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81.
Aging lesbian, gay, and bisexual (LGB) adults often differ from their heterosexual counterparts in their social network. This study examined a sample of 220 LGB adults over 50-years-old; most were White, well-educated, and employed. Social networks were used to predict physical and psychological well-being and lifestyle/risk. Respondents had on average 2.5 members in their social network; 56 percent had at least one close friend. Support from friends rather than family predicted higher mental quality of life and lower depression, anxiety, and internalized homophobia. Study participants functioned within normal ranges of most psychological measures. However, they had serious health risks due to alcohol consumption and obesity (inwomen). Findings add further evidence of the importance of friends in providing social support among LGB adults.  相似文献   
82.
Most research on the effectiveness of prenatal care has focused on birth outcomes and has found small or no effects. It is possible, however, that prenatal care is “too little too late” to improve pregnancy outcomes in the aggregate, but that it increases the use of pediatric health care or improves maternal health-related parenting practices and, ultimately, child health. We use data from the Fragile Families and Child Wellbeing birth cohort study that have been augmented with hospital medical record data to estimate effects of prenatal care timing on pediatric health care utilization and health-related parenting behaviors during the first year of the child’s life. We focus on maternal postpartum smoking, preventive health care visits for the child, and breastfeeding. We use a multi-pronged approach to address the potential endogeneity of the timing of prenatal care. We find that first trimester prenatal care appears to decrease maternal postpartum smoking by about 5 percentage points and increase the likelihood of 4 or more well-baby visits by about 1 percentage point, and that it may also have a positive effect on breastfeeding. These findings suggest that there are benefits to standard prenatal care that are generally not considered in evaluations of prenatal care programs and interventions.  相似文献   
83.
84.
This study investigates effects of welfare reform in the United States on the next generation. Most previous studies of effects of welfare reform on adolescents focused on high‐school dropout of girls or fertility; little is known about how welfare reform has affected other teenage behaviors or boys. We use a difference‐in‐difference‐in‐differences framework to identify gender‐specific effects of welfare reform on skipping school, fighting, damaging property, stealing, hurting others, smoking, alcohol, marijuana, and other illicit drugs. Welfare reform led to increases in delinquent behaviors of boys as well as increases in substance use of boys and girls, with substantially larger effects for boys. (JEL K42, I12, I31, I38)  相似文献   
85.
Research into the management of professional service quality, other than in health care, has been very limited, despite being particularly problematical. This paper focuses on the interactive, highly customized and labour-intensive service offered by solicitors to their commercial and corporate clients. The intangible nature of legal services, the natures of the professionals themselves and the firms within which they operate, and the perceptions of risk brought to the service by the client create additional difficulties in managing the service and measuring client perceptions of it. Yet solicitors must understand the requirements of the group of clients they seek to serve in order to design their service to match those needs. Clients have to assume the technical competence of their solicitor. Moreover, they seek confidence when buying legal services. Our research, therefore, sought to gain an understanding of the process used by commercial and corporate clients when evaluating legal service, and of the factors that are key drivers in the creation of confidence.  相似文献   
86.
There is a growing awareness of the need for designers of organisational change to develop context sensitive approaches to implementation if change is to be successful. Existing change literature indicates that there are many aspects of an organisation’s change context that need to be considered, and a wide range of different implementation options open to those designing change. However, these contextual aspects and design options are not currently pulled together in a comprehensive manner, or in a form that makes them easily accessible to practitioners. This paper builds a framework, called the change kaleidoscope, which aims to achieve this. It illustrates the applicability of this framework in practice as an aid to managers in the development of context sensitive implementation approaches via a case study on the changes undertaken at Glaxo Wellcome UK since the early 1990s. This is an interesting case of a successful organisation that managed to change in a pro-active manner rather than in a crisis driven re-active manner. The paper concludes with the lessons for practitioners on the impact of certain contextual features and design choices during change as illustrated by the Glaxo Wellcome case, and a discussion on the use of the kaleidoscope in practice.  相似文献   
87.
Modern science increasingly uses sophisticated statistical techniques, yet papers in scientific journals are often defective in identification of methods used and in clear presentation of quantitative conclusions. The omission of essential information, ambiguities and misleading conclusions from ill-chosen methods often escape editorial challenge: referees, usually chosen for expertise in the substantive subject matter, may lack the statistical skill and experience needed for critical assessment. This paper makes proposals that might enable an editor and his referees more readily to detect the need for major revision before publication. Some matters have ethical components in addition to their implications for the advancement of knowledge in many disciplines.  相似文献   
88.
Domestic violence rates among veterans with posttraumatic stress disorder (PTSD) are higher than those of the general population. Individuals who have been diagnosed with PTSD who seek couples therapy with their partners constitute an understudied population. Self-report measures of domestic violence, relationship satisfaction, and intimacy were administered at intake to 179 couples seeking relationship therapy at a Veterans Affairs clinic. Couples in which the veteran was diagnosed with combat-related PTSD were compared with two other groups based on the veteran's primary diagnosis (depression, adjustment disorder/V-code). Both the PTSD- and depression-diagnosed veterans perpetrated more violence than did those with adjustment/V-code diagnoses. Domestic violence rates among depressed and PTSD-diagnosed veterans were much higher than those found in previous research. Implications for assessment and treatment are discussed.  相似文献   
89.
90.
Although a number of studies have investigated the consequences of leader-member similarity in the United States, there has been a dearth of research on its effects in other countries. Using a sample of 135 Mexican workers and their managers, this study assessed the effects of leader-member demographic similarity on members' organizational attachment (absence and organizational commitment) in a North Mexican manufacturing facility. Results showed that leader-member gender similarity was negatively associated with absence, and this effect was stronger for dyads with female leaders than for dyads with male leaders. Age similarity had mixed effects on attachment. While it had a negative association with absence (an indicator of lack of attachment), it also had a negative association with organizational commitment (an indicator of attachment). These findings are interpreted in the context of social psychological phenomena and elements of Mexican culture.  相似文献   
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