fact thai be hod lieen for twenty fUn yesrsnf bis 11 hi a saloon keeper. Probably some more public library *nao- agcrs will exclude "Torn Sswyer*" from their slielres now. STANFORD TEAM DEFEATS NEVADA FAST AND INTERESTING .GAME ON STANaFORD FIELD l.lisn.Ts IN VICTORY POR CARDINAL "Sage Brush" Fifteen I'm a Strong '■■Hiii- and Receive Aiiplauae of Spectator*. In * fast, clean and interesting game of Rugby on the Stanford Field Saturday at noon, the Cardinal Varsity defeated the fifteen from th.- unlvoralty of Nevada by a score of 11 to 0. From a spectators point of view, the contest was a vast Improvement over tho exhibition given in tho Intercollegiate freshman game a week ago. The characteristic features of the English game were much ln evidence, and It hon gained much In popular approval In conuoqueuce. The Nevada men were well coached by Cameron, an old New Zealand star, nnd fought for ovury point. Tho work of the varsity waa very gratifying to all who watched the match. Thoro was noL much opportunity for passing, owing to tbe aggressive defense of the visiting team, but tho wearers of tho cardinal excelled In dribbling tht- boll along by short kicks, and some splendid gains were mado In this way. Captain Stott wo* tbe slur of tho team, and ho succeeded In making both tries tor Stanford. Fenton was also shining light, nnd hit. place kick In tho second half was as true as a dUe snd scored three point* for his team. He also scored two point* hy converting tho first of Stotl's trlea Into * goal. Cook, Cheda and Thorpe, the freshmen In tho lineup, did excellent work and the first natnod player, ea- eeelally earned ror himself much praise for his fast nnd heady playing. For the Nevada team, Mag**-** at five was the star, and In the opinion of Rcrcrco Unmnck, his work was the feature of the gamo. HI* fast running and sure tackling and above all. his ready work In the Interception of passes drew forth applause several times. Captain Hart at forward played a hard game and used his great weight to good advantage. and Freeman, nt wing, also was conspicuous among the visitors.' Tho toams.llned up as follows: Nevada. Position. Stanford Forward Hart (c.) Koernot Davidovlch Molflno Perlne Conant Opdyke Edwards Boylo Thorpe McMullcn Stanford St. Clair Cheda Mclntyre Hclnley Half. Selby Owen Five. Hageo Stott (c.) Center. Folsom Chalmers Powers Pemberlon Wing. Smith Hoi mon Freeman , Cook Full. Haullhnn Fenton PERSONAL. Mrs. La C. Bowie returned from a sojourn of a month In Los Angelos. . Miss Mary Bates and Amy Haetal of San Francisco, are guests at the homo or Miss Jennie Oliver. Mrs. John Mears. of Holllster, In visiting at the home of her mother, Mrs. M'. W. Thompson. Mr. nnd Mrs. George S. Fife, Mr* and Mrs. Lawrence Foster and Miss Beatrice Fife will leave Thursday for San Francisco, where they will be at home temporarily at 81S I '.-visa dero street. Wounds, Bruises and Darns. By applying an antiseptic dressing to wounds, bruises, burns and like Injuries before Inflammation sets ln, the ymsy be healed without matura- tton and In about one-third the time required by tbo old treatment Thla Is the greatest discovery and triumph ol modern surgery. Chamberlain's Pain Balm act* on this same principle. It is an antiseptic and'when ap- plcd to such Injuries, cause* tbem to heal very quickly. It also allays the pain and soreness and- prevent* any danger or blood poisoning. Keep a bottle or Pain Balm Id your home and it will save you time and money, not to mention the Inconvenience and suffering such Injuries entail. For sale by Bagle Drug Co. C. C. Walk- er, proprietor. Welngartner A Co. bave everything in hair brushes, "but yonr hair." .■•■a**"-**'-^^ BLANKETS AND COMFORTERS An extra s.ze comforter, filled with white antiseptic cotton, price 1.25Regulationsizecomforters,filledwithantisepticcotton.Prices1.25 Regulation size comforters, filled with antiseptic cotton. Prices 1.25, 1.50,1.50, 2.25, 2.50to2.50 to 3.90 Blanhets from 75c a pair to $10.50 a pair Frazer & Co. PALO ALTO Free Delivery Two (Complete Stores Soon to be three complete stores *<*nt* ns* ns* nt* n<* ns* ns* ns* nsAnt** ns* w* ns* nt*ns*nt* ns* nt* nt* n<*f* n-*ns*n»nf*-nt*ns* nt*nt*nt*nf*i f saa Good Goods OUR MOTTO. "The Fair's Best" Coffee . . * . . . Melrose Coffee |. Kona Coffee , . .-- .... Heinz's Sweet Pickles . . . . * . Mrs. Hurd's Home Made Brown Bread, Cakes, etc. 40c Ib 35c Ib 25c lb 25c qt It Pays to Spend Your Cash at THE FAIR Phone Main 73 Palo Alto I aa
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