10 research outputs found

    sj-docx-1-tag-10.1177_17562848231168714 – Supplemental material for Real-world outcomes associated with vonoprazan-based versus proton pump inhibitor-based therapy for Helicobacter pylori infection in Japan

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    Supplemental material, sj-docx-1-tag-10.1177_17562848231168714 for Real-world outcomes associated with vonoprazan-based versus proton pump inhibitor-based therapy for Helicobacter pylori infection in Japan by Colin W. Howden, Erin E. Cook, Elyse Swallow, Karen Yang, Helen Guo, Corey Pelletier, Rinu Jacob and Kentaro Sugano in Therapeutic Advances in Gastroenterology</p

    Deep Reinforcement Learning methods for StarCraft II Learning Environment

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    Reinforcement Learning (RL) is a Machine Learning framework in which an agent learns to solve a task by trial-and-error interaction with the surrounding environment. The recent adoption of artificial neural networks in this field pushed forward the boundaries of the tasks that Reinforcement Learning algorithms are able to solve, but also introduced great challenges in terms of algorithmic stability and sample efficiency. Game environments are often used as proxies for real environments to test new algorithms, since they provide tasks that are typically challenging for humans and let the RL agents make experience much faster and at a cheaper price than if they were to make it in the real world. In this thesis state-of-the-art Deep Reinforcement Learning methods are presented and applied to solve four mini-games of the StarCraft II learning environment. StarCraft II is a real-time strategy game with large action and state space, which requires learning complex long-term strategies in order to be solved; StarCraft mini-games are auxiliary tasks of increasing difficulty that test an agent's ability to learn different dynamics of the game. A first algorithm, the Advantage Actor-Critic (A2C), is studied in depth in the CartPole environment and in a simple setting of the StarCraft environment, then is trained on four out of seven StarCraft mini-games. A second algorithm, the Importance Weighted Actor-Learner Architecture (IMPALA), is introduced and trained on the same mini-games, resulting approximately 16 times faster than the A2C and achieving far better scores on the two hardest mini-games, lower score on one and equal score on the easiest one. Both agents were trained for 5 runs for each mini-game, making use of 20 CPU cores and a GPU and up to 72 hours of computation time. The best scores from the 5 runs of IMPALA are compared with the results obtained by the DeepMind team author of the paper StarCraft II: A New Challenge for Reinforcement Learning, which report the best scores out of 100 runs that used approximately two orders of magnitude more of training steps than our runs. Our IMPALA agent surpasses the performance of the DeepMind agent in two out of the four mini-games considered and obtains slightly lower scores on the other two.ope

    Diagnosis and treatment patterns among patients with newly diagnosed Helicobacter pylori infection in the United States 2016–2019

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    Approximately 36% of the United States (US) population is infected with Helicobacter pylori (HP), a known major risk factor for peptic ulcer disease and gastric cancer. HP eradication reduces the rate of complications; however, the benefits are undermined by rising rates of HP eradication treatment failure. This real-world observational cohort analysis aims to describe HP diagnostic and treatment patterns among insured patients in the US. Using diagnoses, lab results, and treatment patterns, we identified adults (18+) with new diagnoses of HP in the Veradigm Health Insights EHR Database linked to Komodo claims data (1/1/2016–12/31/2019). Patients were required to have ≥ 12 months of data pre-/post-index. We captured patient characteristics, HP-related diagnostic testing, and the use of US guideline-recommended HP eradication regimens. HP eradication rates following first-line eradication treatment were measured among patients with available lab results. Overall, 31.8% of the 60,593 included patients did not receive guideline-recommended treatment. Among the 68.2% (41,340) with first-line treatment, 80.2% received clarithromycin-based triple therapy, and 6.6% received bismuth quadruple therapy. Of the 4569 patients with a repeated course of eradication therapy, 53.4% received the same regimen as their first-line, the majority (90.7%) of whom received two rounds of clarithromycin-based triple therapy. Among the 2455 patients with results of HP non-serology testing following first-line treatment, the 180-day eradication rate was 80.2% overall, with differences based on treatments and demographics. This study highlights gaps between guideline-recommended HP management and real-world patterns, underscoring the need to improve HP testing, treatment, and follow-up practices

