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121.
This paper describes the dynamics of support observed in the networks of nine adults with intellectual disability, developed by families who had committed to achieving a ‘good life’ for this person. Network members, including the person with a disability, participated in this longitudinal ethnographic study. Three principles that underpinned their work were positive and respectful relationships, mentorship and providing opportunities and expectations. Participants worked actively with other network members to develop higher levels of autonomy and social participation.  相似文献   
122.
This community needs assessment surveyed 21 administrators and 75 direct care staff at 9 larger and 12 smaller assisted living facilities (ALFs) regarding perceptions of resident mental health concerns, direct care staff capacity to work with residents with mental illness, and direct care staff training needs. Group differences in these perceptions were also examined. Both administrators and directcare staff indicated that direct care staff would benefit from mental health-related training, and direct care staff perceived themselves as being more comfortable working with residents with mental illness than administrators perceived them to be. Implications for gerontological social work are discussed.  相似文献   
123.
This paper revisits the issues raised in debates on the politics of recognition from the point of view of media practitioners and their experiences in covering women's issues and perspectives. It explores the concerns regarding the attempts to improve media coverage of women's issues and perspectives by looking into one particular women's programme, BBC Radio 4's Woman's Hour. The analysis is based primarily on interviews with members of the Woman's Hour's team and complemented by basic information on the presence of different subject areas and speakers in a sample of actual programming. The paper explores the criteria employed by journalists in their day-to-day decisions regarding the issues and approaches appropriate for the specialist women's programme. It discusses interviewees' definitions of Woman's Hour items and the three main factors that influence their selection of issues and the ways to approach them. The first factor concerns the identity of the programme: its issues, voices, and their diversity. The second factor is the listeners or, more broadly, the public and the ways it shapes Woman's Hour. The third factor is the professional and institutional context of the programme. The concluding discussion examines the ways in which Woman's Hour combines or oscillates between recognition and deconstruction of women's/gender identities, producers' interests and the perceived interests of their audiences, and feminist politics and journalistic principles.  相似文献   
124.
125.
Children's services in England and Wales are legally required to determine the nature and extent of children's needs in their areas as a precursor to providing needs-led services. However, few needs assessments are ever published. This article analyses 83 such reports conducted between 1999 and 2007 in two local authorities in England (one urban, one rural), focusing on their quality and usefulness. It makes recommendations for improving practice in this important area, both in terms of the type of needs assessment required and how best to produce and use them.  相似文献   
126.
Quantitative indices of the socio-environmental impacts of predator control were derived from a mathematical synthesis of public perceptions and physical measures of environmental change. A nationwide survey of the U.S. public yielded cardinal measures of preference for the acceptability, primary and secondary effects on other wildlife, and cost effectiveness of control policies. To determine the public evaluation of a particular policy, the preference values were used to weight social indicators describing the physical impacts of a policy. Policymakers will be able to use the resulting values to view the tradeoffs between economic and socio-environmental costs and benefits of various policy alternatives.  相似文献   
127.

Background

Awareness of Listeriosis and Methylmercury toxicity recommendations are associated with decreased intake of high-risk foods. Whether awareness of the recommendations affect dietary quality of pregnant women in Australian is unknown.

Aim

To evaluate awareness of Listeriosis and Methylmercury toxicity recommendations during pregnancy and its impact on dietary quality.

Methods

Pregnant women (n = 81) were recruited from antenatal clinics. Awareness of Listeriosis and Methylmercury toxicity recommendations and high-risk foods consumption were assessed via questionnaire at 10–23 weeks gestation. Diet quality was measured using the 2005 Healthy Eating Index using a validated food frequency questionnaire at 10–23 and 34–36 weeks gestation.

Findings

A higher proportion of women were aware of Methylmercury toxicity compared with Listeriosis recommendations (75.3 vs. 59.2%, p < 0.001). The proportion of women who decreased or avoided consumption of certain high-risk Listeriosis foods were higher in those who were aware compared with those who were unaware of Listeriosis recommendations [raw fish (96.0 vs 69.2%, p = 0.046), soft-serve ice cream (93.9 vs 58.3%, p = 0.004) and alfalfa/bean sprouts (68.7 vs 28.5%, p = 0.006)]. A large proportion of women (96.8%) met recommendations for limiting consumption of high Methylmercury fish. There was no difference in the change in dietary quality over pregnancy regardless of women’s awareness of the recommendations.

Discussion and conclusions

Awareness of Listeriosis and Methylmercury toxicity recommendations has little impact on dietary quality of pregnant women in this small study. Further research in a large representative population of pregnant women is needed to confirm our findings and to optimise dietary quality during pregnancy.  相似文献   
128.

Background

Pakistan has a higher infant mortality rate than countries with comparable economies, with around half of all under-5 deaths occurring in the first month of life. Breastfeeding is known to improve infant morbidity and mortality, but rates of formula feeding in Pakistan are increasing. Maternal employment is recognised globally as a major barrier to the continuation of breastfeeding.

Aim

To describe the attitudes and experiences of breastfeeding mothers returning to full-time work as nurses in a tertiary hospital in Pakistan.

Methods

A qualitative study was conducted using semi-structured interviews with seven purposively sampled participants who were breastfeeding at the time of return to work. Interviews were audio recorded, transcribed and analysed thematically.

Results

Three major themes were identified: belief in a child’s right to breastfeed, conflict with institutional power and the importance of family support in maintaining breastfeeding. Antenatally mothers described breastfeeding as the preferred infant feeding option and the child’s right. When returning to work mothers encountered rigid hospital policies and practices, such as a short and non-negotiable period of maternity leave, inflexible shift patterns, and lack of childcare provision. Parents’ strategies to continue breastfeeding included some mothers bringing babies to hospital wards while they worked, and babies’ fathers bringing the baby to the hospital for feeds.

Conclusion

This study highlighted the barriers to breastfeeding experienced by mothers working as hospital nurses in Pakistan. Babies can be put at risk due to the strategies parents adopt to reconcile continued breastfeeding with maternal employment.  相似文献   
129.
The Action Plan for Official Languages launched in 2003 intends to revitalize the country's linguistic duality. Among the priority areas, health is the focus in order to ensure the training of health professionals to serve official language minority communities and to network the main actors concerned about the organization of services in the minority language. The aim of this paper is to report representations of Francophones in minority with respect to the future of health services in French. The study is based on a participatory methodology: concept mapping to identify the conceptual universe of a given problem.  相似文献   
130.
Within migration studies literature there is a tendency to assume that migrants have ready access to kin and friendship networks which facilitate the migration and settling processes. Through tight bonds of trust and reciprocity, these networks are considered to be sources of social capital, providing a counter‐balance to the disadvantages that migrants may encounter in the destination society. This paper argues that more attention is needed to the ways in which migrants access, maintain and construct different types of networks, in varied social locations, with diverse people. I suggest that the often simplistic dichotomy of bonding and bridging capital needs to be re‐appraised and instead offer an alternative way of thinking about these social ties. The distinction between them tends to be understood on the basis of the ethnicity of the people involved – bonding involves close ties with ‘people like us’ while bridging involves links beyond ‘group cleavages’. Insufficient attention has been paid to the actual resources flowing between these ties or the kinds of relationship developing between the actors involved. The nature of these social networks may be better understood by focusing on the relationship between the actors, their relative social location, and their available and realisable resources. Data from a qualitative study of Polish migrants in London is used to illustrate this approach.  相似文献   
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