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Sez I, \"That 'him' don't sound right, Josiah Allen. It sounds more rightand nateral to call it 'she.' Why,\" sez I, \"hain't we always hearn aboutthe Mother Church, and don't the Bible tell about the Church bein'arrayed like a bride for her husband I never in my life hearn it calleda 'he' before.\"
She had gone forward to the anxious seat, with some other young females,their minds bein' wrought on, so it wuz spozed, by Deacon Lathers'seloquent exhortations, and urgin's to 'em to come forward and be saved.
The secont night of my arjuous labors on the meetin' house, he beganwild and eloquent about wimmen bein' on Conferences, and mountin'rostrums. And sez he, \"That is suthin' that we Methodist men can'tstand.\"
They had jest got the great news of wimmen bein' apinted forDeaconesses, and had come down on the first minute to tell us. She thatwuz Celestine Bobbet wuz the only female present that had heard of it.
She wuz jest a-thinkin' how dretful it would be if sum female deaconessshould ever venter into some other branch of business, and what wouldbe apt to become of her if she did. She hated to think of what her doomwould most likely be, bein' tender hearted.
When lo, and behold! jest as she wuz a-thinkin' these thoughts, she seethis wild and skairful machine approachin', and Deacon Henzy a-standin'up on top of it a-drivin'. He looked wild and excited, bein' verytickled to think that he had threshed more with his machine, by twentybushels, than Deacon Petengill had with his. There was a bet upon thesetwo deacons, so it wuz spozed, and he wuz a-hastenin' to the next placewhere he wuz to be setup, so's to lose no time, and he was kinderhollerin'.
His mother had hearn of a investment there that promised to pay dretfulwell, so she had took a lot of stock in it, and it had riz right uppowerful. Why the money had increased fourfold, and more too, and Casperbein' jest come of age, had to go and sign suthin' or other.
\"If it hadn't been for that woman's preachin', that negro exhausterwould to-day most likely be a hoin' cotton with a overseer a-lashin' himup to his duties, and his wife and children and himself a-bein' boughtand sold, and borrowed and lent and mortgaged and drove like so manyanimals. And I'd like to have riz right up in that Conference and toldhim so.\"
He wuz worn out no doubt by his labors before he come, and any way hewuz took bed-sick, and couldn't be moved so's the doctor said, and hebein' outside of his own head, delerius, couldn't of course advance noidees of his own, so he lay and suffered.
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The purpose of this study is to (1) assess reasons that stimulant-using HIV-positive MSM download and sustain their use of mobile phone apps in general, and (2) obtain feedback on features and functions that these men prefer in a mobile phone app to optimize their ART adherence.
Focus groups were conducted with stimulant-using HIV-positive MSM (24-57 years of age; mostly non-Hispanic white; 42% once a week or more frequent stimulant drug use) in San Francisco and Minneapolis. Our aim was to explore the mobile phone app features and functions that they considered when deciding to download and sustain their use of general apps over time, as well as specific features and functions that they would like to see incorporated into an ART adherence mobile app. Focus groups were audiorecorded and transcribed verbatim. Thematic analysis was applied to transcripts using line-by-line open coding and organizing codes into meaningful themes.
Men reported that they currently had a variety of health and wellness, social media and networking, gaming and entertainment, and utility apps on their mobile phones. Downloading apps to their mobile phones was influenced by the cost of the app, recommendations by a trusted source, and the time it takes to download. In addition, downloading and sustained use of apps was more likely to occur when men had control over most features of the app and apps were perceived to be useful, engaging, secure, and credible. Participants suggested that ART adherence mobile phone apps include social networking features, connections to local resources and their medical chart, and breaking HIV news and updates. Although some men expressed concerns about daily self-monitoring of HIV medication doses, many appreciated receiving a summary of their medication adherence over time and suggested that feedback about missed doses be delivered in an encouraging and humorous manner.
