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91.
The purpose of this research is to examine successful aging in three Asian countries, Indonesia, Sri Lanka and Thailand, using data from the WHO regional studies of Health and Social Aspects of Aging. Successful aging is defined as having no ADL difficulties, and at most, one Nagi difficulty. For the most part, the results are similar to those using more developed populations in that gender, age, no morbid conditions, positive attitude toward one's own aging and the ability to manage money are all correlated with successful aging. An interesting finding is that for the least developed country, Indonesia, being an unskilled worker is significantly associated with increased odds for successful aging. The final section of the paper discusses the theoretical implications regarding a disability transition for elderly populations as countries develop. We also focus on the current political and economic situations in the countries under study, and consider the possible impacts on elderly health.  相似文献   
92.
The sexual abuse of children by other children and young people has gained an increasing profile during the previous decade. It has been increasingly recognised that there has been a significant change in the way that this issue has been responded to, both in philosophy and practice, as research has developed and also as the value base of initial constructions of this behaviour has been questioned. This article describes the development of a project to work with children and young people who have sexually abused from its inception in 1995 to the present, outlining the original assumptions and working practices and the reasoning behind changes. The growth of the project illustrates the changing nature of constructions of this behaviour, along with the introduction of new theoretical approaches to respond to this change. In particular, the changes can be seen to reflect a move away from a ‘modernist’ position and this is discussed. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   
93.
This paper will discuss an article by Becker and French (2005) in this Journal which proposed the general acceptance of correlations or the ‘links’ between child abuse, animal abuse and domestic violence. Becker and French claim this topic has ‘seen a growth of interest’ (p. 399) over the past two decades and they suggest that organizations across the UK should ‘institutionalize the “links” within policy and practice’ (p. 410). In this paper we question the appropriateness of linking different forms of violence in such a mechanistic and predictive way by drawing on and extending arguments we have made elsewhere. We consider the proposed ‘links’ in terms of assumptions, de?nitions, methods and logic, and raise concerns for a prospective practice which is based on retrospective (and ?awed) research. We aim to appeal to in?uential doubters (social workers, child care workers, animal welfare workers, vets, educators and policy‐makers) in a language of ‘reason’, and we propose that the identi?ed reluctance of professionals in the UK to adopt the rhetoric of ‘links’ can be viewed as an informed and re?ective response. Throughout, we offer a corrective commentary to the ?awed assumptions of the ‘links’ argument and seek to encourage others to remain sceptical about these claims and the suggested implications for practice. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   
94.
Recognizing the need for an objective basis for choosing political strategies within the context of the debates concerning the intermediary strata in modern capitalistic societies, this article examines both qualitative theoretical distinctions and quantitative data as a means to clarify issues and to defend alternative positions. Noting that the question of class is essentially qualitative, but that attempts to delineate classes in societies are based on quantitative dimensions (i.e. numbers of people in each class, political attitudes, etc.) the article seeks to test qualitative definitions of class in terms of these quantitative dimensions.  相似文献   
95.
96.
Declines in mortality at advanced ages have been observed recently in the United States. These declines have been related to a reduction in the risk of major circulatory diseases, such as stroke and heart disease. In this paper we examine the contribution of two additional major factors in those declines. The first is the effect of conditions associated with circulatory diseases. This effect can be examined by using multiple-cause mortality data in which all conditions reported by the physician on the death certificates are recorded. The second is the contribution of cohort mortality differentials to temporal changes. If major cohort differentials are identified, we may be able to determine if recent declines in mortality are likely to continue-and to what levels. Such insights would be useful both in improving projections of the size and age structure of the U.S. elderly population and its entitlement groups and in helping to identify future patterns of needs for preventive and other health services.  相似文献   
97.
98.
Priest S  Lane T  Greenhalgh T  Hand LJ  Kramer V 《Risk analysis》2011,31(11):1718-1733
This article reports results from a three-year panel study of a nonrandom sample of 76 South Carolina citizens, recruited from a variety of walks of life, and their impressions of emerging nanotechnology. This discussion focuses on material from depth interviews conducted alongside a baseline opinion and awareness inventory at the beginning of the study, the most intensive data-gathering phase. These results are placed in the context of data from three additional surveys conducted at about equal intervals over the three years, plus exit interviews from 21 of the 34 individuals who completed the entire study. The results give insight into popular thinking about technology but little indication of strong emerging concerns, a trajectory of amplification of those concerns, or opinion polarization over time, despite some awareness of risks and potential ethical dimensions. Nanotechnology may stand out more as an example of risk attenuation than of risk amplification, consistent with most results from national surveys.  相似文献   
99.
As part of welfare reform efforts in the 1990s, 23 states implemented family caps, provisions that deny or reduce cash assistance to welfare recipients who have additional births. We use birth and abortion records from 24 states to estimate effects of family caps on birth and abortion rates. We use age, marital status, and completed schooling to identify women at high risk for use of public assistance, and parity (number of previous live births) to identify those most directly affected by the family cap. In family cap states, birth rates fell more and abortion rates rose more among high-risk women with at least one previous live birth compared to similar childless women, consistent with an effect of the family cap. However, this parity-specific pattern of births and abortions also occurred in states that implemented welfare reform with no family cap. Thus, the effects of welfare reform may have differed between mothers and childless women, but there is little evidence of an independent effect of the family cap.  相似文献   
100.
The author contends that a previous Risk Analysis article overemphasized the pitfalls of incorporating redundancy into designs. Relevant aspects of that article are reviewed and commented upon, then the potentials and pitfalls of redundancy in systems and procedures are more broadly discussed. To provide a solid foundation for that discussion, some definitions for systems risk analysis terminology are presented. It is shown that pairs and larger sets of related failures (the physical causes of shortfalls in redundancy effectiveness) can be divided into two types: (1) cascading/induced failures and (2) common-external-cause failures. Each type has its own physical characteristics and implications for mathematical modeling. Service experience with large-commercial-airplane jet-engine propulsion systems is used to illustrate the two types of related failures. Finally, an overview is provided of event-sequence analysis, an alternative approach to systems risk analysis. When the possibility of related failures of mutually-redundant system elements must be accounted for, event-sequence analysis can usually do that better than fault-tree analysis.  相似文献   
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