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41.
The strengths and limitations of the modern environmental movement are assessed, using a contextual analysis, with a framework drawn from pragmatic analysis. Empirical summaries from recent policy-making supported by the movement: in community-based recycling, local toxic waste movements, and water pollution control document the fact that the movement has indeed developed some sustainable resistance in policy-making in the U.S. and at the Rio Conference. But it has also ignored those consequences of environmental protection which degrade the living conditions for many people of color and other low-income groups. The movement's failure to form enduring coalitions for linking environmental protection to social justice limits the movement's power, by permitting disempowered groups to be mobilized in opposition to environmental protection. We outline an alternative strategy, built around sustainable legitimacy, which will require changes in the composition and program of environmental movement organizations.  相似文献   
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The purpose of this study was to utilize simulated data based on an ongoing randomized clinical trial (RCT) to evaluate the effects of treatment switching with randomization as an instrumental variable (IV) at differing levels of treatment crossovers, for continuous and binary outcomes. Data were analyzed using IV, intent-to-treat (ITT), and per protocol (PP) methods. The IV method performed the best, since it provided the most unbiased point estimates, and it had equal or higher power and higher coverage probabilities compared to the ITT estimates, and because a PP analysis can be biased due to its exclusion of non-compliant patients.  相似文献   
44.

Aim

To gather Aboriginal women’s stories of smoking and becoming pregnant to identify the barriers in accepting smoking cessation support during pregnancy.

Methods

Qualitative data were collected through use of yarning methodology between August 2015 and January 2016 by an Aboriginal Researcher with experience in social and community services. A short on-line survey was used to collect quantitative data. Interviews only recorded the therapeutic yarning process, which ranged from 9 to 45 min duration, averaging 30 min. Audio-recorded interviews were transcribed and independently coded. A general inductive analysis was used to determine emergent themes.

Results

Twenty Aboriginal women between 17–38 years of age, who were pregnant or recently given birth, living in the Hunter New England (HNE) area took part. Eleven women were still smoking; nine had quit. Most were highly aware of the implications of smoking for their babies. Major themes identified for accepting support were: ambivalence towards a need for support, health professional advice, reduction in smoking, and attitudes to Nicotine Replacement Therapy (NRT). Women reported being advised to cut down, rather than to quit; reducing consumption may be a barrier to accepting NRT. Women recommended enhanced clinical support and Aboriginal community engagement in cessation care.

Discussion/conclusions

Aboriginal women in the HNE area reported quitting or reducing their cigarette intake during pregnancy. Health Professionals working with Aboriginal women during pregnancy should give consistent messages to quit smoking completely, and offer increased, ongoing and extensive smoking cessation support to Aboriginal mothers. Clinical practices could partner with Aboriginal communities to support the delivery of smoking cessation services.  相似文献   
45.
Intergenerational care is a program where both the younger and older generations are receiving programmed care in an environment where activities and resources are shared between them. Anecdotally, an intergenerational care program takes on many forms. This paper presents a systematic literature review of intergenerational care models. Our findings are relevant to policy makers as the paper highlights the opportunities to create an age-friendly environment by introducing intergenerational models in Australia, where intergenerational care development is in its infancy. Future research will help articulate the personal, social, and economic value of intergenerational care.  相似文献   
46.
As the integration of health and social care services progressesin the mental health sector, there is concern that mental healthsocial workers are disadvantaged, relative to health professionals,because they cannot identify the knowledge base for their practice.This paper argues that this concern is partly the product ofassuming that the knowledge base has to be premised upon randomizedcontrolled trials. Instead, it proposes a non-hierarchical frameworkbased on that developed in health research in Canada by Upshurand colleagues that generates a typology of knowledge whichis congruent with the main forms of inquiry that are relevantto mental health social work practice. The framework recognizesthe contribution of randomized controlled trials to the knowledgebase but also validates knowledge drawn from qualitative, epidemiological,practitioner and user knowledge. It is argued that the frameworkprofiles a wider knowledge base than that promoted by conventionalevidence-based practice, and also could be a basis for futuredevelopment of the research agenda in mental health social work.  相似文献   
47.
Why does local environmental degradation lead some communities to rebel while others remain politically complacent? This comparative analysis seeks a partial answer to that question through examination of the impacts of the social visibility of local environmental problems on political mobilization in the Great Lakes Basin. The data upon which this paper is based is drawn from original field research conducted in six environmentally contaminated communities in both the U.S. and Canada. The paper examines the efforts of industry, government and environmental organizations to manipulate the visibility of contaminants in order to promote or prevent the emergence of grass roots political activism. However, the data indicates that socially visible environmental disorganization increases local awareness of contamination, but has little bearing on the definition of that contamination as a problem requiring political action. The transformation of awareness of environmental problems into local political mobilization is not determined primarily by the social visibility of contaminants, their sources, or their impacts on the environment.  相似文献   
48.
The logic of Sweden's restrictive drug policy has led its advocates to promote increasingly extreme measures. Making the consumption of drugs not only a criminal offence but an imprisonable one has enabled the authorities to subject suspected drug users to urine and blood tests. This extreme policy can be understood as a response by a society so obsessed by health, cleanliness and order that drug use has taken on symbolic significance. In its determination to rid the social body of drugs, the Swedish authorities have shown that they will seek our pollution by whatever measures available. In doing so they are in danger of becoming repressive and intolerant.  相似文献   
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The use in genocidal propaganda of a modified ‘Hamitic Hypothesis’ (the assertion that African ‘civilisation’ was due to racially distinct Caucasoid invaders from the north/north-east of Africa) has become a key feature of commentary on the 1994 Rwandan genocide. In order to historicise the Hypothesis, the article first traces the transformation by European anthropology of the ‘Hamite’ in to a racial object and how the extraneous provenance of ‘the Tutsi’ was articulated in colonial Rwanda. The article then critically assesses the centrality of the Hypothesis in constructing the Tutsi population as a target of genocide. Finally, the article explores both the inadvertent and explicit ways in which contemporary commentary reiterates aspects of the ‘Hamitic assemblage’.  相似文献   
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