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211.
An analysis of data from the 2000 Demographic and Health Survey shows that little use is made of antenatal and delivery-care services in rural Haiti. After adjusting for individual-level factors, poor road conditions significantly reduce the likelihood of timely receipt of antenatal care and of four or more antenatal care visits, while the availability of a health centre within 5 kilometres significantly increases the odds of each outcome. The odds of being attended at delivery by trained medical personnel and of institutional delivery are significantly reduced by mountainous terrain and distance from the nearest hospital, and are increased if a health worker providing antenatal care is present in the neighbourhood. Neighbourhood poverty reduces the likelihood of safe delivery care. The findings suggest that improving the use made of maternal healthcare services would require, among other things, improvement of the availability of services and road conditions, and the reduction of poverty.  相似文献   
212.
In this paper, an autoregressive time series model with conditional heteroscedasticity is considered, where both conditional mean and conditional variance function are modeled nonparametrically. Tests for the model assumption of independence of innovations from past time series values are suggested. Tests based on weighted L2‐distances of empirical characteristic functions are considered as well as a Cramér–von Mises‐type test. The asymptotic distributions under the null hypothesis of independence are derived, and the consistency against fixed alternatives is shown. A smooth autoregressive residual bootstrap procedure is suggested, and its performance is shown in a simulation study.  相似文献   
213.
Objective: This pilot study pursued two aims. The first was to investigate the feasibility and acceptability of a Web-based acceptance and commitment therapy (ACT) intervention to reduce academic procrastination among university students. The second aim was to test the effectiveness of the intervention on procrastination and committed actions. Participants: The sample was comprised of Canadian university students (n?=?36) that participated in the intervention between September 2016 and April 2017. Methods: The study relied on a prepost research design. Results: The intervention appears feasible, acceptable, and valuable to students. A significant reduction in procrastination and a significant improvement in committed actions were found between pre and postintervention. The effect sizes for these results were medium. Conclusions: Results provide preliminary support for the feasibility and effectiveness of a Web-based ACT intervention for academic procrastination. Results also highlight some aspects that need to be improved for further development.  相似文献   
214.
In recent decades, typologies have been developed to better understand the way in which different countries create systems to protect the interests of vulnerable children and their families. A child protection system typology is a classification of a set of characteristics that capture and define different approaches to child protection. Typologies are helpful in enabling comparisons of systems across international contexts, helping also to illuminate the various strengths and weaknesses of child protection systems. Typologies can also guide or redirect the development of a system, as they illustrate the varied ways in which children might be better protected. They explain how a cultural value base underpins approaches to child protection and can suggest alternative ways in which a system might evolve, based on the experiences of other countries. This article builds upon early typology building work and presents an international child protection system typology that has universal application. Country examples are used to illustrate the development of systems across two dimensions: whether they are oriented towards an individual or community focus; and whether systems are more, or less, regulated.  相似文献   
215.
A novel toolkit has been developed, using an original approach to develop its components, for the purpose of evaluating 'soft' outcomes and processes that have previously been generally considered 'intangible': those which are specifically values based. This represents a step-wise, significant, change in provision for the assessment of values-based achievements that are of absolutely key importance to most civil society organisations (CSOs) and values-based businesses, and fills a known gap in evaluation practice. In this paper, we demonstrate the significance and rigour of the toolkit by presenting an evaluation of it in three diverse scenarios where different CSOs use it to co-evaluate locally relevant outcomes and processes to obtain results which are both meaningful to them and potentially comparable across organisations. A key strength of the toolkit is its original use of a prior generated, peer-elicited 'menu' of values-based indicators which provides a framework for user CSOs to localise. Principles of participatory, process-based and utilisation-focused evaluation are embedded in this toolkit and shown to be critical to its success, achieving high face-validity and wide applicability. The emerging contribution of this next-generation evaluation tool to other fields, such as environmental values, development and environmental sustainable development, shared values, business, education and organisational change is outlined.  相似文献   
216.