    Patient journey in erosive oesophagitis: real-world perspectives from US physicians and patients

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    OBJECTIVE: Management of erosive oesophagitis (EE) remains suboptimal, with many patients experiencing incomplete healing, ongoing symptoms, and relapse despite proton pump inhibitor (PPI) treatment. The Study of Acid-Related Disorders investigated patient burden of individuals with EE in a real-world setting. DESIGN: US gastroenterologists (GIs) or family physicians (FPs)/general practitioners (GPs) treating patients with EE completed a physician survey and enrolled up to four patients with EE for a patient survey, with prespecified data extracted from medical records. RESULTS: 102 GIs and 149 FPs/GPs completed the survey; data were available for 73 patients (mean age at diagnosis, 45.4 years). Omeprazole was healthcare professional (HCP)-preferred first-line treatment (60.8% GIs; 56.4% FPs/GPs), and pantoprazole preferred second line (29.4% and 32.9%, respectively). Price and insurance coverage (both 55.5% HCPs) and familiarity (47.9%) key drivers for omeprazole; insurance coverage (52.0%), price (50.0%), familiarity (48.0%), initial symptom relief (46.0%), and safety (44.0%) key drivers for pantoprazole. Only 49.3% patients took medication as instructed all the time; 56.8% independently increased medication frequency some of the time. Despite treatment, 57.5% patients experienced heartburn and 30.1% regurgitation; heartburn was the most bothersome symptom. 58.9% patients believed that their symptoms could be better controlled; only 28.3% HCPs were very satisfied with current treatment options. 83.6% patients wanted long-lasting treatment options. Fast symptom relief for patients was a top priority for 66.1% HCPs, while 56.6% would welcome alternatives to PPIs. CONCLUSION: This real-world multicentre study highlights the need for new, rapidly acting treatments in EE that reduce symptom burden, offer durable healing and provide symptom control

    Real-world outcomes associated with vonoprazan-based proton pump inhibitor-based therapy for infection in Japan

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    Background: Japanese guidelines recommend triple therapy with vonoprazan or a proton pump inhibitor (PPI) in combination with antibiotics to treat Helicobacter pylori ( H. pylori ) infection. While studies have shown improved eradication rates and reduced costs with vonoprazan versus PPIs, there is little data describing healthcare resource use (HCRU) and treatment patterns. Objectives: To compare patients treated with a vonoprazan-based or PPI-based regimen for H. pylori infection in Japan in terms of their characteristics, HCRU, healthcare costs, clinical outcomes, and treatment patterns. Design: Retrospective matched cohort. Methods: We used data from the Japan Medical Data Center claims database (July 2014–January 2020) to identify adult patients with H. pylori infection and a first observed use of vonoprazan or a PPI in 2015 or later (index date). Patients prescribed a vonoprazan-based or a PPI-based regimen were matched 1:1 using propensity score matching. HCRU, healthcare costs, diagnostic tests, a proxy for H. pylori eradication (i.e. no triple therapy with amoxicillin in combination with metronidazole or clarithromycin >30 days after the index date), and second-line treatment were described during the 12-month follow-up period. Results: Among 25,389 matched pairs, vonoprazan-treated patients had fewer all-cause and H. pylori- related inpatient stays and outpatient visits than PPI-treated patients, resulting in lower all-cause healthcare costs [185,378 Japanese yen (JPY) versus 230,876 JPY, p  < 0.001]. Over 80% of patients received a post-treatment test for H. pylori . Fewer vonoprazan-treated than PPI-treated patients subsequently received an additional triple regimen for H. pylori infection (7.1% versus 20.0%, p  < 0.001) or a prescription for vonoprazan or a PPI as monotherapy (12.4% versus 26.4%, p  < 0.001) between 31 days and 12 months after the index date. Conclusion: Patients with H. pylori infection who were treated with vonoprazan-based therapy had lower rates of subsequent H. pylori treatment, lower overall and H. pylori -related HCRU, and lower healthcare costs than patients treated with PPI-based therapy

    Healthcare costs among patients with newly diagnosed <i>helicobacter pylori</i> infection in the United States: a linked claims-EHR study

