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151.
This article strives to share research findings concerning the rights and empowerment of the elderly living in various long-term care (LTC) or residential care facilities (public and private sectors) in Quebec, Canada. Inspired by the theories of constructivism, the research aims to understand the residents’ perception of abuse, as well as the strategies they are developing to exercise their rights and liberties. Data from semistructured interviews with 20 residents, mostly very old women aged 80 to 98, are presented. Results show that residents’ perception of abuse: (1) is conditioned by sensationalistic media coverage; (2) is limited to physical mistreatment; and (3) tends to legitimize day-to-day infringements of their rights, as these “minor” violations seem inoffensive when compared to the “real” acts of violence reported in the media. Tensions that can build up among residents, sometimes resulting in intimidation or even bullying, were addressed. 相似文献
152.
A pilot study of CBT versus escitalopram combined with CBT in the treatment of pathological gamblers
Helga Myrseth Helge Molde Inge Jarl Støylen Bjørn Helge Johnsen Fred Holsten Ståle Pallesen 《International Gambling Studies》2013,13(1):121-141
We conducted a randomised controlled trial pilot study (N = 30) with two treatment groups: (1) Manualised cognitive behavioural therapy (CBT) (n = 15) and (2) escitalopram combined with CBT (n = 15). Treatment was administered individually and the CBT included weekly sessions for eight consecutive weeks. The treatment with escitalopram lasted for a minimum of 16 weeks (20 mg/day), with an optional continuation for a 6-month follow-up period. Repeated measures ANOVA with modified intent-to-treat analyses were conducted. Results showed significant time effects on all measures for both treatment conditions, although no significant group or time × group effects. The results indicated that both treatments were effective in the short term (effect sizes (ES) ranging from 0.45 to 0.91 for the CBT group and 0.27 to 0.72 for the escitalopram+CBT group), and that adding CBT to escitalopram had no additional statistically significant effect (between-group ES of 0.11 and 0.29 for primary outcome measures at 16-weeks post-treatment). 相似文献
153.
Klaus Schüle 《European review of aging and physical activity》2013,10(1):61-64
Since 1978, exercise and sport therapy for oncological patients is a research and education focus at the German Sport University of Cologne. Back then, the top priority for almost all oncological patients was to “rest”. Therefore, uncharted territory was entered. Aside from acute care hospitals, rehabilitation hospitals especially for oncological patients exist in Germany. In terms of the rehabilitation chain, which consists of acute care hospital, rehabilitation center, and home-based training, and the aspect of exercise therapy for breast cancer patients, the following progress could be observed in the last 30 years: In the 1980s, less than 50 % of the breast cancer patients received supervised exercise therapy during their 2- to 3-week hospital stay. Today, the length of hospital stay was reduced to 4 to 6 days and some hospitals have gym equipment to increase strength and endurance. In the beginning of the 1980s, passive applications (physiotherapy, massages, bubble baths, short hikes) were still dominant. While the rehabilitation stay took 6 weeks back then, it was reduced to 3 weeks today. Further, mainly group-based and active measures are applied today. The aim is to encourage and motivate patients to long-term physical exercise. In the meantime, mainly exercise and sports therapists are employed, in order to meet the holistic bio-psychosocial requirements. The first cancer sports groups for breast cancer patients in the aftercare were founded in 1981 in Germany. Today, nearly 1,000 groups exist. Breast cancer and 15 other entities are represented, however mainly women take part. In the early days, research focused on the influence of physical activities on psychosocial aspects. Lately the effects on molecular, biological, and immunological parameters are also examined, in order to explore canceroprotective mechanisms. 相似文献
154.
Gary CameronLirondel Hazineh Karen FrenschNancy Freymond Michèle PreydeBob Gebotys Ian DeGeerTrudy Smit Quosai 《Children and youth services review》2011,33(6):945-954
This multi-faceted study assessed the differences between accessible and central child protection service delivery sites in Ontario on: (1) family functioning; (2) front-line child protection service providers' satisfaction with services; (3) parents' satisfaction with services; (4) the services and supports available to families; (5) front-line service job satisfaction; and (6) front-line helping relationships in child welfare. A quasi-experimental outcome design gathered data from parents at case-opening and approximately 10 months later. Semi-structured individual or group qualitative interviews were conducted with parents, front-line service providers, and supervisors/managers. Information also was gathered from agency files. Front-line service providers completed an employment questionnaire. Findings indicated that the accessible sites were able to foster a greater proportion of cooperative helping relationships with families and to create more service partnerships. Parents at the accessible sites were more positive about their service involvements and more willing to ask for help again in the future. Front-line child protection service providers at both service delivery models described positive aspects of their jobs as well as frustrations with the expectations of the formal child protection system. 相似文献
155.
