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Open Journa. of Epidemiology 2024年第3期14卷 405-418页

作者： a.ne Nduta.Mia.u Betsy Rono Cheriro Ka.ija.Sa.uel phiri School of Public Hea.th Department of Environmental Health and Disease Control Jomo Kenyatta University of Agriculture and Technology Nairobi Kenya School of Globa. a.d Public Hea.th Kamuzu University of Health Sciences Blantyre Malawi

Ba.kground: Ma.a.ia.in pregna.cy ca.ses ma.erna. a.emia. low birth weight, intra.terine growth reta.da.ion, a.d preterm deliveries. In ma.a.ia.endemic regions in Kenya. percenta.e of pregna.t women hospita.ized with ma.a.ia.rea.h up to 60%. WHO recommends a. lea.t three doses of sulpha.oxine pyrimetha.ine for Intermittent Preventive Trea.ment of Ma.a.ia.in Pregna.cy (IPTp) a.tena.a.ly. This study sought to a.certa.n the preva.ence a.d individua.-level fa.tors influencing the upta.e of IPTp-SP3+. Methods: a.fa.ility-ba.ed cross-sectiona. study a. Busia.County Referra. Hospita.. 384 mothers were consecutively sa.pled a. the ma.ernity unit during delivery. Semi-structured questionna.res were used to collect da.a. Odds ra.io (OR) a.d a.justed OR were used to determine sta.istica. significa.ce of individua. fa.tors influencing upta.e of three or more IPTp-SP. Results: 43.0% of pa.ticipa.ts took IPTp-SP3+. Individua. fa.tors tha. a.fected the upta.e of IPTp-SP3+ included sta.ting a.C visits in the first trimester (a.justed odds ra.io (a.R) = 2.1, 95% CI: 1.23 – 3.67, p = 0.046), ha.ing more tha. four a.C visits (a.R = 3.1, 95% CI: 1.49 – 6.50, p = 0.002), ha.ing a.higher monthly income (a.R = 2.6, 95% CI: 1.24 – 5.36, p = 0.012), being a.a.e of the a.va.ta.es of IPTp-SP medica.ions (a.R = 3.7, 95% CI: 1.40 – 9.74, p = 0.008), a.d ha.ing a.positive a.titude towa.d a.C services (a.R = 3.2, 95% CI: 1.61 – 6.31, p = 0.001). Conclusion: Less tha. ha.f of the pregna.t mothers a.e complyingIPTp-SP3+. There should be a.gressive efforts by the County a.d Na.iona. Ministries of Hea.th promoting initia.ion of a.C a.tenda.ce ea.ly a.d a.tenda.ce of a.l the recommended eight visits together with ensuring a.a.la.ility of the drugs.

关键词： Ma.a.ia.in Pregna.cy a.tena.a. Clinic Intermittent Prevention of Ma.a.ia.in Pregna.cy Dosa.e Upta.e Sulpha.oxine-Pyrimetha.ine a.d Individua. Level Fa.tors

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汽油机电子控制系统硬件设计研究

汽油机电子控制系统硬件设计研究

作者： Mwa.e Cla.ce phiri（柯朗斯）吉林大学

学位级别：硕士

本文叙述了汽油机电控系统硬件的设计和开发过程。本系统采用先进的硬件作为发动机的控制器。发动机控制单元硬件开发的主要目的是降低开发成本而且不牺牲发动机的性能,针对发动机控制的特点,进行了控制硬件专业化的设计,达到了该目的... 详细信息

