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91.
ABSTRACT

Graduate students at the University of Tennessee Knoxville, funded by an Institute for Museum and Library Services (IMLS) grant (Experience Assessment: UX-A), were tasked with conducting two space assessment studies in the University of Tennessee Libraries. This article reflects on their experiences in conducting the study by understanding the history of academic library and library space assessment. The researchers provide an overview of their learning experience and best practices in space assessment. They also reflect on their experiences as UX-A students who had the opportunity to benefit from experiential learning and mentoring from experienced practitioners.  相似文献   
92.
In recent years sickness absence has increased in most Western countries. Risk factors for sickness absence and disability pension have been emphasised in studies, while focus on factors predicting low sickness absence is very rare. This paper is an attempt to apply such a perspective in an 11-year prospective cohort study of young persons n = 213) who in 1985 were sick listed > or = 28 days with back, neck, or shoulder diagnoses. Having had no sick-leave spells > 14 days in 1992-1996 was used as the outcome measure. Sixty-nine persons (34%) had no such spells, with an unexpected similar proportion of men and women. Data on prior sick leave and demographic variables were analysed using univariate and multiple logistic regression. Factors that predicted low sickness absence were having prior low sickness absence, being a white-collar worker, and being married. We concluded that individuals with a history of low sickness absence have an increased odds for remaining in the work force after a single long sick-leave spell, and might need less attention in rehabilitation compared to persons with a history of high sickness absence. Focusing on low sickness absence led to different results than those discussed in previous studies on risk factors for disability pension.  相似文献   
93.
OBJECTIVE: This study looked at female hospital cleaners and home help personnel who continued working despite problems or pain in their musculoskeletal system and where there was a risk of increase in sickness absence. The aim was to determine whether supportive intervention for these personnel at the workplace had an effect on the way that they experienced the physical and psychosocial aspects of their working environments. METHODS: The design was prospective with non-rando-mised intervention and reference groups. A selection of 55 questions about physical and psychosocial working environment from a national survey were used. Comparisons were made between intervention and reference groups and with data on a selection of the Swedish population of people in these professions. RESULTS: The results showed that in the hospital cleaners' intervention group the introduction of new cleaning materials and new cleaning methods seemed to contribute to a reduction in workload during the intervention period, which in turn gave them a better chance of taking rest breaks during working time. In the home helps' intervention group the results showed that the group had had a reduction both in workload and in more responsible tasks, and at the same time the psychosomatic stress reactions reduced after the intervention. CONCLUSIONS: The results indicate that effects on the working environmental conditions as experienced could be obtained by a general multi-component support program at the workplace, but the number of variables influenced by the program was very small. The relatively limited effects may be explained by the fact that the impact of a support program depends on how well the remedial measures fulfil the need for such measures either at the workplace, in a work group or among the individual people at the workplace. This emphasises the importance of designing effective analysis tools for judging what remedial measures are needed before the measures themselves are tried out.  相似文献   
94.
95.
Musculoskeletal disorders constitute a considerable public health problem, often resulting in sickness absence, particularly in public sector employees. Increased knowledge on how this is related to individual and work-related factors is required. The objective of this study was to investigate the associations between self-reported musculoskeletal pain and the following factors: physical and psychosocial work conditions, lifestyle, psychosomatic symptoms and sick leave. A comprehensive questionnaire was completed by a total of 2523 people, of which 87% were women and 13% men. The participants were employed in public hospitals, educational institutions, home care services for the elderly and domestic/catering services in a Swedish county. The response rate was 92%. Multiple logistic regression analyses showed that the high level of self-reported musculoskeletal pain was highly associated with strenuous physical and psychosocial work conditions. The physical factor with the highest odds ratio (OR) was working in a forward-bent position. High work demands was the most prominent psychosocial factor and distinctly associated with musculoskeletal pain among men. Physical work strain and other demanding working conditions, which were associated with musculoskeletal pain, were frequent among employees in home care services for the elderly and domestic/catering services. There was a strong association between long-term sick leave and high musculoskeletal pain. Furthermore, there was a strong association between a high level of musculoskeletal pain and the exhibition of psychosomatic symptoms in both women and men; this is an interaction that may intensify the total experience of illness and thus needs to be further investigated.  相似文献   
96.
