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31.

Background

Castor oil is a substance used for labor induction in an inpatient setting. However, its efficacy as an agent for the induction of labor, for post-date pregnancies in an outpatient setup is unknown.

Objective

Efficacy of castor oil as an agent for the induction of labor, for post-date pregnancies in outpatient settings.

Methods

Eighty-one women with a low-risk post-date singleton pregnancy with a Bishop score  7, without effective uterine contractions were randomized to the intervention, 60 ml of castor oil, or the control, 60 ml of sun-flower oil. The primary outcome was proportion of women entering the active phase of labor 24, 36, 48 h after ingestion. Secondary outcomes included meconium stained amniotic fluid, abnormal fetal heart rate tracing, cesarean section rate, instrumental deliveries, birth weight, 5 min Apgar score, chorioamnionitis, hypertensive complications, retained placenta, and post-partum hemorrhage.

Findings

Intervention and control groups included 38 and 43 women, respectively. No differences in baseline characteristics, except for age were noted. The observed interaction between castor oil and parity was significant (pinteraction = 0.02). Multiparous women in the intervention group exhibited a significant beneficial effect on entering active labor within 24, 36 and 48 h after castor oil consumption compared with the placebo (Hazard Ratio = 2.93, p = 0.048; Hazard Ratio = 3.29, p = 0.026; Hazard Ratio = 2.78, p = 0.042 respectively). This effect was not noted among primiparous women. No differences in rate of obstetric complications or adverse neonatal outcomes were noted.