These recent studies on mobile phone app preferences among HIV-negative MSM and HIV-positive men and women provide insights into best practices for mobile phone apps for these populations. However, it is unknown whether these same preferences are held by stimulant-using HIV-positive MSM, who may have different technology-assisted prevention and treatment needs than their HIV-negative or non-stimulant-using counterparts [25]. Therefore, we conducted focus groups with stimulant-using HIV-positive MSM to address two primary research questions: (1) What features and functions of mobile phone apps does this population consider when deciding to download and sustain their use of apps over time, and (2) What features or functions do these men prefer in a mobile phone app to help them manage ART adherence
All procedures were approved by the University of Minnesota Institutional Review Board. Focus group questions were developed by the research team and guided by the Technology Adoption Model (TAM) [26]. The TAM is a conceptual model to capture how persons will come to accept and use a new technology, such as the perceived usefulness of the technology and how easy the technology is to navigate. Participants were asked to describe what apps they currently have on their mobile phone. Next, men were asked to reflect on features and functions of mobile phone apps in general that they believed contributed to their decision to download, initiate use of, and continue to use apps. Although focus group members often spontaneously mentioned many features (eg, perceived usefulness) of their general app downloading and use that were relevant to the TAM conceptual model, we probed men to reflect on factors of the TAM conceptual model that were not mentioned. Finally, men were also asked to describe features and functions that they would like to see in ART adherence apps.
Thematic analysis was used to analyze transcripts [27]. Qualitative codes were developed using line-by-line open coding for all transcripts [28], with the unit of analysis being a complete thought reflecting one of the codes. As such, the unit of analysis could range from several words to multiple sentences. First, 2 authors (DA and TD) coded one transcript to individually identify preliminary themes (DA and TD). The authors met to discuss their themes and refine the coding scheme. Once codes were agreed upon, the remaining transcripts were coded. Disagreements were resolved with discussion [29]. Finally, 3 authors met (KH, DA, and TD) to debrief about the study findings and organize the themes within meaningful categories (as described below).
Table 2 shows the apps that men in the focus groups reported currently having on their mobile phone. Overall, men reported downloading and currently using a variety of health and wellness, social networking and dating, gaming and entertainment, and utility apps. Of relevance to stimulant-using HIV-positive MSM, focus group members reported currently having apps to assist them with maintaining their sobriety, clinical care, insurance, pharmacy, medications, and HIV.
The study team organized themes that emerged from the focus groups into three main categories: reasons men downloaded apps to their phones, general app design features that convinced men to download and sustain use of apps over time, and preferences for components and features of an ART adherence app. The organization of the themes and definitions are shown in Table 3.
The successful dissemination and uptake of mobile phone app interventions addressing the HIV prevention and treatment continuum of care requires that persons are willing to download and sustain use of the app, as well as providing content and features that are culturally relevant for the target population. In this study, we explored the features and functions of mobile phone apps that stimulant-using HIV-positive MSM considered when deciding to download and sustain their use of apps in general over time, as well as specific features and functions that they would like to see incorporated into an app to help them manage ART adherence more effectively.
بث مباشر مباريات البريمييليغ عبر بين لايف bein live موقع بي ان لايف عرض هذه البطولة لانها تملك شعبية كبيرة وهي تعتبر من اقوى الدوريات في العالم من حيث المنافسة وقوة الاندية ولاعبيها مشاهدة مباريات ليفربول ومانشستر سيتي ومانشستر يونايتد وتشيلسي وتوتنهام وارسنال ومشاهدة كؤوس قوية وذات مواجهات كبيرة بين اندية انجلترا في كأس الاتحاد الانجليزي وكأس الرابطة الانجليزية مباراة ليفربول ومانشستر سيتي بث مباشر بين لايف bein live مشاهدة مباراة تشيلسي وليفربول من دون توقف في البث بين لايف bein live موقع كورة لايف. 781b155fdc