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51.
Abstract

The idea of a ‘love of humanity’, though largely absent from social work literature, is a potent concept for challenging the dominant discourses of individual material wealth, greed and power. It can be associated with the postmodern agenda of emancipation from oppressive discourses of professional ‘expertise’. Love, or a ‘love of humanity’, has the same intent as formulations of social work grounded in postmodern critical theory, but it uses a different language. It uses a language of lived experience and personal commitment - a language that appeals to our hearts -a language passionate about, and incorporating, human rights and social justice.  相似文献   
52.
53.
This article focuses on the pattern and impact of change leadership in complex, pluralistic, public sector settings, and specifically in English healthcare. The argument draws on evidence from ten comparative cases, exploring links between leadership patterns and organizational outcomes. Our analysis builds three themes. First, a pattern of widely distributed change leadership is linked to delivering improvements in service outcomes. Second, professional/managerial hybrids are shown to perform crucial lateral facilitation activities, adapting and extending their roles to suit their organizational context. Third, a foundation of good pre-existing relationships underpins the capacity of distributed leadership to implement service improvements. Conversely, poor relationships and conflicts erode the concerted capacity of distributed change leadership. The key contribution of this article thus concerns the establishment of links between situated patterns of distributed leadership, and service improvement outcomes, based on the cumulative effects of actors – managers and clinical hybrids – at different organizational levels.  相似文献   
54.
In 2010 the Danish regions started a new program of public health surveillance in collaboration with the national and local health authorities using the short form health survey (SF-12) for measuring and reporting on health related quality of life among the Danish adult population. The instrument has not, however, been validated in a Danish setting. The aim of this study was to assess the reliability and validity of the physical component summary (PCS) and the mental component summary (MCS) score of the 12-item short form health survey (SF-12) in a sample from Central Denmark Region. A total of 26,397 persons above the age of 25 were included in the analyses. Reliability was assessed by Cronbach’s α. The validity was assessed using known-groups comparisons and convergent validity. The factor structure was investigated through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The Cronbach’s α showed high reliability with a score of 0.90 and 0.85 for PCS and MCS respectively. The SF-12 discriminated well with respect to gender, age, educational status and long term illness. Individual items correlated higher with own hypothesized scales than with other scales and summary measures corroborating the convergent validity. The EFA gave a two-factor structure. Irrespective of the chosen rotation method (varimax and oblimin) the items related to PCS loaded on one factor and the items related to MCS loaded on another factor. The factor structure was validated with acceptable model-fit values in CFA. The SF-12 instrument is a reliable and valid measure of health related quality of life among the population of Central Denmark Region.  相似文献   
55.
Cette communication présente une analyse de cinq théories des déterminants des decisions des tribunaux à la lumière des donnees quantitatives tirées d'entrevues realisees avec un échantillon de parents de jeunes contrevenants. Les résultats indiquent qu'en dépit des réformes législatives, les infractions liées au statut juridique de la personne demeurent une réalité dans le système judiciaire canadien, et les facteurs associés aux décisions des tribunaux different selon que le délit est de nature criminelle au sens traditionnel ou qu'il est lié au statut juridique de la personne. À la différence de certaines études récentes, les résultats n'appuient pas la thèse libéralo-consensuelle, car diverses variables juridiquement pertinentes n'ont aucune influence sur les décisions du tribunal à l'égard de l'un ou de l'autre type de contrevenant. Par contre, les données relatives aux contrevenants de type traditionnel cadrent assez bien avec l'approche féministe, font penser que les sentences rendues sont plutôt l'inverse ce que prédirait un modèle strictement néo-marxiste et semblent indiquer que les tribunaux entretiennent des liens «flous» avec d'autres secteurs du systeme judiciaire juvénile. D'après les données relatives aux infractions liées au statut de la personne, l'explication des décisions des tribunaux résiderait surtout au niveau des mécanismes de contrôle social. Based on interviews with parents of a sample of young offenders appearing before a family court, this paper presents a quantitative test of five theoretical perspectives on sentencing. The results indicate that despite legislative change, status offenders are still a reality in Canadian courts and factors associated with court outcomes differ depending on whether the offence is of a traditional criminal nature or is a status offence. Contrary to recent research findings, results do not support a liberal/consensus perspective. Legally relevant variables are not found to affect court outcomes for either type of offence. Results for traditional offenders provide considerable support for a feminist perspective on court decision-making processes, suggest that social class effects on court outcomes may be the opposite to that predicted by a strictly neo-Mamian perspective, and provide some support for the notion that courts are ‘loosely coupled’ to other sectors of the juvenile justice system. Results for status offenders point in the direction of a social control explanation for court outcomes.  相似文献   
56.