Conclusion

Castor oil is effective for labor induction, in post-date multiparous women in outpatient settings.  相似文献   
32.
This article is divided into three parts. In the first part, Galit, Boas's spouse, chronologically reviews the five periods of Boas's professional life—describing what is special to each period and what connects them—while relating to the centrality of values and the secret of charisma according to Boas Shamir. In the second part, Ronit, Boas's colleague, and his first doctoral student, relates to his role as mentor and presents the unique and novel theoretical perspectives that Boas developed concerning the identities of leaders and followers, and how they interact within the charismatic relationship. In the third part, Micha, Boas's friend and colleague, analyzes the relationship between Boas's personal history, the psycho-historical background in which he grew up, and the origins and uniqueness of his oeuvre.  相似文献   
33.
Recent models on the dynamics of immigration control claim that tightening internal borders may trigger the formation of networks supporting clandestine foreign workers. This may, in turn, increase the overall stock of illegal immigrants in the economy. One possible solution to this threatening situation might be to partly bounce back the struggle against illegal immigration to the source countries. This paper suggests that under certain conditions, the receiving country should direct some of the resources earmarked for coping with the problem of the illegal flow of workers to financially supporting the source countries, allowing them to compete among themselves for such aid. This support would be allocated according to the relative effort made by each source country in curbing illegal immigration, thereby motivating them to moderate the phenomenon. The model is also applicable to other fields of negative externalities, such as the smuggling of drugs and weapons, terrorism, and pollution.
Tikva LeckerEmail:
  相似文献   
34.
Leadership effectiveness is contingent on the ability to affect followers' emotions. This paper explores a model suggesting that the quality of the relationships between leaders and their followers (LMX) relates negatively to a display of negative emotions by employees during their interactions with customers, and subsequently relates to employees' performance and customers' emotions. The model was tested on a sample of 95 service employees and on 485 interactions between these employees and their customers. The findings show that LMX was negatively related to the display of hostility by employees towards their customers. Employee hostility was negatively related to employees' ability to provide a solution to customers' problems, which was further related to customers' hostility towards employees. We discuss the implications of these findings for both theory and practice.  相似文献   
35.
The present paper applies the distance equilibrium model in analysis of environmental planning in the areas of architecture, travel, and telecommunication. Travel is viewed as essential for therestoration of face-to-face contact lost through decentralized (sociofugal) architecture. Telecommunication is seen as a substitute for travel. While telecommunication cannot restore face-to-face interaction in its entirety, it can through compensation along available modalities (i.e., proxemic, kinesic, paralinguistic, and/or linguistic) allow functionally equivalent interaction distances. Finally, we define crowding across multiple modalities and multiple dyad terms. Contrary to convention, we argue that one can be crowded by Picturephone®, telephone, or letter as well as by face-to-face interaction, and is by one other person as well as by many.A portion of this paper was presented at the American Psychological Association meetings in Chicago, Illinois, August, 1975.  相似文献   
36.
Correspondence to Dr Ronit D. Leichtentritt, Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel. E-mail: ronitl{at}post.tau.ac.il Summary Sixteen social workers in Israel were interviewed about theirexperiences with and attitudes towards various forms of euthanasia,as well as the meanings they ascribe to them. Using phenomenologicalanalysis, seven themes were identified, emphasizing individual,interpersonal, organizational, social and therapeutic considerations,and suggesting a holistic and integrative structure of the phenomenon.The themes were arrived at by identifying distinctions and similaritiesbetween different forms of euthanasia. Two themes suggestingsimilarities were revealed: ‘diminishing the value oflife’ and ‘a call for help’. Three themeswere found to distinguish between passive euthanasia (withholdingand withdrawing life-sustaining treatment) and active forms(active euthanasia and assisted suicide): ‘legality’,‘social acceptance’ and ‘concern for the sickand dying’. The last two themes distinguished betweenwithholding treatment and assisted suicide, on the one hand,and withdrawing treatment and active euthanasia, on the other:‘the involvement of others as executor’ and ‘thepublicity of the act’. Further research and training isrequired to better inform social workers in this ethical area.Given their unique position, social workers should activelyparticipate in legal, social and therapeutic discussions concerningend-of-life decisions, for the benefit of clients, their familiesand health-care providers.  相似文献   
37.
Kahana  Nava  Lecker  Tikva 《Theory and Decision》2000,48(1):85-99
The paper examines when unilateral and bilateral pretence may be beneficial distinguishing between positive and negative externalities. Using a two-player single period game and defining altruism, selfishness and meanness as "sentimental continuity" it is shown how the optimal level of the pretended sentimentality is determined. The novelty of the model is that the optimal degree of altruism (meanness) depends on the extent of the positive (negative) externalities.  相似文献   
38.
39.
Studies show that family businesses need to manage conflict, but there has been little research on different conflict manifestations and their impact on families involved in businesses together. This study investigates the impact of six conflict styles on severity of conflict and quality of life for husbands and wives in 206 farm family businesses. Data analysis was done using structural equation modeling, with independent models for each gender. For men, the assertion style negatively impacted, and aggression positively impacted the severity of conflict; for women, aggression and withdrawal styles positively impacted, and denial negatively impacted severity of conflict. There was a strong negative relationship between severity of conflict and quality of life for both men and women in family businesses.  相似文献   
40.
A wealth of literature documents that women leaders can face simultaneous and yet conflictual demands for both agency and communion, due to the incongruence of their leader role and gender role demands. However, we still know little about why some women cope with the tensions between agency and communion better than others and what implications are involved. Using a paradox perspective, we develop a theoretical model to explain how women leaders experience and respond to agency-communion tensions, which impacts their intrapersonal and interpersonal outcomes. Specifically, we propose that in response to experiencing tensions fueled by the dual demands for agency and communion, women leaders can adopt a paradox mindset that simultaneously embraces agency and communion, or a dilemma mindset that dichotomizes agency and communion. The paradox mindset helps women leaders build psychological resilience, identity coexistence, and leadership effectiveness, whereas those who adopt a dilemma mindset experience depleted resilience, identity separation, and lowered leadership effectiveness. Further, our model highlights individual, interpersonal, and organizational conditions that shape women's experience and stimulate a paradox mindset versus a dilemma mindset. We conclude by discussing theoretical and practical implications of our model.  相似文献   
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