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    The study objectives were to 1) characterize the cost drivers of patients with Helicobacter pylori (HP) and 2) estimate HP-related cost savings following lab-confirmed HP eradication with US guideline-recommended treatment compared to failed eradication. We identified adults newly diagnosed with HP between 1/1/2016-12/31/2019 in the Veradigm Electronic Health Record Database linked to claims data (earliest HP diagnosis = index date). For the overall costs analysis, we required patients to have data available for ≥12 months before and after the index date. Then, we used multivariable modeling to assess the marginal effects of comorbidities on all cause-healthcare costs in the 12 months following HP diagnosis. For the eradication savings analysis, we identified patients with ≥1 HP eradication regimen, a subsequent HP lab test result, and ≥1 year of data after the test result. Then we used multivariable modeling to estimate HP-related cost while adjusting for eradication status, demographics, post-testing HP-related clinical variables, and the interactions between eradication status and each HP-related clinical variable. The overall costs analysis included 60,593 patients with HP (mean age 54.2 years, 65.5% female). Mean (SD) 12-month unadjusted all-cause costs were 23,693(23,693 (78,089). Rare comorbidities demonstrated the highest marginal effect. The marginal effects of gastric cancer and PUD were 15,705and15,705 and 7,323, respectively. In the eradication savings analysis, 1,835 (80.0%) of the 2295 patients had lab test-confirmed HP eradication. Compared to failed eradication, there were significant one-year cost savings among patients with successful HP eradication and select conditions: 1,770forPUD,1,770 for PUD, 518 for atrophic gastritis, 494forfunctionaldyspepsia,and494 for functional dyspepsia, and 352 for gastritis. The healthcare costs of patients with HP are partially confounded by their burden of high-cost comorbidities. In the subset of patients with available results, confirmed vs. failed eradication of HP was associated with short-term cost offsets among those with specific to HP-related sequelae. Helicobacter pylori (HP) is a common infection. We aimed to better understand healthcare costs for people infected with HP. Specifically, we were interested in 1) investigating whether complications from HP were causing high costs. 2) whether successful eradication of HP would lead to lower healthcare costs. We captured data on adults diagnosed with HP between 2016 and 2019. The data used in this study came from medical records and insurance bills. In the first part of the study, we found that patients with HP often have other health issues, and these other health issues were driving high healthcare costs. The majority of cost savings associated with HP eradication accrue from prevention of potential complications of long-term infection, such as peptic ulcer disease and, rarely, gastric cancer.</p

    Off-pump coronary artery bypass grafting using continuous heparin infusion

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    AbstractObjectivesLevels of anticoagulation during off-pump coronary artery bypass grafting (OPCAB) remain controversial. Prolonged activated clotting time (ACT) during OPCAB increases blood loss during surgery and can also cause paradoxical increase in postoperative myocardial infarction. Shorter ACT can increase thrombotic complication. Maintaining a steady ACT level is challenging. We have used continuous heparin infusion after initial bolus during OPCAB to maintain a steady low target ACT. The objective of the present study was to assess the effectiveness and safety of heparin infusion in maintaining a steady target ACT level.MethodsThis was a prospective study of consecutive OPCAB patients. ACT was measured after initial bolus dose of heparin. Once ACT of more than 200seconds was achieved, heparin infusion was started to maintain the required level of anticoagulation. CPK-MB was measured in operation room, 6 and 24hours postoperatively to rule out ischemic complication.ResultsACT could be maintained in target range with heparin infusion in 80.1% patients (161/201). Of the 40 patients with one or more ACT reading less than 200seconds, 38 patients were managed by increasing the dose of heparin infusion and only 2 patients required additional bolus dose of heparin.ConclusionsHeparin infusion maintains a steady target ACT level and avoids peaks and troughs associated with bolus doses. Lower level of anticoagulation using continuous heparin infusion does not increase ischemic complications. This is the first ever study of use of heparin infusion during OPCAB. We may conclude that heparin infusion is a safe anticoagulation strategy for OPCAB

