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91.
In working with social work clients, issues of religion and spirituality are sure to arise. Religious views on disability can have both positive and negative effects on the individual. In our increasingly pluralistic society, these issues must be approached with sensitivity and patience since it is common to work with adherents of minority or nontraditional religious groups or groups whose values conflict with the social work profession. The purpose of this article is to enhance and develop sensitivity to diverse religious views in order to respect the values and life beliefs of the client while enhancing the development of adaptive religious and spiritual views.  相似文献   
92.
Abstract

We propose a unified approach for multilevel sample selection models using a generalized result on skew distributions arising from selection. If the underlying distributional assumption is normal, then the resulting density for the outcome is the continuous component of the sample selection density and has links with the closed skew-normal distribution (CSN). The CSN distribution provides a framework which simplifies the derivation of the conditional expectation of the observed data. This generalizes the Heckman’s two-step method to a multilevel sample selection model. Finite-sample performance of the maximum likelihood estimator of this model is studied through a Monte Carlo simulation.  相似文献   
93.
Circular data are observations that are represented as points on a unit circle. Times of day and directions of wind are two such examples. In this work, we present a Bayesian approach to regress a circular variable on a linear predictor. The regression coefficients are assumed to have a nonparametric distribution with a Dirichlet process prior. The semiparametric Bayesian approach gives added flexibility to the model and is useful especially when the likelihood surface is ill behaved. Markov chain Monte Carlo techniques are used to fit the proposed model and to generate predictions. The method is illustrated using an environmental data set.  相似文献   
94.

Background

Recognition of pregnancy-related anxiety as a distinct anxiety is supported by evidence differentiating it from general anxiety and depression. Adverse associations with pregnancy-related anxiety further support this distinction. An influential study by Huizink et al. (2004), demonstrated that anxiety and depression contribute little to the variance of pregnancy-related anxiety, yet this study has not been replicated. Further, addressing limitations of the original study will provide further clarity to the findings.

Methods

Participants (N = 1209), were recruited online and completed three scales: pregnancy-related anxiety, general anxiety and depression. Multiple regression assessed the unique contribution of general anxiety and depression (predictors) to pregnancy-related anxiety scores (criterion) for each trimester.

Results

Across pregnancy, general anxiety and depression explained only 2–23% of the variance in the pregnancy-related anxiety scores. Anxiety and depression showed small unique contributions for some trimesters and specific areas of concern, ranging from 2 to 11%. Comparisons to the original Huizink study showed most results were comparable.

Conclusions

The methodology and more detailed analyses employed addressed noted limitations of the Huizink study. Findings that the contribution of general anxiety and depression to the variance in pregnancy-related anxiety scores was low, supports previous conclusions that pregnancy-related anxiety is a discrete anxiety type. Recognition of this unique anxiety (associated with many deleterious outcomes) may provide opportunity for prenatal screening/early intervention, potentially resulting in improved pregnancy outcomes. Limitations include no exclusion of women deemed as high-risk pregnancy and the pregnancy-related anxiety scale limited in its ability to fully assess this anxiety type.  相似文献   
95.
This paper reviews and examines the language used in literature that describes the educational and therapeutic use of microcomputers with people who have special needs. In the language of special needs computing two perspectives are identified. One perspective focuses on the microcomputer technology while the other focuses on the microcomputer user. While the language of both perspectives acknowledges the value of microcomputers, each perspective moves towards an acknowledgement that microcomputer use needs to be placed in an environmental context. This move in both language sets reflects an increasing focus on the potential barriers to microcomputer use.  相似文献   
96.
The focus of this article is a relatively neglected area of social and family policy: its relationship with small business. Economic policy makers have encouraged enterprise, particularly in the form of small business, as a solution to problems of competitiveness and economic growth. The article uncovers what an enterprise culture actually means for some of those families who first embarked upon business ownership in the 1980s in the UK Using data from a qualitative study, it contends that, in contradiction to the enterprise rhetoric, for micro-businesses owners and their families, values of self-reliance and dependency often are found as opposite characteristics necessary for the success of a small business. A recent survey of micro-businesses in contrasting British regional economies suggests that such experiences are likely to be found amongst a substantial proportion of micro-businesses.  相似文献   
97.
This paper discusses the role of public sector institutions in the delivery of urban services, with a particular focus on waste management in the Indian Sub-Continent. Public sector institutions are the major stakeholders in the delivery of urban sevices. They hold the major responsibilities, funds and employ a large number of staff. The public sector institutions are also exposed to political influence and the institutional changes are often politically or donors driven. However, since new institutions such as non-government organisations and private sector are taking important roles in the actual delivery of services, there is a greater need to understand the existing linkages to promote integration. The informal sector also provides services to a large number of population. In order to promote efficient and effective delivery of urban services, it is important to work on the integrated approaches involving key stakeholders.  相似文献   
98.
The 1995 guidance HSG(95)8 "NHS Responsibilities for Meeting Continuing Health Care Needs" required health authorities to develop local policies and eligibility criteria for a range of continuing care services. The role of criteria in defining health need, and the potential effect on open-ended rights to NHS care, need to be considered in light of the prior erosion of rights associated with changes in continuing care provision. This paper examines whether the development of eligibility criteria has led to a loss of entitlements to NHS care. Analysis of empirical evidence from a study of the policies and criteria of six health authorities found that criteria for fully funded care were generally well defined and restricted access to those with very intense and specialist needs, thereby constituting a loss of rights. In contrast, the criteria for community-based services left eligibility dependent on professional discretion but often failed to clarify the relationship between individual need and levels of service provision. The research found that resource limits are likely to remain a factor in the allocation of services and this will affect the status of the criteria as potential entitlements.  相似文献   
99.
100.
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