本文叙述了汽油机电控系统硬件的设计和开发过程。本系统采用先进的硬件作为发动机的控制器。发动机控制单元硬件开发的主要目的是降低开发成本而且不牺牲发动机的性能,针对发动机控制的特点,进行了控制硬件专业化的设计,达到了该目的。高级软件工具的帮助使那些不具备较强的硬件知识或软件编程知识的人应用控制系统工作成为可能。硬件以及ECM和其它控制单元之间的通信协议在保证发动机在最佳工作状态下工作方面起着重要作用。这使得工程师在测试和标定发动机时变得更加容易。本文第一章简要地介绍了一下电控系统、论文主要内容、电控系统工作原理和面临的挑战。第二章是本文的核心,详细地说明了硬件设计过程。第三章介绍了控制软件,然后在第四章介绍了实验台架。第5章对试验数据进行了处理分析。在最后一章对全文进行了总结和对未来尚需完善的工作进行了展望。基于Ma.图的电控燃油喷射、电控点火、空燃比闭环控制等技术的应用大大地提高了现代汽油机的性能。但是这些技术还有待进一步完善,因此本文进行了电控系统的相关研究。众所周知,发动机电控单元是一个非常复杂的实时微控制系统。按功能不同,电控单元硬件由四个电路模块组成:1.单片机系统电路;2.输入信号处理电路;3.执行器驱动电路;4.通信接口电路。根据传感器输入信号:节气门位置、进气歧管压力、进气温度、冷却液温度、氧传感器信号和曲轴转速信号,电控系统确定发动机的工作状态,然后依靠存储在ECM里的Ma.图并根据一定控制算法来控制喷油脉宽和点火正时。为了提高三效催化转换器的转换效率,本文进行了空燃比的闭环控制。发动机电控系统的设计是汽车电控系统开发的核心也是本文的重点部分,它包括硬件设计、软件设计和抗干扰设计。由于电控系统工作时,存在很多干扰信号,因此为保证控制系统正常工作,很有必要采取一些抗干扰措施,如:1.空间电磁干扰的防护措施2.过程通道干扰的防护措施3.电路板设计中采用的抗干扰措施4.供电系统干扰的防护措施本文中的硬件电路包括:电源电路、输入信号处理电路、输出信号驱动电路、通信接口电路。在满足可靠性和控制精度的前提下,为降低成本,尽量简化了系统设计。为保证合理的功能分配,软件系统由主程序和模块化的功能子程序组成,这样保证了系统的有效性和可扩展性,其中包括主程序模块、模拟量采集模块、起动模块、加减速模块和稳定工况模块。试验结果表明:发动机的燃油经济性和动力性都达到了预期目标,这也证明了本文开发的电控系统能够很好地控制发动机运行。但是,为满足将来的功能要求(如:要很好地降低排放),硬件和软件都需作进一步地修改。总的来说,本文的主要目标即为491QE汽油机现代电控系统开发硬件,最终实现了。作为工程师,我们要始终把目光投向未来,以解决我们目前面临的挑战。所以,伴随着电子部件成本的不断降低和对控制系统进行简化的需要不断地增长,应用智能型传感器和智能型执行器将会越来越普遍。智能型传感器\执行器不需要控制器(内部有一个小的CPU),直接与整车控制系统相连。而且随着汽车控制系统的增多和车载通信网络的发展,汽车上将会有更多的微控制器,这也会带来传感器和控制器的增多。在传统的控制系统里,传感器直接与相应的电控单元相连接,且通常使用双绞线,这往往会带来干扰问题。智能型传感器和执行器就预先避免了这个问题。我们都知道消耗能量是要付出代价的。电流消耗随着系统时钟频率的增大而增长,所以尽可能地降低系统时钟频率,对于降低电能消耗是至关重要的。一些企业将采用多处理器电控系统来降低时钟频率。时钟频率受很多因素影响,如:控制器的环境和外围设备、以及系统架构和指令系统。在许多应用场合,处理器并不是连续地工作,而且外围设备在很多时间是处于空闲状态。因此,对于所有实际控制器,利用各种“休眠模式”将会降低总体的能量消耗。在一种更高效的、环境友好型的、适于大批量生产的动力机械被引入汽车工业之前,内燃机将会一直被用作汽车的主要动力装置。只要内燃机汽车没有被纯电动汽车或混合动力汽车所代替,对内燃机的进一步改进以提高其效率和响应特性,改善其对环境的影响仍然是至关重要的。

关键词：汽油机电子控制硬件设计

Influence of Chicken Ma.ure a.endment on the Therma. Properties of Selected Benchma.k Soils in Za.bia

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Open Journa. of Soil Science 2019年第2期9卷 35-46页

作者： Ma.y Mwa.e Chisha.a.Elija. phiri Lydia.M. Cha.a.a Depa.tment of Soil Science School of Agricultural Sciences University of Zambia Lusaka Zambia

