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331.
Child maltreatment cases involving substance abuse have increased. Estimates reveal that between 40% and 80% of all families involved with child protection have substance-abuse issues. Only 12%-20% of substance-abusing families regain custody of their children. Little is known about the factors that contribute to substance-abusing women regaining or losing custody of their children. Using the Multiple Embedded Case Study method, this study illuminates the experiences and feelings of mothers struggling to overcome addiction and highlights the main differences between women who regained custody and those who permanently lost custody of their children. In this study, 50% of the women lost custody and 50% regained custody of their children. The women who lost custody of their children tended to be in survival mode, characterized as going through the motions, engaging in acting-out behaviors, and failing to follow treatment recommendations. The women who regained custody of their children tended to thrive, characterized as having internal motivation, taking responsibility, and engaging the material. This study advances our knowledge of the factors contributing to reunification. Understanding these factors can lead to the development of practices that increase the likelihood of reunification for families struggling to overcome addiction.  相似文献   
332.
Youth justice under the Coalition government in England and Wales has been characterised by considerable gains — falling youth crime, increased diversion and substantial reductions in child imprisonment — that would generally be associated with a progressive agenda. Focusing on youth justice policy in England and Wales, this article suggests that the tensions implicit in a government of the new right delivering outcomes that demonstrate an increased tolerance to children who offend can be explained by the logic of austerity. That same logic brings with it other policy measures that are potentially less compatible with children's well‐being.  相似文献   
333.
Previous studies of smoking risk beliefs have focused almost exclusively on risks to the smoker. Using an original set of survey data from Spain, we examine the public's perceived risks from exposures to environmental tobacco smoke. The risk categories considered included lung cancer, heart disease, life expectancy loss, and low birth weight for children of smoking mothers. Risk beliefs were quite high, often dwarfing scientific estimates of the risk. The results are consistent with overestimation of risks from highly publicized, low probability events.  相似文献   
334.
This paper is centred on the analysis of the information embedded in the optimal weights of the assets in the CAPM and the Bamberg–Dorfleitner model. On this basis, first we find a functional relationship between the optimal weights of both models. Next, we find a set of performance indicators that express the contribution of each asset to the reward/volatility ratio measured as the Sharpe ratio or through a utility function. For the Bamberg–Dorfleitner model these indicators also lead to identify the contribution of each independent variable to the reward/volatility ratio. Technically, these connections are obtained through the covariance-normalized portfolio that consists of a transformation of the inverted covariance matrix. The additive property of covariances is transmitted to the indicators. These results enable investors and portfolio managers to obtain a precise knowledge of the causes of the value of the reward/volatility ratio. From the corporate point of view, this approach contributes to a better identification of the features of the different types of investors to whom to focus the corporate financial policy.  相似文献   
335.
Xiong  Yi  Braun  W. John  Hu  X. Joan 《Lifetime data analysis》2021,27(3):388-412
Lifetime Data Analysis - Understanding the distribution of an event duration time is essential in many studies. The exact time to the event is often unavailable, and thus so is the full event...  相似文献   
336.
This paper focuses on financial strain across the life course as a condition underlying health inequalities observed in later life. The analysis is based on data from 1167 adults 65 years and older collected as part of the 'Aging, Stress and Health Study". Relying on retrospective data about hardship experienced over the life course, we find that long-term financial hardship is reflected in a range of health outcomes at late life, even after controlling for the effects of current financial circumstances. Moreover, the sheer persistence of hardship matters more than its episodic occurrence or timing, so that the health effects of early hardship may be obviated if followed by no further hardship. This pattern offindings is consistent with the notion of allostatic load, the cumulative damage done to health and well-being under the burden of an unrelenting stressor in a critically important life domain.  相似文献   
337.
The investigators conducted a pilot study to detect suicide risk in adolescents and adults seeking treatment in an emergency department, as well as to test the reliability and validity of the 4-item Risk of Suicide Questionnaire (RSQ). This study expanded the implementation of the RSQ beyond its initial use with children and adolescents with psychiatric symptoms who were seeking treatment in a pediatric emergency department to include adolescent and adult patients in a Level I trauma center. An advanced practice psychiatric nurse verbally administered the RSQ to a convenience sample of 104 emergency department patients ages 12 to 82. Psychometric analysis demonstrated an adequate degree of reliability and criterion-related validity for the RSQ. Approximately 30% of all patients who participated screened positive for suicide risk. The results support the continued use of the 4-item RSQ with all adolescents and use of a reduced 2-item form of the RSQ with adults exhibiting psychiatric chief complaints to determine imminent risk of suicide in patients who seek treatment in the emergency department. Nurses in all health care settings need to initiate suicide screening and implement nursing interventions directed toward suicide prevention.  相似文献   
338.
Newly released census microdata reveal the nearly worldwide and substantial decline in educational hypergamy (women marrying men with higher educational attainment) across 56 countries from the 1970s to the 2000s. We examine the extent to which the observed decrease in hypergamy is connected to the worldwide rise in female educational attainment. Our results show that educational hypergamy is an enduring form of gender inequality in union formation across the countries examined but that it has been decreasing over the last few decades and in some countries has reversed in recent years. Overall, we find a strong association between hypergamy and gender differences in educational attainment. Societies in which the female educational advantage is greater tend to have lower levels of educational hypergamy. There is a tendency toward a joint increase in women's educational levels and a decrease in educational hypergamy. This article underlines the influence of women's educational opportunities on the increase in gender symmetry in assortative mating, which leads us to predict the end of educational hypergamy.  相似文献   
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