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Background

Information and communication technologies are increasingly used in health care to meet demands of efficiency, safety and patient-centered care. At a large Danish regional hospital, women report their physical, mental health and personal needs prior to their first antenatal visit. Little is known about the process of self-reporting health, and how this information is managed during the client-professional meeting.

Aim

To explore women's experiences of self-reporting their health status and personal needs online prior to the first midwifery visit, and how this information may affect the meeting between the woman and the midwife.

Method

Fifteen semi-structured interviews with pregnant women and 62 h of observation of the first midwifery visit were carried out. Conventional content analysis was used to analyse data.

Findings

Three main categories were identified; ‘Reporting personal health’, ‘Reducing and generating risk’, and ‘Bridges and gaps’. Compared to reporting physical health information, more advanced levels of health literacy might be needed to self-assess mental health and personal needs. Self-reporting health can induce feelings of being normal but also increase perceptions of pregnancy-related risk and concerns of being judged by the midwife. Although women want to have their self-reported information addressed, they also have a need for the midwife's expert knowledge and advice, and of not being perceived as a demanding client.

Conclusion

Self-reported health prior to the first midwifery visit appears to have both intended and unintended effects. During the midwifery visit, women find themselves navigating between competing needs in relation to use of their self-reported information.  相似文献   
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This paper investigates how the role of public relations practice in public diplomacy is undergoing a transformation as a consequence of the influence from nation branding. A case study of the Danish government's response to the so-called Cartoon Crisis illustrates how the threat from international terrorism to national security initially served as a catalyst for new public diplomacy initiatives. But as the initiatives were implemented within a framework of nation branding the focus on risk reduction became subjected to a marketing logic and a new focus on economic objectives took over. The paper points to a possible future status of public diplomacy under the influence of nation branding: Public diplomacy may maintain a function pertinent to national security but as this function is incapable of managing real risks it will only serve as auto-communication that legitimizes security policy towards a domestic audience. In the public diplomacy efforts towards transnational publics the link to national security will completely disappear whereby the public relations of states is transformed to the marketing of states.  相似文献   
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This article develops a general multivariate additive noise model for synchronized asset prices and provides a multivariate extension of the generalized flat-top realized kernel estimators, analyzed earlier by Varneskov (2014), to estimate its quadratic covariation. The additive noise model allows for α-mixing dependent exogenous noise, random sampling, and an endogenous noise component that encompasses synchronization errors, lead-lag relations, and diurnal heteroscedasticity. The various components may exhibit polynomially decaying autocovariances. In this setting, the class of estimators considered is consistent, asymptotically unbiased, and mixed Gaussian at the optimal rate of convergence, n1/4. A simple finite sample correction based on projections of symmetric matrices ensures positive definiteness without altering the asymptotic properties of the estimators. It, thereby, guarantees the existence of nonlinear transformations of the estimated covariance matrix such as correlations and realized betas, which inherit the asymptotic properties from the flat-top realized kernel estimators. An empirically motivated simulation study assesses the choice of sampling scheme and projection rule, and it shows that flat-top realized kernels have a desirable combination of robustness and efficiency relative to competing estimators. Last, an empirical analysis of signal detection and out-of-sample predictions for a portfolio of six stocks of varying size and liquidity illustrates the use and properties of the new estimators.  相似文献   
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Recent research on human nonverbal vocalizations has led to considerable progress in our understanding of vocal communication of emotion. However, in contrast to studies of animal vocalizations, this research has focused mainly on the emotional interpretation of such signals. The repertoire of human nonverbal vocalizations as acoustic types, and the mapping between acoustic and emotional categories, thus remain underexplored. In a cross-linguistic naming task (Experiment 1), verbal categorization of 132 authentic (non-acted) human vocalizations by English-, Swedish- and Russian-speaking participants revealed the same major acoustic types: laugh, cry, scream, moan, and possibly roar and sigh. The association between call type and perceived emotion was systematic but non-redundant: listeners associated every call type with a limited, but in some cases relatively wide, range of emotions. The speed and consistency of naming the call type predicted the speed and consistency of inferring the caller’s emotion, suggesting that acoustic and emotional categorizations are closely related. However, participants preferred to name the call type before naming the emotion. Furthermore, nonverbal categorization of the same stimuli in a triad classification task (Experiment 2) was more compatible with classification by call type than by emotion, indicating the former’s greater perceptual salience. These results suggest that acoustic categorization may precede attribution of emotion, highlighting the need to distinguish between the overt form of nonverbal signals and their interpretation by the perceiver. Both within- and between-call acoustic variation can then be modeled explicitly, bringing research on human nonverbal vocalizations more in line with the work on animal communication.  相似文献   
26.
Abstract.  This paper considers the problem of mapping spatial variation of yield in a field using data from a yield monitoring system on a combine harvester. The unobserved yield is assumed to be a Gaussian random field and the yield monitoring system data is modelled as a convolution of the yield and an impulse response function. This results in an unusual spatial covariance structure (depending on the driving pattern of the combine harvester) for the yield monitoring system data. Parameters of the impulse response function and the spatial covariance function of the yield are estimated using maximum likelihood methods. The fitted model is assessed using certain empirical directional covariograms and the yield is finally predicted using the inferred statistical model.  相似文献   
27.
Estimating function inference is indispensable for many common point process models where the joint intensities are tractable while the likelihood function is not. In this article, we establish asymptotic normality of estimating function estimators in a very general setting of nonstationary point processes. We then adapt this result to the case of nonstationary determinantal point processes, which are an important class of models for repulsive point patterns. In practice, often first‐ and second‐order estimating functions are used. For the latter, it is a common practice to omit contributions for pairs of points separated by a distance larger than some truncation distance, which is usually specified in an ad hoc manner. We suggest instead a data‐driven approach where the truncation distance is adapted automatically to the point process being fitted and where the approach integrates seamlessly with our asymptotic framework. The good performance of the adaptive approach is illustrated via simulation studies for non‐stationary determinantal point processes and by an application to a real dataset.  相似文献   
28.
Productivity differences across firms are large and persistent, but the evidence for worker reallocation as an important source of aggregate productivity growth is mixed. The purpose of this paper is to estimate the structure of an equilibrium model of growth through innovation designed to identify and quantify the role of resource reallocation in the growth process. The model is a version of the Schumpeterian theory of firm evolution and growth developed by Klette and Kortum (2004) extended to allow for firm heterogeneity. The data set is a panel of Danish firms that includes information on value added, employment, and wages. The model's fit is good. The estimated model implies that more productive firms in each cohort grow faster and consequently crowd out less productive firms in steady state. This selection effect accounts for 53% of aggregate growth in the estimated version of the model.  相似文献   
29.
In recent years, organization studies have become increasingly aware of the concept of liminality. In our review and critique of this reception of liminality in organization studies, we emphasize that liminality involves a fundamental suspension of ordinary social structures. Although the prevailing use of the concept in anthropology as well as in organization studies has conceptualized liminality as a temporary state, we focus on permanent liminality. Yet the idea of permanent liminality leads to an inevitable paradox, because the concept, by definition, is a temporary state. Conceptualizing liminality as a constant state of social limbo, we show that the paradox in permanent liminality stems from the impossibility of drawing clear distinctions between different social spheres, especially as they apply to modern work–life. Examining a case study about a management consultant, we illustrate the paradox of liminality in terms of a zone of indistinction between work and life as it is reflected in an empirical self-narrative about a consultancy ‘lifestyle’. We further link these findings to a possible transition from disciplinary societies to societies of control.  相似文献   
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