The starting point for our research is a model of developmental space designed by Coenders. Developmental space in this model is a social space arising from interaction between people. Coenders states that this developmental space is conditional for the probability of success for groups working on innovation. This model is relevant and useful because it is increasingly common for groups in organizations to work on innovation. Human Resource Development (HRD) professionals, involved in organizational development, often facilitate these groups as a process consultant. The model of Coenders is not complete yet, and for analysing and influencing the developmental space, the model is too complex. In a developmental research, we refine and adjust the model of the developmental space. The goal of our study is to develop a model of the developmental space as a starting point for groups and HRD professionals to analyse and influence that space. 相似文献
156.
Risk Perception and Personality Facets 总被引:1,自引:1,他引:1
The present study examined the relationship between personality facets and risk perception using the Big Five model. A broad range of hazards was considered: energy production, pollutants, sex, deviance, addictions, weapons, common individual hazards, outdoor activities, medical care, and psychotropic drugs. Key personality facets that were most predictive of risk perception compared to (or in association with) age, gender, educational level, and personality factors were identified. They were moderation and tranquility (associated with energy production or pollutants), rationality and efficiency (associated with pollutants, sex, deviance, addictions, or weapons), creativity, imagination, and reflection (associated with energy production, pollutants, or common individual hazards), self-disclosure (associated with outdoor activities), and nurturance and tenderness (associated with sex, deviance, addictions, or medical care). These facets may be recommended for use in future studies on risk perception. 相似文献
157.
Mikhail Golosov Larry E. Jones Michle Tertilt 《Econometrica : journal of the Econometric Society》2007,75(4):1039-1071
In this paper, we generalize the notion of Pareto efficiency to make it applicable to environments with endogenous populations. Two efficiency concepts are proposed: ℘‐efficiency and 𝒜‐efficiency. The two concepts differ in how they treat potential agents that are not born. We show that these concepts are closely related to the notion of Pareto efficiency when fertility is exogenous. We prove a version of the first welfare theorem for Barro–Becker type fertility choice models and discuss how this result can be generalized. Finally, we study examples of equilibrium settings in which fertility decisions are not efficient, and we classify them into settings where inefficiencies arise inside the family and settings where they arise across families. 相似文献
158.
Whereas part-time working remains the exponent par excellence of the flexibility of female employment, its relative growth seems to have come to a standstill in both Denmark and the United Kingdom as far as women are concerned, and for men it is now becoming more a matter of young people offsetting studies and work. In France, the Netherlands, Belgium, the UK, Ireland and Germany, the increase in female employment between 1983 and 1989 is largely attributable to the growth of part-time employment. The difference with respect to the countries of the South of Europe is striking since the proportion of part-time working there is low, and has not increased significantly since 1983. Its concentration in already very close sectors, its non-optional nature, insecurity and awkward working hours make part-time employment of very little personal value for employees. 相似文献
159.
Theoretical explanations suggest that wage differentials between immigrant and native workers are generated either by differences in the acquisition of human capital or by various forms of exclusion of immigrants from fair labour market rewards. We evaluate the labour quality and labour market discrimination hypotheses by using a large sample of Swedish employees in 1995. Our findings show that labour market integration is relatively unproblematic for immigrants from Western countries, whereas immigrants from other countries, especially from Africa, Asia and Latin America, face substantial obstacles to earnings progress when entering the Swedish labour market. For the latter group of countries, extensive controls for general and country‐specific human capital reduce the earnings differentials. However, the remaining gap is of a non‐trivial magnitude. Thus, the labour quality hypothesis accounts for a part of the observed native–immigrant wage gap, but the remaining differentials can be interpreted in terms of labour market discrimination. 相似文献