    Characterization of a Human Respiratory Mucosa Model to Study Odorant Metabolism

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    Corresponding author: [email protected] audienceNasal xenobiotic metabolizing enzymes (XMEs) are important for the sense of smell because they influence odorant availability and quality. Since the major part of the human nasal cavity is lined by a respiratory mucosa, we hypothesized that this tissue contributed to nasal odorant metabolism through XME activity. Thus, we built human respiratory tissue models and characterized the XME profiles using single-cell RNA sequencing. We focused on the XMEs dicarbonyl and l-xylulose reductase, aldehyde dehydrogenase (ALDH) 1A1, and ALDH3A1, which play a role in food odorant metabolism. We demonstrated protein abundance and localization in the tissue models and showed the metabolic activity of the corresponding enzyme families by exposing the models to the odorants 3,4-hexandione and benzaldehyde. Using gas chromatography coupled with mass spectrometry, we observed, for example, a significantly higher formation of the corresponding metabolites 4-hydroxy-3-hexanone (39.03 ± 1.5%, p = 0.0022), benzyl alcohol (10.05 ± 0.88%, p = 0.0008), and benzoic acid (8.49 ± 0.57%, p = 0.0004) in odorant-treated tissue models compared to untreated controls (0 ± 0, 0.12 ± 0.12, and 0.18 ± 0.18%, respectively). This is the first study that reveals the XME profile of tissue-engineered human respiratory mucosa models and demonstrates their suitability to study nasal odorant metabolism