Influence of Chicken Ma.ure a.endment on the therma. properties of selected Benchma.k soils in Za.bia.wa. investiga.ed in the la.ora.ory under soil column experiments. Five benchma.k soils were exerted to four chicken ma.ure a.endment ra.es of 0% (control), 2%, 4% a.d 6% on a.weight ba.is. Soil tempera.ure profiles were monitored in soil columns exerted to a.tificia. hea. source a.d genera.ed da.a.wa. used to compute the therma. properties of the soils. The effect of ma.ure a.plica.ion on the soil therma. properties wa. strongly rela.ed to soil type a.d a.plica.ion ra.e. Significa.t differences (p ?3·c?1 (Mushemi series) to 8.62 MJ·m?3·c?1 (Ma.eni series) a.d a.tributed to differences in soil cha.a.teristics. Therma. diffusivity va.ied from 0.028 m2·s?1 (Ma.eni series) to 0.069 m2·s?1 (Mushemi series) a.reverse trend to therma. conductivity. a.simila. trend wa. observed with da.ping depth however therma. conductivity wa. not significa.tly different a.ong the benchma.k soils. The studied soils showed significa.t differences (p λ), therma. diffusivity (Dh) a.d da.ping depth (d) decrea.ed while volumetric hea. ca.a.ity (Cv) increa.ed with increa.ed chicken ma.ure a.dition. The differences in these therma. properties were a.tributed to differences in soil properties. These results suggest tha. chicken ma.ure a.plica.ion ca. be a. importa.t intervention in regula.ion of the therma. properties of the soil a.d consequently the therma. regime of the soil.

关键词： Therma. Regime Chicken Ma.ure Benchma.k Soils Clima.e Cha.ge Tempera.ure

Tree: Reducing the use of restrictive pra.tices on psychia.ric wa.ds through virtua. rea.ity immersive technology tra.ning

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World Journa. of Psychia.ry 2024年第10期14卷 1521-1537页

作者： Peter phiri La.ra.Pemberton Ya.g Liu Xia.jie Ya.g Joe Sa.mon Isa.el Boulter Sa.a.Sa.id Ja.kie Cla.ke a.dy McMilla. Jia. Qing Shi Ga.a.hri Dela.erolle Depa.tment of Resea.ch&Innova.ion Southern Health National Health Service Foundation TrustSouthampton SO303JBUnited Kingdom Depa.tment of Sta.istics a.d Da.a.Science Southern University of Science and TechnologyShenzhen 518055Guangdong ProvinceChina School of Sta.istics a.d Ma.hema.ics Yunnan University of Finance and EconomicsKunming 650221Yunnan ProvinceChina Virti Hea.thca.e KeynshamBristol BS311SNUnited Kingdom Neuromodula.ion Centre Southern Health National Health Service Foundation TrustSouthampton SO140YGUnited Kingdom Na.iona. Hea.th Service Ta.king Thera.ies Southern Health National Health Service Foundation TrustSouthampton SO509FHUnited Kingdom

Ba.KGROUND Restrictive pra.tices(RPs)a.e defined by mea.ures linked to physica. a.d chemica. restra.nts to reduce the movement or control beha.iours during a.y *** is a. equa. pa.t of RPs intended to isola.e a.d reduce the sensory stimula.ion to sa.egua.d the pa.ient a.d those within the *** interventions by wa. of virtua. rea.ity(VR)could a.sist with reducing the need for RPs a. it could help reduce a.xiety or a.ita.ion by wa. of pla.ing users into rea.istic a.d immersive *** could a.so a.d sta.f to a.d cha.ge current *** To a.sess the fea.ibility a.d effectiveness of using a.VR pla.form to provide reduction in RP *** a.ra.domised controlled fea.ibility study,a.compa.ied by eva.ua.ions a. 1 month a.d 6 months,wa. conducted within inpa.ient psychia.ric wa.ds a. Southern Hea.th Na.iona. Hea.th Service Founda.ion Trust,United *** VR scena.ios were used on VR hea.sets to provide tra.ning on reducing RPs in 3 inpa.ient psychia.ric *** mea.ures included genera. self-effica.y sca.e,genera.ised a.xiety disorder a.sessment 7(Ga.-7),Burnout a.sessment Tool 12,the Everyda. Discrimina.ion Sca.e,a.d the Compa.siona.e Enga.ement a.d a.tion *** Findings revea.ed sta.istica.ly significa.t differences between the VR a.d trea.ment a. usua. groups,in the Everyda. Discrimina.ion Sca.e items Q8 a.d Q9:P=0.023 a.d P=0.040 respectively,indica.ing higher levels of perceived discrimina.ion in the VR *** were no significa.t differences between groups in terms of genera. self-effica.y,genera.ised a.xiety disorder a.sessment 9,a.d Burnout a.sessment Tool 12 scores.a.significa.t difference wa. observed within the VR group for compa.siona.e enga.ement from others(P=0.005)over *** respondents recorded System Usa.ility Sca.e scores a.ove 70,with a. a.era.e score of *** wa. a.significa.t reduction in ra.es of RPs in the VR group vs trea.ment a. usua. group with a.fluctua.ing va.ia.ility ob

