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111.
Links between individual differences in 4-year-olds' social understanding, language abilities, temperament, behavioral adjustment and family background and the quality of their interaction with a close friend were investigated. 64 pairs of friends were filmed playing together on two occasions, and each child tested on a battery of assessments of theory of mind, emotion understanding and language. Teachers and mothers reported on children's adjustment and temperament respectively. There were marked differences in children's interactions with their friends; the sociocognitive abilities and behavioral characteristics of both child and friend contributed significantly to cooperative shared pretend, to low frequency of conflict and to successful communication between friends; behavioral adjustment and family background also contributed independently to friendship quality. The similarity between friends in behavioral adjustment and sociolinguistic skills was notable.  相似文献   
112.
Concentrating on exposure in workplaces where smoking occurs, we examined environmental tobacco smoke (ETS)-related concentration data from the 16-City Study.(1,2) This study involved a large population of nonsmokers, used personal monitors, and encompassed a wide selection of ETS-related constituents. This first article in a series of three describes the 16-City Study, considers the impact of demographic variables, and concludes that these variables did not explain differences in exposure to ETS. We compared 16-City Study concentrations obtained in the workplace to previously reported workplace concentrations and determined that data from this study were representative of current ETS exposure in nonmanufacturing workplaces where smoking occurs. Considering factors other than demographic factors, we found that, not surprisingly, the number of cigarettes observed in the workplace had an impact on exposure concentrations. Finally, we compared people from homes where smoking occurs with people from nonsmoking homes and found that people from smoking homes observed more smoking in the workplace and experienced higher concentrations of ETS-related compounds in the workplace, even when they observed the same number of cigarettes being smoked in the workplace. In two subsequent articles in this series, we discuss relationships between various ETS markers and provide estimates of distributions of doses to nonsmoking workers employed in workplaces where smoking occurs.  相似文献   
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Community-centered clinical practice requires understanding of relational aspects of community and place and how these unfold in the lives of clients. However, many students lack such conceptual understanding and consequently struggle to define how they might be integrated into clinical practice. This article illustrates the use of three novels to facilitate such understanding in a graduate clinical practice course. The novels examine the experiences of a middle-aged White widower, a Black woman, and a young Aboriginal man as they alternatively avoid, reject, find, and ultimately cherish their place in community and their community in place.  相似文献   
115.
BackgroundInduction of labour often begins with the application of a priming agent to soften the cervix, generally requiring women to stay in hospital overnight (inpatient priming). An alternative is outpatient priming by a midwife, where women are allowed to go home following priming. This approach has the potential to impact, either positively or negatively, on the midwives involved.QuestionTo what extent did the introduction of outpatient priming influence midwives’ work demands, work autonomy, stress and job satisfaction.MethodsA before–after study (with two separate cross-sectional samples) was conducted alongside a randomized controlled trial of outpatient versus inpatient priming, conducted at two metropolitan teaching hospitals in Australia. Midwives completed a questionnaire before the introduction of outpatient priming and again approximately two years later.Findings208 midwives participated (response rates-time 1:81% (87/108); time 2:78% (121/156)). A mixed model analysis test of pre-post intervention differences found no changes in work demand, work autonomy and satisfaction. At time 2, over 80% of midwives reported that the introduction of the practice had reduced or made no difference to their work stress and workload, and 93% reported that outpatient priming had increased or had no impact on their job satisfaction. Furthermore, 97% of respondents were of the opinion that the option of outpatient priming should continue to be offered.ConclusionResults suggest that outpatient priming for induction of labour is viable from a midwifery practice perspective, although more research is needed.  相似文献   
116.
The present study examined the influence of infant visual cues on maternal vocal and facial expressiveness while speaking or singing and the influence of maternal visual cues on infant attention. Experiment 1 asked whether mothers exhibit more vocal emotion when speaking and singing to infants in or out of view. Adults judged which of each pair of audio excerpts (in view, out of view) sounded more emotional. Face‐to‐face vocalizations were judged more emotional than vocalizations to infants out of view. Moreover, mothers smiled considerably more while singing than while speaking to infants. Experiment 2 examined the influence of video feedback from infants on maternal speech and singing. Maternal vocalizations in the context of video feedback were judged to be less emotional than those in face‐to‐face contexts but more emotional than those in out‐of‐view contexts. Experiment 3 compared six‐month‐old infants’ attention to maternal speech and singing with audio‐only versions or with silent video‐only versions. Infants exhibited comparable attention to audio‐only versions of speech and singing but greater attention to video‐only versions of singing. The present investigation is unique in documenting the contribution of infant visual feedback to maternal vocal emotion in contexts that control for infants’ presence, visibility, and proximity.  相似文献   
117.
This article describes counselling practice as social action, reporting on a case of children witnessing community violence and its aftermath. Highlighted is the role of friends who made a stand of solidarity against such violence. Outsider witness practices helped recruit and grow a community of care for the client and his friends. This community of care was significantly enhanced by the involvement of a lawyer/musician/activist who composed a song with the three friends to take a stance against guns and violence in their society. Caring solidarity, generosity and doing hope together formed small but significant alliances against entrenched practices of violence.  相似文献   
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Non‐shared environmental influence (NSE) has been found to account for around 50 percent of anxiety variance, but specific NSE factors have not been identified. Discordant monozygotic (MZ) twins can be used to generate relevant hypotheses because MZ discordance can be caused by NSE, but not by genes or shared environment. Of 1590 MZ pairs teacher rated for anxiety at the age of seven, we selected the most discordant 19 pairs and conducted interviews with them and their mothers. In explaining discordant anxiety, the mothers emphasised negative school experiences, comparisons within the twin relationship, and illness and accidents. During the maternal interviews neonatal life events, parent–child relationships and peer rejection also emerged as potential NSE sources.  相似文献   
120.
Unlike other waste streams, municipal solid waste (MSW) is collected manually, and MSW collection has recently been found to be among the highest-risk occupations in the United States. However, as for other occupational groups, actual total injury rates, including the great majority of injuries not compensated and those compensated by other insurance, are not known. In this article a predictive Bayesian method of assessing total injury rates from available information without computation is presented, and used to assess the actual numbers of musculoskeletal and dermal injuries requiring clinical care of MSW workers in Florida. Closed-form predictive Bayesian distributions that narrow progressively in response to information, representing both uncertainty and variability, are presented. Available information included workers' compensation (WC) data, worker population data, and safety records for one private and one public collection agency. Subjective input comprised epidemiological and medical judgment based on a review of 165 articles. The number of injuries was assessed at 3,146 annually in Florida, or 54 +/- 18 injuries per 100 workers per year with 95% confidence. Further, WC data indicate that the injury rate is 50% higher for garbage collectors specifically, indicating a rate of approximately 80 per 100 workers. Results, though subject to uncertainty in worker numbers and classification and reporting bias, agreed closely with a survey of 251 MSW collectors, of whom 75% reported being injured (and 70% reported illness) within the past 12 months. The approach is recommended for assessment of total injury rates and, where sufficient information exists, for the more difficult assessment of occupational disease rates.  相似文献   
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