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Development and validation of a tool to improve physician identification of elder abuse: the Elder Abuse Suspicion Index (EASI) 总被引:3,自引:3,他引:0
This study aimed to develop and validate a brief tool for physician use to improve suspicion about the presence or absence of elder abuse. A literature review on elder abuse, obstacles to its identification, limitations of detection tools, and characteristics of screeners employed by physicians were used to generate elder abuse detection questions for critique by 31 doctors, nurses, and social workers in focus groups. Six resulting questions became the Elder Abuse Suspicion Index (EASI) administered by 104 family doctors to 953 cognitively intact seniors in ambulatory-care settings. Findings were compared to a recognized, detailed elder abuse Social Work Evaluation (SWE) later administered to participants by social workers blinded to the results of the EASI. The EASI had an estimated sensitivity and specificity of 0.47 and 0.75, usually took less than 2 minutes to ask, and 97.2% of doctors felt it would have some or big practice impact. This research is a first phase in the development and validation of a user-friendly tool that might sensitize physicians to elder abuse and promote referrals of possible victims for in-depth assessment by specialized professionals. 相似文献
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L. Marvin Overby PhD 《Journal of homosexuality》2014,61(4):568-587
Using survey data from the 2008 election cycle, this article updates and extends analysis of public attitudes regarding various aspects of homosexuality. Continued expansion of public belief in a biological root to homosexuality is found, and variations in such opinions are explored. Public attitudes toward the emerging issue of gay adoption is also examined, finding both similarities with and important differences from attitudes toward same-sex civil unions, although both are profoundly influenced by underlying attitudes regarding the causes of homosexuality. 相似文献
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Consider a subject entered on a clinicaltrial in which the major endpoint is a time metric such as deathor time to reach a well defined event. During the observationalperiod the subject may experience an intermediate clinical event.The intermediate clinical event may induce a change in the survivaldistribution. We consider models for the one and two sample problem.The model for the one sample problem enables one to test if theoccurrence of the intermediate event changed the survival distribution.This models provides a way of carrying out non-randomized clinicaltrial to determine if a therapy has benefit. The two sample problemconsiders testing if the probability distributions, with andwithout an intermediate event, are the same. Statistical testsare derived using a semi-Markov or a time dependent mixture model.Simulation studies are carried out to compare these new procedureswith the log rank, stratified log rank and landmark tests. Thenew tests appear to have uniformly greater power than these competitortests. The methods are applied to a randomized clinical trialcarried out by the Aids Clinical Trial Group (ACTG) which comparedlow versus high doses of zidovudine (AZT). 相似文献
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Marvin D. Free Jr. 《Sociological spectrum》2013,33(1):79-103
Using a sample of females employed in nonindustrial settings, a model of work satisfaction was proposed and tested using nonlinear iterative partial least squares (PLS). Included in the final model were three demographic variables (age, hierarchical level, and education); two organizational variables (routinization and size); and two economic variables (objective and perceptual measures of opportunity). Positive relationships were observed between age and work satisfaction and hierarchical level and work satisfaction. An inverse relationship between education and work satisfaction was detected also. Both of the organizational variables were negatively correlated with work attitudes. Objective measures of opportunity (e.g., the unemployment rate) were negatively related to perceived opportunity, and perceived opportunity was inversely related to work satisfaction. The model explained almost 33% of the variance in job satisfaction, although the objective measures of opportunity accounted for less than 2% of the variance in perceived opportunity. The best predictor of work attitudes was routinization. Perceived opportunity and size were the second and third best predictors, respectively. The implications of this research for organizational theorists and managers are discussed. 相似文献
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In this paper we propose a consensus forecasting method based on a convex combination of individual forecast densities. The exact Bayesian updating of the convex combination weights is very complex and practically prohibitive. We propose a simple sequential updating alternative method based on function approximation. Several examples illustrate the method. 相似文献
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An experiment was conducted to test certain theoretical predictions derived from theories proposed by Hall (1966) and by Sundstrom and Altman (1976). Forty-five opposite-sex pairs discussed either a high, medium, or low intimacy topic while standing facing each other at either an intimate (30 cm), personal (60 cm), or social (165 cm) interperson distance. Following discussion, participants rated their reactions to the interperson distance on several dimensions. The results provided no support for the hypothesis, inferred from Hall's theory, that subjects would prefer an interperson distance that corresponded to topic intimacy. Ratings of feelings about the interpersondistance revealed a nonlinear relationship between rated feelings and interperson distance that is partially in accord with expectations derived from Sundstrom and Altman's theory, although there were some inconsistent findings. 相似文献
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