关键词： Virtua. rea.ity Restrictive pra.tices Inpa.ient wa.ds Restra.nt Isola.ion Ra.id tra.quilisa.ion Covert medica.ion Procedura. restrictions Hea.th professions tra.ning

Ra.on Concentra.ion Levels Estima.ion in Some Drinking Wa.er Sa.ples from Communities a.ound Lumwa.a.Mine in North Western Province of Za.bia

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材料科学与工程（中英文a.） 2017年第1期7卷 9-18页

作者： R. Ka.ebe Z. phiri E. Nyirenda Na.iona. Institute for Scientific a.d Industria. Resea.ch Lusaka 310158 Zambia School of Engineering University of Zambia Lusaka 32379 Zambia

Menta. hea.th impa.t on Bla.k,a.ia. a.d Minority Ethnic popula.ions with preterm birth:a.systema.ic review a.d meta.a.a.ysis

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World Journa. of Psychia.ry 2022年第9期12卷 1233-1254页

作者： Ga.a.hri Dela.erolle Yutia. Zeng Peter phiri Thua. Pha. Nicola.Tempest Pa.la.Busuulwa.a.hish Shetty Va.essa.Ra.mont Sha.a.a.Ra.hod Jia.-Qing Shi Dha.a.i K Ha.a.ga.a Nuffield Depa.tment of Prima.y Ca.e Hea.th Science University of OxfordOxford OX37JXUnited Kingdom Resea.ch a.d Innova.ion Southern Health NHS Foundation TrustSouthampton SO303JBUnited Kingdom Southern University of Science a.d Technology Shenzhen 518055Guangdong ProvinceChina Psychology Depa.tment Faculty of Environmental and Life SciencesUniversity of SouthamptonSouthampton SO171BJUnited Kingdom Depa.tment of Women's a.d Children's Hea.th University of LiverpoolLiverpool L78TXUnited Kingdom Gyna.cology Directora.e a.d Hewitt Centre for Reproductive Medicine Liverpool Women's NHS FoundationLiverpool L87SSUnited Kingdom Na.iona. Hospita. for Neurology a.d Neurosurgery University College London Hospitals NHS Foundation TrustLondon W1T 4AJUnited Kingdom Depa.tment of Psychia.ry University of OxfordOxford OX37JXUnited Kingdom Na.iona. Centre for a.plied Ma.hema.ics Shenzhen Shenzhen 518055Guangdong ProvinceChina Depa.tment of Sta.istics Southern University of Science and TechnologyShenzhen 518055Guangdong ProvinceChina

Ba.KGROUND Preterm birth(PTB)is one of the ma.n ca.ses of neona.a. dea.hs globa.ly,with a.proxima.ely 15million infa.ts a.e born *** from the Bla.k,a.ia.,a.d Minority Ethnic(Ba.E)popula.ions ma.be a. higher risk of PTB,therefore,the menta. hea.th impa.t on mothers experiencing a.PTB is pa.ticula.ly importa.t,within the Ba.E *** To determine the preva.ence of menta. hea.th conditions a.ong Ba.E women with PTB a. well a. the methods of menta. hea.th a.sessments used to cha.a.terise the menta. hea.th *** a.systema.ic methodology wa. developed a.d published a. a.protocol in PROSPERO(CRD420-20210863).Multiple da.a.a.es were used to extra.t releva.t da.a.I2 a.d Egger's tests were used to detect the heterogeneity a.d publica.ion bia..a.trim a.d fill method wa. used to demonstra.e the influence of publica.ion bia. a.d the credibility of *** Thirty-nine studies met the eligibility criteria.from a.possible *** preva.ence ra.es of depression a.ong PTB-Ba.E mothers were significa.tly higher tha. full-term mothers with a.sta.da.dized mea. difference of 1.5 a.d a.95%confidence interva.(CI)29%-74%.The subgroup a.a.ysis indica.ed depressive symptoms to be time *** within the very PTB ca.egory demonstra.ed a.significa.tly higher preva.ence of depression tha. those ca.egorised a. non-very *** preva.ence ra.es of a.xiety a.d stress a.ong PTB-Ba.E mothers were significa.tly higher tha. in full-term mothers(odds ra.io of 88%a.d 60%with a.CI of 42%-149%a.d 24%-106%,respectively).CONCLUSION Ba.E women with PTB suffer with menta. hea.th *** studies did not report on specific menta. hea.th outcomes for Ba.E ***,the impa.t of PTB is not a.cura.ely represented in this popula.ion,a.d thus could nega.ively influence the qua.ity of ma.ernity services they receive.

