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991.
Families and workers often suffer significant stress while supporting people who are experiencing problems related to methamphetamine use yet there is little evidence on how best to help. Small pilot studies can provide valuable information about potential ways to intervene. This paper presents a pilot study of an Aboriginal family wellbeing intervention with workers in an Aboriginal health service. The pilot indicated that participation in the intervention improved the psychosocial empowerment and wellbeing of workers, that these workers perceived the program as relevant to families, and that this was an intervention they felt they could deliver to clients themselves.

IMPLICATIONS

  • An Aboriginal family wellbeing intervention was piloted and found to improve the empowerment and wellbeing of workers. Participants regarded it as highly relevant for families supporting people using methamphetamines and other drugs.

  • This research has added to our knowledge about how to assist those supporting Aboriginal people using methamphetamines and other drugs.

  相似文献   
992.
We present a counterexample to a lower bound for the power domination number given in Liao (J Comb Optim 31:725–742, 2016). We also define the power propagation time, using the power domination propagation ideas in Liao and the (zero forcing) propagation time in Hogben et al. (Discrete Appl Math 160:1994–2005, 2012).  相似文献   
993.

Background

Maternity care is facing increasing intervention and iatrogenic morbidity rates. This can be attributed, in part, to higher-risk maternity populations, but also to a risk culture in which birth is increasingly seen as abnormal. Technology and intervention are used to prevent perceived implication in adverse outcomes and litigation.

Question

Does midwives’ and obstetricians’ perception of risk affect care practices for normal birth and low-risk women in labour, taking into account different settings?

Methods

The research methods are developed within a qualitative framework. Data were collected using semi-structured interviews and analysed thematically. A purposive sample of 25 midwives and obstetricians were recruited from three maternity settings in Ireland. This included obstetric-led hospitals, an alongside midwifery-led unit and the community.

Findings

Midwifery is assuming a peripheral position with regard to normal birth as a progressive culture of risk and medicalisation affects the provision of maternity care. This is revealed in four themes; (1) professional autonomy and hierarchy in maternity care; (2) midwifery-led care as an undervalued and unsupported aspiration; (3) a shift in focus from striving for normality to risk management; and (4) viewing pregnancy through a ‘risk-lens’.

Discussion

Factors connected to the increased medicalisation of birth contribute to the lack of midwifery responsibility for low-risk women and normal birth. Midwives are resigned to the current situation and as a profession are reluctant to take action.

Conclusion

Improved models of care, distinct from medical jurisdiction, are required. Midwives must take responsibility for leading change as their professional identity is in jeopardy.  相似文献   
994.

Problem and background

Vaginal birth after caesarean section is a safe option for the majority of women. Seeking women’s views can be of help in understanding factors of importance for achieving vaginal birth in countries where the vaginal birth rates after caesarean is low.

Aim

To investigate women’s views on important factors to improve the rate of vaginal birth after caesareanin countries where vaginal birth rates after previous caesarean are low.

Methods

A qualitative study using content analysis. Data were gathered through focus groups and individual interviews with 51 women, in their native languages, in Germany, Ireland and Italy. The women were asked five questions about vaginal birth after caesarean. Data were translated to English, analysed together and finally validated in each country.

Findings

Important factors for the women were that all involved in caring for them were of the same opinion about vaginal birth after caesarean, that they experience shared decision-making with clinicians supportive of vaginal birth, receive correct information, are sufficiently prepared for a vaginal birth, and experience a culture that supports vaginal birth after caesarean.

Discussion and conclusion

Women’s decision-making about vaginal birth after caesarean in these countries involves a complex, multidimensional interplay of medical, psychosocial, cultural, personal and practical considerations. Further research is needed to explore if the information deficit women report negatively affects their ability to make informed choices, and to understand what matters most to women when making decisions about vaginal birth after a previous caesarean as a mode of birth.  相似文献   
995.
A research gap exists with regard to examining the influence of career interventions and career readiness assessments on student retention in college majors related to science, technology, engineering, and mathematics (STEM). To address this gap, the authors examined 3 variables as potential predictors of retention in STEM‐related majors: (a) a STEM‐focused career planning intervention, (b) students' initial major declarations, and (c) changes in scores on a measure of career readiness. Results revealed that all 3 independent variables were significant predictors of STEM retention but did not accurately predict students who would not be retained. These results have implications for undergraduate STEM initiatives, college counselors and career advisors, and researchers investigating the predictors of STEM retention. Future research should include additional predictor variables.  相似文献   
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Existing relationship research has interpreted low trust as being equivalent to high distrust and high trust as the evidence of low distrust, which has failed to capture the full scope of the functions of trust and distrust in organization–public relationships. Recent research in this area suggests that trust and distrust might simultaneously exist during relational interactions and might play uniquely positive and negative functions in certain social contexts. The main purpose of this study was to offer a new insight in trust–distrust research by providing distinctions in conceptualization and operationalization between trust and distrust. This study also empirically tested the functions of four pairings of trust and distrust on two core public relations concepts (i.e., symmetrical communication and public engagement). The results from the surveys (N = 704; in 20 companies) of US consumers showed sound discriminant validity of trust and distrust. Further, the statistical results revealed that symmetrical communication and public engagement were most strongly associated with the high trust and high distrust pairing, supporting the utilities of distrust in public relations and the coexistence of trust and distrust in social interactions.  相似文献   
1000.
ABSTRACT

This study aimed to advance theoretical and practical knowledge of political public relations and mediated public diplomacy through analyzing the agenda-building relationships between state-owned media and foreign news coverage in 16 countries during the 2014 Hong Kong protest. The results indicated significant correlations of issues and stakeholders between the Chinese state-owned media and the English language media outlets of 16 foreign countries, thereby supporting the international agenda-building role of Chinese state-owned media. An exploratory analysis was conducted to test the role of intercultural or international relations variables in the agenda-building process.  相似文献   
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