Although Canadian policies support "aging in place," there still will be a number of older adults who will require institutional care in the future. Most research on elder abuse, however, has focused on domestic abuse and has paid less attention to institutional abuse. The purpose of this article is to comprehensively review current research to identify gaps in knowledge and methodological issues in the study of institutional abuse. Overall, 49 studies in English and 20 studies in French were reviewed, and 11 key-informant interviews were conducted with methodological experts. Methodological challenges are addressed in light of the review and interviews.  相似文献   
217.
The construction industry continues to experience high rates of musculoskeletal injuries despite the widespread promotion of ergonomic solutions. Participatory ergonomics (PE) has been suggested as one approach to engage workers and employers for reducing physical exposures from work tasks but a systematic review of participatory ergonomics programs showed inconclusive results.. A process evaluation is used to monitor and document the implementation of a program and can aid in understanding the relationship between the program elements and the program outcomes. The purpose of this project is to describe a proposed process evaluation for use in a participatory ergonomic training program in construction workers and to evaluate its utility in a demonstration project among floor layers.  相似文献   
218.
This article examines issues related to the underrepresentation of faculty of color in higher education, with specific attention to the discipline of Sociology and the Pacific Sociological Association (PSA). The authors explore the role that professional organizations such as the PSA have played in promoting racial and ethnic diversity within the Sociology pipeline. Further, it provides an analytic overview of the history of conference presentations on the topic of race and ethnicity within the PSA over the last eight decades. The article proceeds in three major parts: First, is an outline of the contours of the problem of racial underrepresentation in the academy. Next, follows a content analysis of PSA programs, which indicates that race continues to be of central importance to the PSA and that the 1970s were a turning point when the PSA began to examine its role in promoting diversity in the discipline. Finally, mentorship is presented as a critical vehicle for promoting greater racial equity in the PSA and the discipline of Sociology more broadly.  相似文献   
219.
Alcohol dependent patients (ADs) are known to encounter severe interpersonal problems. Nonverbal communication skills are important for the development of healthy relationships. The present study aimed to explore emotional facial expression (EFE) recognition and posed and spontaneous EFE expressivity in male ADs divided into two groups according to Cloninger’s typology and the impact of their interpersonal relationship quality on the potential nonverbal deficits. Twenty type I ADs, twenty-one type II ADs, and twenty control participants took part in an EFE recognition task and an EFE expressivity task that considered personal emotional events (spontaneous expressivity) and EFE in response to a photo or word cue (posed expressivity). Coding was based on judges’ ratings of participants’ emotional facial expressions. Participants additionally completed a questionnaire on interpersonal relationship quality. No difference between the three groups emerged in the EFE recognition task. Type II ADs showed heightened deficits compared with type I ADs in EFE expressivity: Judges perceived less accurate posed EFE in response to a cue word and less intense and positive spontaneous EFE in type II ADs compared to control participants. In addition, type II ADs reported more relationship difficulties compared to both type I ADs and control participants. These interpersonal relationship difficulties were related to some of the EFE expressivity deficits of AD-IIs. This study underlines the important differences between the interpersonal functioning of AD subtypes.  相似文献   
220.
This paper is concerned with young rural men and how they ‘do’ identity politics living in a rural area of Norway. Focusing on how masculinity and rurality are constructed and interrelated in young men's narratives of living in a remote community, it is identified that young rural men reproduce, negotiate and transform local discourses of rural masculinity. First, the article shows that young men living in rural areas believe it is important to express rural masculinity through hunting and outdoor life as well as by exhibiting skills as handymen. Second, it reveals that it is important for young rural men to communicate a particular stance in the ongoing and controversial Norwegian debate over snowmobiles and carnivores, as these topics are related to rural men's sense of loyalty to place. Third, the article shows how rural men negotiate ‘the tough man’ images related to hunting, motors and handyman skills by constructing new and alternative masculinities. The analysis reveals that young rural men enact alternative masculinities, expressed in relation to new working life opportunities in the service sector, through emotional openness and caring, and in relation to traditional ‘masculine spaces’ such as hunting and snowmobiling. It is concluded that, little by little, rural communities are opening up for more flexible masculinities.  相似文献   
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