关键词： Preterm la.or Preterm birth Bla.k a.ia. a.d Minority Ethnic Menta. hea.th Women's hea.th Wellbeing

a. Insight of Pa.a.itic Weeds in a.rica.a.d Scientific Developments:a.Review

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Journa. of Bota.ica. Resea.ch 2023年第2期5卷 59-75页

作者： Christopher Ka.ima.phiri Vernon H.Ka.a.be Ja.es Bokosi a.riculture Depa.tment LakeView CollegeMalawi Adventist UniversityP.O.Box 148NtcheuMalawi Crop a.d Soil Sciences Depa.tment Lilongwe University of Agriculture and Natural ResourcesP.O.Box 219LilongweMalawi

Pa.a.itic weeds a.e a.ma.or threa. to food security in a.rica.a.d control mea.ures mostly done by sma.lholder fa.mers a.e not effective in era.ica.ing the *** results in a.yield loss up to 100%.Pa.a.itic weeds comprise a.ectra.vogelii,Striga.spp.,Oroba.che spp.,Ra.flesia.spp.,a.d Phora.endron *** a.ta.hment is successful when three necessa.y conditions ha.e been fulfilled na.ely the compa.ible host,suita.le environment,a.d pa.a.itic *** species pa.a.ite pla.t species through specia. a.ta.hment fea.ures such a. modified lea.es,suckers,ha.storia.or modified *** a.rica.the va.ia.ility of pa.a.itic weeds is la.gely driven by environmenta. fa.tors such a. tempera.ure,ra.nfa.l,soil type,a.d crop husba.dry *** tempera.ures crea.e more hospita.le conditions for certa.n pa.a.itic weeds,a.d a.lowing them to sprea. to new *** weed control is vita. for effective crop production a.d the control stra.egies ca. be a.hieved through integra.ed weed control method tha. embra.es mecha.ica.,cultura.,chemica.,a.d biologica. ***,the most effective a.d crucia. method is the cultiva.ion of resista.t va.ieties tha. provide long-term protection a.a.nst pa.a.itic *** ha.e been done on host-pa.a.ite a.ta.hment where dodder ca. send out new roots to infected neighbouring pla.ts a.d sprea. their pa.a.itic *** insight a.d knowledge should offer new goa.s for control within the life cycle of the pa.a.itic weeds a.d their meta.olic ***,disciplines such a. a.ronomy,pla.t breeding,nutrition,economics,a.d IT should pla. their roles effectively in comba.ing pa.a.itic weeds.

关键词： a.ectra.vogelii Striga.spp. Oroba.che spp. Ha.storia Food security Environmenta. fa.tors

a. Introduction to the Theory of Field Extensions

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a.va.ces in Pure Ma.hema.ics 2023年第2期13卷 103-132页

作者： Sa.iour Chibeti Iness Kya.wa.ya.a.Henry M. phiri Jeromy Ka.unga Economics Depa.tment University of Lusaka Lusaka Zambia Depa.tment of Ma.hema.ics Copperbelt University Kitwe Zambia

This pa.er unfolds a.d reviews the theory of a.stra.t a.gebra. field extensions a.d discusses va.ious kinds of field extensions. Field extensions a.e sa.d to be a.gebra.c or tra.scendenta.. We pa. much a.tention to a.gebra.c extensions. Fina.ly, we construct finite extensions of Q a.d finite extensions of the function field over finite field Fp using the notion of field completion, a.a.ogous to field extensions. With the study of field extensions, considering a.y polynomia. with coefficients in the field, we ca. find the roots of the polynomia., a.d with the notion of a.gebra.ca.ly closed fields, we ha.e one field, F, where we ca. find the roots of a.y polynomia. with coefficients in F.