Many women require vocational rehabilitation before they can return to work. The objective with the present study was to describe female clients' situation during the rehabilitation process, as it became apparent during the rehabilitation meetings with the various actors involved. The clients' diagnoses varied, but the majority was affected with musculoskeletal disorders. The meetings were audio-taped and transcribed verbatim, after which they were analysed by qualitative content analysis. The following themes emerged: Adaptation to the rehabilitation group; client's health status; the workplace's significance for rehabilitation; and the client's decision-point. Conflict between health and work was immensely important for rehabilitation. Differences in attitude were apparent during the rehabilitation meetings, as some clients were passive and exercised less influence on the planning, than the other more active clients did.  相似文献   
97.
Prenatal depression (PD) and postpartum depression (PPD), experienced by up to one-quarter of pregnant women and new mothers, are associated with maternal impairment and disruptions to children’s behavior, development, and health. Women experiencing PD/PPD must cope with negative feelings and detrimental outcomes that stand in contrast with cultural conceptions of how (ideal) mothers feel and act (i.e., the discourse of intensive mothering), thus furthering stigma and negativity surrounding the PD/PPD experience. The present study, couched in relational dialectics theory, aims to explore how women, through naturally occurring online narratives, make sense of motherhood in light of both PD/PPD experiences and cultural expectations/understandings of mothers. Throughout the narrative corpus, the culturally dominant Discourse of (Self-)Sacrificing Blissful Moms (DSBM)—which expands on the discourse of intensive mothering—is de-centered, albeit never fully delegitimated, by the Discourse of Mothers as Whole People (DMWP). Rather than closing down the DSBM, the DMWP works to expand meanings of what “good” mothers can feel and do. This finding holds both cultural/theoretical and practical implications, as discussed by the authors.  相似文献   
98.
ABSTRACT

This article focuses on best practices for developing, adapting, and using assessments with transgender clients. The historical context of gender minorities in counseling is discussed, outlining the bias and stigma that has been attached to transgender identities. Due to this historical bias, most assessments use heteronormative language and were not developed for use with gender minorities. As such, we used the guidelines put forth by the American Counseling Association (ACA), the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) to present a guide for developing and adapting assessments for the transgender population. Finally, the authors discuss the clinical application of using a trans-sensitive assessment process for counselor educators and clinicians.  相似文献   
99.
The dual risk model may be used to model the revenue process of a company with constant expense rate and occasional gains. In this paper, we consider a dual risk model with both inter-gain times and expense rates depending on the size of previous gain. Also, we assume the process is perturbed by a Brownian motion. Exact solutions for the Laplace transform and the first moment of the time to ruin with arbitrary gain-size distribution are obtained. Applications with numerical illustrations are provided to examine the impacts of the dependence structure and perturbation.  相似文献   
100.
Students with in-care experiences overcome different life challenges, risks factors and use their strengths to get into higher education. During the study period they face different difficulties, so the state as ‘institutional’ parent should provide support. This paper presents results of a qualitative study that aimed to explore support system to students with in-care experience in Croatia from three perspectives: care leavers with studying experiences, caretakers and professionals who are involved in decision-making and implementing activities on national and local levels. Focus groups and interviews were conducted with 23 students, 5 professionals and 11 caretakers in 5 Croatian cities. Three basic themes from all three perspectives are presented: currently available support, difficulties in the support system and guidelines for supporting in-care students. All groups of participants are informed about support that is currently available for students with in-care experiences and describe financial and accommodation support. Perceptions of difficulties in delivering support differ between professionals and students and caretakers. Students also explain reasons for seeking support. Resolving existential issues is the first step in support system building according to students’ and caretakers’ perceptions. Participants suggest different incentive activities, so finally recommendations for forming and delivering support system for in-care students are presented.  相似文献   
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