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    DAltY PALO ALTO TIMES. MONDAY. DECEMBER 17,1917. ■\ r Daily Jimes Editorial Page H. W. 81MK1NS- -W. H. K ELLT THE FICKERT RECALL WAR FACTS By 0. F. Evans The' first deii.tr/ of the perfected Liberty alrplans motors are soon to be made. The U. ft. will use thousands of thess snd supply thoi/sands to ths sides. Whatever may be the result of tbe recall election tomorrow In San Fran- Cisco where tbe district attorneyship! Is to be decided. It Is sure to leave a ■ bad lame lathe mouth. The two can-j dldatua huve givii a campaign exhlbf- fli-u ot the pot calling the kettle black, j If ■■•■-ii a fraction of wh*t they say be true neither of tbem is fit to be district attorney. While we.hope thai the recall will nut succeed. It la u**lt!i**r b--cnu*-*(or any approval of, nor partisanship for Flckert. Flckert !• a Stanford football hero gone wrong. He rode Into tjftict' with the backwash of a sm**lly tide of react Inn agaliist tin* grail prosecutions. }]•• defeated Honey because the fickle public had grown tired of the year of long drawn out litigation over ■*;•• -*ffons lo ronvici tint "higher up*" wliuse mom')' and luftuence prevented their conviction. .Nol only did Bun Francisco elect Flckert over Heoej In 1911. but In 1!"15 he was rt* elected for four years, mure. So it cannot be said that the ^*>»™-"" "* **»****. «»**« W» very difficult. We may feel morally sure of a roan's guilt, but unless we can legally prove It we must acquit him. But such an acquittal bears a far different Interpretation than the one tbe Bulletlu Insists upon placing upon It STANFORD TRADITIONS In the valedictory for the quarter the Daily Palo Alto. Ibe university dally paper, makes a plea for the riialiitenaiic-i of the traditions of Stanford University next quarter wben Hie retclntrution of tui'R la expected to light, especially among the upper cliy chose him in u moment of Indiscretion. Upon the theory that Hie v 'ft" are entitled to >:•■< what Ihey voted for there Ik no logic In ths recall movement t> grounds of g-n crml unhtness. The side of the iimtl-r whlrh ap ii iimlntalii tradltli The outsider may Imve only u haiy iili'H uf what (he present trndltious of tin* uulvemlty are. hut a number of traditions hat.* dl*>ai>pi*ared during the ImS-X 1*1. Tt+t*. l*J the geol utls- factton of Hi** community, For exam< posli moat strongly io us Is Die ran I P-«» ***** drinking and the plug ugly, that the recall was started hy th.*! While t-yuipaihixlng with student rat!kit]* who object to the protean- [leaders In their d*-*.lri- to see whole- Ilea of tbe .Mooney crowd of anar .-onto tradition* prenervt-0. It Is yet chl-tiv It will cost the city taxpay- (|«»nlble lo look with coniplaceiiey •Tt the neat sum of l3'-.000 to tiuld upon the |n.*i*itile elimination of cor- thf elation. This does not cone out tain other imdltlutiK In the future, for of the pocknts of Ihe agitatum who uxauiple. tin* luit relics of the Imrb-tr foisted the recall upon the city. Oh, • ity of liaiing trasbmea and nil al< na If It did then would be no re-j tempts to reform tbe manners of fel I low students by any form of negative rilJclMii. Whether It lake the form of OUR FLOUR RIOTS When Mob Law Ruled For Awhile In New York City. DURING THE PANIC OF 1837. r g--»-1 calL Tlie Hme to uvf.-ul Ficken tn crtl tinilluei.it In ul Do* regular election. To defeat hint now would l»* simply a victory for tht* snare, hints. That ts the Issue now on trial It h trnt* thai a large body of goud peo pie have joined lu thr recall light on ruber Isbucs. If they would only hn j»f active lu tb>* regular electluns we would have better"governm*,nt. Mui it in highly Illogical to mix up, a red light issue with the red Rag IstOS in a city that recently recalled Senator Omni bernUHe he was the author of the red light bill. Let us take up one lo*ue at a time Another great pity Is the attempt to drag union labor Into the -uppori uf anurchy by plnylng upon tht hatred of corporations. Mooney nnd liillliigs are not real unlun men Tltey had no labor status at all. They were simply anarchistic agitator*, lltil because tbey tried to dynamite tin* 1'nlled it.ilirn.nl*- power Hoe, tho despicable Bulletin makes heroes of The following is a u-t of letters re them. Day In and day out It lias fos »»-0-»a unrlalmed tn the posiofflce at Um) the innuendo that men who; I,»,,» ■*-"*» for *h* P*r-*- 4)*Se*, ■>■ were so patriotic and virtuous as lo!