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71.
A growing body of research and theorising explores the experience of groups who maintain ties to multiple nations. However, this research often overemphasizes the fluidity and freedom available to migrants and neglects the differential access to networks available to co‐nationals who vary in their class, ethnic, gender and affiliational characteristics. Drawing on fieldwork and in‐depth interviews with Israeli migrants in the USA and Britain, and returnees in Israel, this study considers how social characteristics and settlement contexts shape access to the networks through which migrants acquire resources and information. Findings suggest that highly educated Israelis of European origins often maintain distinct social networks from their less educated and Middle Eastern or North African co‐nationals. Further, middle‐class Israelis have greater legal and economic access to migration and return than those with less human and financial capital. Israeli men and single women often prefer life abroad, while married women, especially those with children, wish to return. Finally, destinations influence migrants’ relations with the country of origin: Los Angeles fosters greater assimilation than London. In conclusion, because Israeli migrants are a diverse population, they maintain multiple networks and exhibit dissimilar patterns of connection to both the country of origin and places of destination.  相似文献   
72.

Background

Reduced hip muscle strength has been shown to be a major factor related to falls in older persons. However, comprehensive assessment of hip abduction strength in the clinical setting is challenging. The aim of this study was to investigate the feasibility and intra-rater reliability of a quick and simple hip abductor strength test in a functional standing position.

Methods

Individuals over 65 years of age were recruited from the geriatric department of a university hospital and an outpatient clinic. Thirty-two older subjects, including 16 fallers (≥1 fall during the last 12 months) and 16 non-fallers were included. Maximum voluntary isometric strength (MVIS) and rate of force generation (RFG) of the hip abductors of the right leg were evaluated in a standing position using a hand-held dynamometer. Two test-sessions were carried out. All hip strength values were normalized to participants’ weight. Reliability was determined using the intra-class correlation coefficient agreement (ICCagreement), the standard error of measurement (SEM) and a Bland and Altman analysis (BA).

Results

All participants completed the strength tests, which took a mean 2.47?±?0.49 min (one limb). Intra-rater reliability was higher for MVIS (0.98[0.95–0.99]) than RFG (ICC?=?0.93[0.87–0.97]) for the entire sample. In the non-fallers, ICC was 0.98[0.95–1.00] (SEM?=?0.08 N.kg??1) for MVIS and 0.88[0.75–0.96] for RFG (SEM?=?1.34 N.kg-1.s-1). In the fallers, ICC was 0.94[0.89–0.98] (SEM?=?0.11 N.kg??1) for MVIS and 0.93[0.84–0.98] (SEM?=?1.12 N.kg??1.s??1) for RFG. The BA plot showed that the MVIS and RFG values did not differ across test-sessions, showing that no learning effect occurred (no systematic effect). The mean differences between test-sessions were larger and the LOA smaller in the fallers than in the non-fallers.