关键词： Fields Extension Fields a.gebra.c a.d Tra.scendenta. Extension a.gebra.c Closure a.gebra.ca.ly Closed Field a.solute Va.ue Completion P-a.ic Field a.d Field of Forma. La.rent Series

Eva.ua.ion of a.cultura.ly a.a.ted cognitive beha.ior thera.y-ba.ed,third-wa.e thera.y ma.ua.

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World Journa. of Psychia.ry 2023年第1期13卷 15-35页

作者： Peter phiri Isa.el Cla.ke Lydia.Ba.ter Yu-Tia. Zeng Jia.-Qing Shi Xin-Yua. Ta.g Sha.a.a.Ra.hod Musta.a.G Soomro Ga.a.hri Dela.erolle Fa.ooq Na.em Resea.ch&Innova.ion Southern Health NHS Foundation TrustSouthampton SO303JBUnited Kingdom School of Psychology Faculty of Environmental and Life SciencesUniversity of SouthamptonSouthampton SO171BJUnited Kingdom Depa.tment of Ita.k Southern Health NHS Foundation TrustSouthampton SO509FHUnited Kingdom Depa.tment of Ita.k Step 3 Southern Health NHS Foundation TrustSouthampton SO519FHUnited Kingdom Depa.tment of Sta.istics a.d Da.a.Science Southern University of Science and TechnologyShenzhen 518055Guangdong ProvinceChina Na.iona. Center for a.plied Ma.hema.ics Shenzhen Shenzhen 518055Guangdong ProvinceChina Nuffield Depa.tment of Prima.y Hea.th Ca.e Science University of OxfordOxford OX37JXUnited Kingdom Centre for a.dition a.d Menta. Hea.th University of TorontoToronto ON M5SCanada

Ba.KGROUND Recommenda.ions for psychothera.y ha.e evolved over the yea.s,with cognitive beha.iora. thera.y(CBT)ta.ing precedence since its inception within clinica. guidelines in the United Kingdom a.d United *** use of CBT for severe menta. illness is now more common *** To investiga.e the fea.ibility a.d a.cepta.ility of a.cultura.ly a.a.ted,CBT-ba.ed,third-wa.e thera.y ma.ua. using the Comprehend,Cope,a.d Connect a.proa.h with individua.s from a.diverse popula.ion presenting to prima.y a.d seconda.y hea.thca.e *** a.pilot study wa. used to a.sess the fea.ibility a.d a.cepta.ility of the ma.ua.ised *** mea.ures were eva.ua.ed a. ba.eline,post-intervention a.d 12 wk-follow up.32 pa.ticipa.ts with menta. hea.th conditions a.ed 20-53 yea.s were *** were completed a. three time points,using Clinica. Outcomes in Routine Eva.ua.ion(CORE),Hospita. a.xiety a.d Depression Sca.e(Ha.S),Bra.ford Soma.ic Inventory a.d World Hea.th Orga.iza.ion Disa.ility a.sessment Schedule 2.0(WHODa.).The Pa.ient Experience Questionna.re wa. completed *** Repea.ed mea.ures of a.a.ysis of va.ia.ce a.socia.ed with Ha.S depression,F(2,36)=12.81,Pa.tia.η^(2)=0.42 a.d Ha.S a.xiety scores,F(2,26)=9.93,Pa.tia.η^(2)=0.36;CORE tota. score a.d WHODa. both showed significa.t effect F(1.25,18.72)=14.98,Pa.tia.η^(2)=*** F(1.29,14.18)=6.73,Pa.tia.η^(2)=0.38 *** These results indica.e the effectiveness a.d a.cepta.ility of the cultura.ly a.a.ted,CBT-ba.ed,third-wa.e thera.y ma.ua. intervention a.ong minoritized groups with modera.e effect *** levels a.d a.cepta.ility were highly *** via.ility a.d cost-effectiveness of this a.proa.h should be explored further to support universa. implementa.ion a.ross hea.thca.e systems.

关键词： Cognitive beha.iora. thera.y Comprehend Cope Connect Ethnicity Culture