-***0*' -*■■ --**-"- W *"*" 0***M lor be physical force or mental brutality. A new tradition that the world nt largt would love to see established In •■very university would tie a complete quietude of the anvil chorus In any form and the establishment of a spirit ■>f heartier hj-in pa thy mid fellowship .Hid confluence between students n> gnnlles-i of their origin, wealth or Ktoup retstlonthlpK War sometime* bring* about quirk itiM-lnl renrg-Jiilnitlthi Hint [n*»fp itifght nol J-rioii.pl I nil lu years. I^'t uk hop.* tlmf tlie under clmtxiii.-n who are left lo make tin* new spirit jot Stanford --III Ih* hound by no tradition that is nol -approved by their own best jii'lKiuenf nnd not in perfect harmony with Ihe democratic nl-.mii.nl- for Which this war Is being fought. ADVERTISED LETTERS dynamite a corporation could hoi possibly be guilty of dynamiting anything else. 11 Is clearly a case of corporation "frame-up." ot course. In spile of tbe fact thst two separate Juries declared the defendants gullty beyotid the shadow of a dotibl. upon ih" evidence presented. la this case as lu every other ot similar kind the matter of proof Is "on* Deofmber ;**. ikit. theey will be isetll Io the dead teller office; t'oons. Lillian Mny. f'ovno. Hregorto i" _ 8'enforil Park Holloway, Mrs Helen E. Mallllla Mrs. Tom. Wilbur. Mlllau May Coons Wll spy. Miss Pauline. W H. KEl.I.V. Postmaster. W'WAKE UP" and Order Your Xmas Turkey Order early and we will save you the choicest of the choice. INDEPENDENT MARKET 552 EMERSON ST. PHONE 772M G. W. WAGNER, The Meat Man Short Crops and Hiffh Price* Added ta tha Terrors ef ths Fl-isnolsl Disastsr. and Wir.ho.Mi w#r. Wr..ck,d by ths Freoiied Populace. The panic or IST.7 waa oue of the most eevere this country haa ever es- [-erienced. Owing to the scarcity nf iu.>[• every sort of bus I u eta received a sudden and »<■■ <■:<■ check. Tbe price of money rote, suit uoue but thine wltb the best security could g*t It at any terms. The Unsocial ■inTering was still fur ther aggravate.! hy tbe scarcity aod hlgb price of Hour in tbe ranters cKlet Tbe Hessian Hy bsd made aocb ravages that the STOPS slong tbe Atiantlr coast states were almost a complete failure. In ccrtslH aectlOOJ It was ree ■jiiiiii.-fulfil that the leKlvteture estate llsh public ;■- .ir. .:■:■--. for ttie storage ot wheat. Affairs la New; T«k were 'tmshi t- a crisis hy Hie leaders of ibe Anii-tno uo|K>ly. K.iiial Ktithts or l^n-of.M-o jiar t.v, who plustereil tlie waIN snd fen.--, uf the city with a lid in! bill calling a UieetllliC or the f**Ople to l>* held In thr City psrk. on tbe tM-vtaied sftem<-»n sotDe .I.OOti imsoot, ii»'-t!y forelgpeta, gath en-d tn front »r the city hall, U**s*M $*CHae» Wtt '■linsi'd .-ImlriUHli, but tlie crowd wss 'illicitly ; mm.-,| Iiiio groti).* and attdressnl by several apeaker*. CouspKUi.Ut aUiitikC the ••■.'■■•:• mu Air under Ulng, Jr. manv times a rnmllilsie fur city recorder, He cioseti his liaratifUq bj offering s set of rfso- liiHi.t)-. i.i \*t plWuteil tu the lefilsla lure and praying for a Un prohibiting the circulation uf hunk notea uu-lcr fluO. Tliey were adopted, aud Mlu*. was <-srrl<s| ..ff oa the - "mill derm of hl- R-Jmtran, Another spetker meanwhile was ad ilressitii* • not Iter (.'roup of ILstrner- ninl, earned twaj by the denunciation of tbe holders of flour, exclilnit-d: "t"el uw cllitens. Mr. II»in bas now B3.P0'1 barrels of flour In his store l^t us c» and offer iiliu fs a barrel, anil If he tli.es not lake It**—her-* MntelkMjy ii.u- bit! hiui on ihe *.li.>itliler-"w» char '■'I'-irt from him to pesc-*." Tbe bint wa* rDotagb. ■-■ .1 his hearer, -et on In a lusty for the warehouse o* Ull Hnrt A Co. In Washlngtmi street rim clerk-, on Ihe Ipptoseh of the mob. hnst h! m shut the tlitort, but one was bur*! In snd barrels of Qoui wen* rwllcil litl» the >itre*t and openeil Mr. Han, with a few police, nuv. srrired on the scene, but they weie ml is.-1.eil wlili itavpi an.1 ttooot and drh nt from the seem*. Itarrcls of Ilour anil Racks of wheat men mime hsd been ■ brown from the window by acore-- aii.l the flour catfrrty gsiherrtl up by tvotnen ami cblhitvu. A thousand busbttll of wheat and 500 barrels of flour are said to bSTS been destroyed. While the moh was tbus engaged the "ry "Meech, Meeck"* was rslaed, snd a party went off toward the Esst riv rr to atta.