Conclusion

Assessment of hip strength in a standing position is feasible, rapid and reliable. We therefore recommend this position for clinical practice. Future studies should investigate the diagnostic value of hip abductor strength in standing to discriminate between fallers and non-fallers, and to determine if change in strength following a falls prevention program reduces the risk of falls.
  相似文献   
73.
Competing risk methods are time‐to‐event analyses that account for fatal and/or nonfatal events that may potentially alter or prevent a subject from experiencing the primary endpoint. Competing risk methods may provide a more accurate and less biased estimate of the incidence of an outcome but are rarely applied in cardiology trials. APEX investigated the efficacy of extended‐duration betrixaban versus standard‐duration enoxaparin to prevent a composite of symptomatic deep‐vein thrombosis (proximal or distal), nonfatal pulmonary embolism, or venous thromboembolism (VTE)–related death in acute medically ill patients (n = 7513). The aim of the current analysis was to determine the efficacy of betrixaban vs standard‐duration enoxaparin accounting for non‐VTE–related deaths using the Fine and Gray method for competing risks. The proportion of non‐VTE–related death was similar in both the betrixaban (133, 3.6%) and enoxaparin (136, 3.7%) arms, P = .85. Both the traditional Kaplan‐Meier method and the Fine and Gray method accounting for non‐VTE–related death as a competing risk showed equal reduction of VTE events when comparing betrixaban to enoxaparin (HR/SHR = 0.65, 95% 0.42‐0.99, P = 0.046). Due to the similar proportion of non‐VTE–related deaths in both treatment arms and the use of a univariate model, the Fine and Gray method provided identical results to the traditional Cox model. Using the Fine and Gray method in addition to the traditional Cox proportional hazards method can indicate whether the presence of a competing risk, which is dependent of the outcome, altered the risk estimate.  相似文献   
74.
This paper reports on the evaluation of a kitchen garden program in primary schools in Victoria, Australia. It focuses on the motivations, impacts, and issues associated with volunteering in the program. The study revealed that volunteers are drawn from a range of sources, including: families of current and former students, former teachers, local residents, clients of aged care and/or disability services, other schools and communities, local universities, community organizations, the community services sector, and the corporate sector. Benefits to volunteers included: opportunities to use time productively, an increased sense of belonging, learning opportunities, and an increased sense of self-worth and enjoyment. For schools, volunteers enhanced engagement between the school and the local community, enabled them to engage more effectively with hard to reach groups, and increased student engagement. In addition, the involvement of volunteers improved the sustainability of the program, improved communication between teachers and families of students from minority ethnic groups, and gave students the chance to relate to new people, to learn from their experience and to have fun in working with the volunteers. Perhaps the most telling benefits to flow both to students and to volunteers were not the “three Rs—reading, w’riting and a’rithmetic” but the three Cs—confidence, capabilities, and connections. However, a clearly identified issue was the importance of matching volunteers’ motivations and needs with the roles they play to sustain current levels of volunteering and, therefore, the program itself.  相似文献   
75.
A major issue in all risk communication efforts is the distinction between the terms “risk” and “hazard.” The potential to harm a target such as human health or the environment is normally defined as a hazard, whereas risk also encompasses the probability of exposure and the extent of damage. What can be observed again and again in risk communication processes are misunderstandings and communication gaps related to these crucial terms. We asked a sample of 53 experts from public authorities, business and industry, and environmental and consumer organizations in Germany to outline their understanding and use of these terms using both the methods of expert interviews and focus groups. The empirical study made clear that the terms risk and hazard are perceived and used very differently in risk communication depending on the perspective of the stakeholders. Several factors can be identified, such as responsibility for hazard avoidance, economic interest, or a watchdog role. Thus, communication gaps can be reduced to a four‐fold problem matrix comprising a semantic, conceptual, strategic, and control problem. The empirical study made clear that risks and hazards are perceived very differently depending on the stakeholders’ perspective. Their own worldviews played a major role in their specific use of the two terms hazards and risks in communication.  相似文献   
76.
This paper links the work of Sebastião Salgado, recipient of the 2010 American Sociological Association (ASA) Award for Excellence in the Reporting of Social Issues, with the discipline of sociology. I reflect on Salgado’s biography, method, and concerns in order to demonstrate how his work contributes to the awareness and understanding of social issues. Toward this end, I summarize sociology’s record of involvement with visual documentation. Prior to 1915, the American Journal of Sociology regularly included photographs that provided visual documentation of environments under study. However, as sociology moved away from social reform activities and toward scientific investigation, the regular publication of photographs ceased. During the 1930s and 1940s, photographic projects in disciplines and social movements beyond sociology developed a variety of methods that would prove useful to sociology. During the 1970s, sociologists once again began to use visual methods in their teaching, research, and publication, putting sociology in the position to both contribute to and benefit from insights and social commitments that have distinguished Sebastião Salgado as a globally significant photographer and social activist during the late twentieth and early twenty‐first centuries.  相似文献   
77.
Many managers of small and medium-sized enterprises (SMEs) are more concerned about survival rather than growth. There are consistent findings that indicate managers in SMEs do not respond favourably to offers of HRD interventions and government policy now recognizes the value of informal learning and demand-led intervention. A social constructionist approach is suggested to consider engaging and working with SME managers. A framework of SME ‘worlds’ is considered before the case of one SME is examined. Using data from three different sources, the various positionings are considered. The case shows how from an apparently antagonistic view of external training, the manager was prepared to allow a coach/mentor to work with him towards his vision for expansion and growth. Conclusions are provided concerning engagement and stretch with SMEs, policy and future funding for HRD and the definition of skills development.  相似文献   
78.
This article uses photo-elicitation interviews to explore Arab Americans’ reactions to a collection of photographs documenting ethnic community events in Detroit. Its goal is to gain insight into processes of identity construction that have occurred since 11 September 2001. Drawing on fieldwork and a review of journalistic and scholarly literature, the article examines connections to panethnic identity in respondents’ views of local geography, communal diversity, simultaneous involvement in United States and Arab culture, and understandings of racism.  相似文献   
79.
80.
Using our brains to develop better policy   总被引:1,自引:0,他引:1  
Current governmental practices often use a method called weight of evidence (WoE) to integrate and weigh different sources of information in the process of reaching a decision. Recent advances in cognitive neuroscience have identified WoE-like processes in the brain, and we believe that these advances have the potential to improve current decision-making practices. In this article, we describe five specific areas where knowledge emerging from cognitive neuroscience may be applied to the challenges confronting decisionmakers who manage risks: (1) quantifying evidence, (2) comparing the value of different sources of evidence, (3) reaching a decision, (4) illuminating the role of subjectivity, and (5) adapting to new information. We believe that the brain is an appropriate model for structuring decision-making processes because the brain's network is designed for complex, flexible decision making, and because policy decisions that must ultimately depend on human judgment will be best served by methods that complement human abilities. Future discoveries in cognitive neuroscience will likely bring further applications to decision practice.  相似文献   
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