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191.
This article explores the experiences of 14 students with severe and complex behaviour, their caregivers, and teachers/principals as the students transition from a disestablished residential school back to mainstream schools, with support from the Intensive Wraparound Service (IWS). Interviews were the primary source of data collection. Data were collated into 14 cases, and analysed using a general inductive approach. Two broad themes are addressed in the article: education and relationships/communication. The research found that the IWS is not living up to its rhetoric. Suggestions made for improvement are based on approaches that participants found worked for them.  相似文献   
192.
The present study analyzed the role that trait affectionate communication, an individual-level trait, plays in dyads’ enactment of relational maintenance behaviors. We hypothesized that trait affection positively predicts both husbands and wives’ enactment of relational maintenance behaviors. In addition, we hypothesized that the relative contribution of wives’ trait affection to relational maintenance would be stronger than that of husbands. One hundred and forty-three married heterosexual couples completed questionnaires, and data were analyzed using the actor-partner interdependence model. Results revealed significant actor effects in 9 out of 10 cases. Results also revealed four partner effects. Husbands and wives’ trait affection mutually influenced their enactment of assurances, and husbands’ trait affection positively predicted wives’ enactment of positivity and network sharing. Results are discussed in terms of relational maintenance research and theories of affectionate interaction.  相似文献   
193.
Little research has investigated the division of child care and housework in adoptive or lesbian/gay parent families, yet these contexts “control for” family characteristics such as biological relatedness and parental gender differences known to be linked to family work. This study examined predictors (measured preadoption) of the division of child care and housework (measured postadoption) in lesbian (n = 55), gay (n = 40), and heterosexual (n = 65) newly adoptive couples. Same‐sex couples shared child care and housework more equally than heterosexual couples. For the full sample, inequities in work hours between partners were associated with greater discrepancies in partners' contributions to child care and masculine tasks; inequities in income between partners were related to greater discrepancies in contributions to feminine tasks. Participants who contributed more to child care tended to contribute more to feminine tasks. These findings extend knowledge of how labor arrangements are enacted in diverse groups.  相似文献   
194.
Re-conceptualizing habitus as a complex of inculcated moral dispositions that—particularly within the racialized social system of the United States—are racially-constituted, this article proposes a framework through which racial conflict and structural/cultural domination within interracial religious organizations, and perhaps other volunteer organizations, may be analyzed. Drawing upon qualitative data from a study of fundraising experiences within interracial evangelical organizations, I demonstrate, first, that racial conflicts within these organizations are best framed as disputes over moral standards arising out of divergent, racially-constituted, moral dispositions, and second, that these conflicts are worked out via the institutionalization and instilment of white cultural norms, ultimately resulting in the hegemony of white moral standards within the organizations.  相似文献   
195.
In the last four decades, we have witnessed vast and important transitions in the social, economic, political, and health contexts of the lived experiences of gay men in the United States. This dynamic period, as evidenced most prominently by the transition of the gay rights movement to a civil rights movement, has shifted the exploration of gay men’s health from one focusing primarily on HIV/AIDS into a mainstream consideration of the overall health and wellbeing of gay men. Against this backdrop, aging gay men in the United States constitute a growing population, for whom further investigations of health states and health-related disparities are warranted. In order to advance our understanding of the health and wellbeing of aging gay men, we outline here a multilevel, ecosocial conceptual framework that integrates salient environmental, social, psychosocial, and sociodeomgraphic factors into sets of macro-, meso-, and micro-level constructs that can be applied to comprehensively study health states and health care utilization in older gay men.  相似文献   
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Control charts are used to detect changes in a process. Once a change is detected, knowledge of the change point would simplify the search for and identification of the special cause. Consequently, having an estimate of the process change point following a control chart signal would be useful to process analysts. Change-point methods for the uncorrelated process have been studied extensively in the literature; however, less attention has been given to change-point methods for autocorrelated processes. Autocorrelation is common in practice and is often modeled via the class of autoregressive moving average (ARMA) models. In this article, a maximum likelihood estimator for the time of step change in the mean of covariance-stationary processes that fall within the general ARMA framework is developed. The estimator is intended to be used as an “add-on” following a signal from a phase II control chart. Considering first-order pure and mixed ARMA processes, Monte Carlo simulation is used to evaluate the performance of the proposed change-point estimator across a range of step change magnitudes following a genuine signal from a control chart. Results indicate that the estimator provides process analysts with an accurate and useful estimate of the last sample obtained from the unchanged process. Additionally, results indicate that if a change-point estimator designed for the uncorrelated process is applied to an autocorrelated process, the performance of the estimator can suffer dramatically.  相似文献   
199.
In recent years, scholars have pointed to the Black church as the driving force behind Blacks’ more conservative lesbian, gay, bisexual, and transgendered (LGBT) attitudes. Although evidence suggests a robust association between religiosity and LGBT attitudes, contemporary scholarship has not examined the role of class or the extent to which religiosity actually explains these trends. Using the 2004–2014 waves of the General Social Survey, we find that class moderates in the effect of race on negative LGBT attitudes, resulting in a noticeably larger gap between middle-class Blacks and Whites than in the top or the bottom of the class distribution. Although religiosity and moralization explain a portion of racial differences in homosexual attitudes across class groups, we find that neither fully accounts for the more conservative attitudes of the Black middle class. We conclude by discussing the shortcomings of these narratives for understanding Blacks’ more conservative LGBT attitudes.  相似文献   
200.
Objectives: Interventions are critical to improving clinical outcomes in elder self-neglecters. This study assessed feasibility of a randomized controlled trial of oral vitamin D in Adult Protective Services-substantiated self-neglect clients ≥65 years.

Methods: Participants were directly observed to consume ergocalciferol 50,000 IU (treatment) or ergocalciferol 400 IU (control), once a month, for 10 months. For months 6–10, half the control group randomly crossed into the treatment group (crossover). Intervention feasibility was measured by number of potential participants who agreed to participate and by retention rates during the study.

Results: Ninety-four referrals were received and 59 (63%) agreed to participate. Forty-nine participants were enrolled after prescreening and 35 completed the two-phase trial for a 72% retention rate. The participants’ average age was 75.2 ± 6.8 years, mainly female (59%), African-American (47%), and living alone (41%).

Discussion: Despite assumptions that self-neglecters are resistant to care, we have successfully conducted the first clinical intervention in this vulnerable population.  相似文献   

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