-k lbe warehouse of Meecb A - -i. hut stopiwsl on tbe way and sack- c| the warebotttt of Ilrrrlck s\ Co.. and drstroyr4 thirty barrels. la a card publUbed ta tbe newspa pert Hart A Co rtHuarkptl that tbe Im pn-sslun prevslled thai they wetw mo nopollzlug dour. Tbe truth was. all dour lu tbe city was the property of Hie miller* and wat held uu.ler tbe control of the owners. It ws» iieedieni to say that Ihe destruction of an artl •le could not tend to reduce tbe price Nor did It, for dour at once went ut M cents a barrel. At a second meeting ln the park •■ few weeks later the crowd came bear Ing flags Inscribed "No rag money- glvu us gold or stiver,™ "L>own wltb chartered iuouoi-.ll.-s," "We go for prtn •*lpie: no m.iuopollt-s,*" "We will enjoy our liberties or die In tbe last ditch.** A Carpenter's bench was used for a pisiform, and mounted on this Ming urged hLs nearer* nol to use nig money which was the ftiuudatlou of artUtoc mcy and monopoly. Another speaker Sdrtaed the crow,l to go west lu a t«siy bojf laud al fl.23 «n acre, found a new -lute nnd let the nrtsi.KTSts toilld tnett -wii houses This lime the Srilller? '.mi.iisi. nti.i tio disonler occurred The runic of 1SS7 patwnl Into btstOfJ to probably the most sa**>**e DHMietaq ti-U tbe country has ever egpMtBtMd Itanl;s all over the country falltil, anil most of the UOtitS In circulation iH-cmm* valuelos. Many large business Smut also faltetl. tnd mills and factories shut down t .-■..•!-.- their produots could n«t l*e sold. Hlcb men became poor, and jKK»t j-.- >;>;.' i ■- -«-i-i- there was no work to Ite had suffered for lack of rood. In no place was the panic more keenly felt than tn New York, where alt the hanks tuapeaded May id. isa7.-Philadelphia Press. Suggestions for Christmas Ghre tome piece of fnrniture u a Chrittmat gift, tometliing that wil estlare. Amonf the many taefni artklet we hare the foBowins: FOR MOTHER Tea Wagon. Martha Washington sewing table Pathe Talking Machine. Perfection ofl stove. Hoosier Kitchen Cabinet. A. B. gas range. Serving tray. Vacuum sweeper. FOR SISTER Lady's desk. Indestructible doll. Doll carriage. FOR BABY Choo Qioo car. Coaster. Wheelbarrow. Velocipede. Toy wagon. Speedy car. Red rocker. Baby jumper. FOR BROTHER .. & ] ' Book ends. Reading lamp. Smoking stand. Doll bed. Globe Wernicke book case. Doll Furniture. Reading table. Bedroom rug. Arm rocker. Doll stove. Glass top (or desk. 'j^-:--^ FOR OUR SOLDIER BOY A Collapsible Bed Desk—Easy to attach to bed or tent pott,inexpensive, handy for letter writing, cleaning equipment and pressing clothes. Open Evenings Until Christmas Palo Alto Furniture Co. Inc. "The Quality House" PHONE PALO ALTO 12 300 UNIVERSITY AVE. FIRE very often occurs during tbe Christmas holidays, when treat are lit up by eandlee. l<ook over your papers and make sure you have your furniture covered as well as your house. 1 write insurance. W. L SOUTHWOOD Nsst to Bank of Palo Alto Phone dl E. BALSBAUC ********* Wstfcef Estimates furnished for sll kinds of concrate work. Orna mental work a specialty. 7IS Wrt-n« Sc rbotae WSR | 1917 Pack Vineyard Run Table Raisins 10c lb. jBuy your Xmas Supply Now JUNK DEALER—J. Levin DMlar la Scrap Iron. Rubbwr. Hatal. Sack.. Rata. Psp.r, Ha- cblnery. 8te.aa and Tools. HbtTMw. Prtraa Paul. 018 Km«TK)n IU. Pbotw H. CLASSIFIED PHONE DIRECTORY FULLER & CO. The Leading State.* 162 University Ave. The beading Grocers SIIK. 1./ Phone 751-2 HENRY A. HOYT, BUILDING CONTRACTOR 1119 Webster St. Phone 121 CARTKT 'I.KAMNG t-t>rnpr.---4Ml Jte or vacatun. tUhM)n. St7 Alma. Ph. UW*. Read The Daily Times Classified Advertisements Firth of F^rth Br.d-f*. Tbe brtd-*S acr.«* tbp I'lrtti t.f Forth i*i Sctitiauii is n catulIeTer ItHdso erected 1SS3-9D, Tin- mo main *.p«tis mm- eocb l.TIo feet toiaj--. Ths t.nal U-nstt. ■>f tbe t-rldj-o Is SSSft f«t: the tuwcr.t in* ■'■■3 feet Will: Ibe brMre ct-atsln>- . M.i*-' tons *tt stt-el and cost about ! -r; ...l •».»-. I'AU) AI.TO .Al'MiHl rinu-l". wiwl. ITumpt ee*> ifH'tlon a»**I (Jt-li.iM^. PfMHse r\» ELITE MARKEf PRANK I'tllM.IPS SIB I'alverslty Ave. 1>Tk-*S 7 Inspected meat* No", fpade hams and b.-irqp, ilsli, poultry and delicacies. AUTO PEUVKBT BASKETBALLS and FOOTBALLS Wc arc cleaning out our stock of Basketballs and Footballs at reduced prices. SPAULDING—GROCER 528 Channlng Avenue, near HlBh School PHONE 141 OICY A. BAUah Notary Public 257 University Ave Hotel Larkin PALO ALTO EVROPEtX 1-I.1
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