AIMS: To examine changes in skin conductance level (SCL), for problem gamblers in response to personally relevant imaginal tasks, representing winning or losing. SETTING, DESIGN, PARTICIPANTS AND MEASUREMENTS: SCL and subjective arousal were compared for problem poker machine gamblers (n = 13) and a control group (n = 20). Participants were asked to describe a situation in which they had (a) won and (b) lost during a period of gambling. Before and during the task, recordings of SCL were taken. FINDINGS: There were significant differences between responses of problem and social gamblers. A significant interaction indicated that social gamblers became more aroused in reaction to winning than losing, whereas problem gamblers became equally aroused in response to both tasks. CONCLUSIONS: The results suggest that it may be responses to losing, rather than winning that are paramount to the development and maintenance of problem gambling.  相似文献   
57.
The main aims of this study are to document whether an intervention for promoting evidence-based public health practice had been delivered as intended and to explore the reasons for its lack of impact. Process data from the implementation of the program and data from interviews with 40 public health physicians are analyzed. Although they expressed satisfaction with the service, the doctors experienced the program as rather irrelevant for their daily work. They did not perceive that they dealt with many issues relevant for the use of research information, and if they did, referring to research would not make any difference to the way others perceived their advice. There is a need to develop more overlying strategies for integrating evidence into decision making than addressing the individual level.  相似文献   
58.
OBJECTIVES: Identify associations between lack of formal boater training, drinking and boating, and other unsafe boating practices. METHODS: A telephone survey queried respondents (age 16 or older in continental United States) about boating experience, type of boat used, and training. RESULTS: Of the 3,042 boaters surveyed (70% response), most had no formal training (73%). Boaters with formal training failed to use PFDs about as often as those without formal training and were equally or more likely to use alcohol while boating. CONCLUSIONS: The unexpected association between formal training and unsafe boating practices is probably due to reduced risk perception and inadequacies of boater training programs. Such programs seldom mention the risks of alcohol use while boating. Decisions to mandate formal training should be informed by these results; if mandated, training should address the risks of alcohol use while boating, and should be renewed frequently enough to offset reductions in risk perception.  相似文献   
59.
We present a new biclustering algorithm to simultaneously discover tissue classes and identify a set of genes that well-characterize these classes from DNA microarray data sets. We employ a combinatorial optimization approach where the object is to simultaneously identify an interesting set of genes and a partition of the array samples that optimizes a certain score based on a novel color island statistic. While this optimization problem is NP-complete in general, we are effectively able to solve problems of interest to optimality using a branch-and-bound algorithm. We have tested the algorithm on a 30 sample Cutaneous T-cell Lymphoma data set; it was able to almost perfectly discriminate short-term survivors from long-term survivors and normal controls. Another useful feature of our method is that can easily handle missing expression data.  相似文献   
60.
Two approaches to the problem of goodness-of-fit with nuisance parameters are presented in this paper, both based on modifications of the Kolmogorov-Smirnov statistics. Improved tables of critical values originally computed by Lilliefors and Srinivasan are presented in the normal and exponential cases. Also given are tables for the uniform case, normal with known mean and normal with known variance. All tables were computed using Monte Carlo simulation with sample size n = 20000.  相似文献   
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