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141.
Nationwide, demographic changes have led to an increased awareness of the impact of cultural diversity on the delivery of medical and psychological care. Due to the over-representation of minority and socially stigmatized groups among those affected by HIV, understanding the effects of psychosocial, linguistic and cultural membership or treatment relationships is crucial. In the psychological treatment of HIV-infected patients, psychotherapists can enhance the lives of their patients and support their involvement and compliance with medical treatment planning Case studies are presented in which psychotherapy helped resolve difficulties in the medical care of three HIV-positive women that were due to cultural misunderstanding between doctors and patients.  相似文献   
142.
This study examined the processes of change used by problem gamblers in the action and maintenance stages of the Transtheoretical Model of Change (TTM) as proposed in the research by Prochaska and DiClemente. A sample of 25 problem gamblers in the action stage and 38 in the maintenance stage were compared in terms of usage of three of these processes (counterconditioning, stimulus control and reinforcement management). Two mediating variables, self-efficacy and situational temptation, were also assessed. As hypothesised, the usage of counterconditioning and stimulus control declined significantly between the action and maintenance stages. No change was found in reinforcement management between the stages. Self-efficacy increased and situational temptation declined between the action and maintenance stages. Problem gamblers made significant use of these processes suggesting the TTM model is applicable to problem gambling. The discussion focuses on possible regulatory and venue operator actions that might help the problem gambler utilise these processes in the natural recovery process.  相似文献   
143.
Social work students and practitioners often struggle to apply sociological theories to practice situations. This is made difficult because the application of sociological theory for social work is still a contested area. To assist students and practitioners articulate and explain sociological theory in their social work practice, this paper introduces a practical teaching model—one that is theoretically rich and simple to use. The authors have used this model to teach sociology for first year New Zealand social work students, with pleasing results. Taught in the foundation year of degree study, we show that there is utility for this model throughout social work education, most notably in policy, research and practicum courses. Teaching sociology is not without its challenges, and these are discussed. We argue that this model offers students and practitioners a straightforward ‘nuts and bolts’ method that can easily be drawn on in class and in practice to guide sociological theorising. Further, societal and personal value tensions can be reflectively teased out. Importantly, the model allows for sets of sociological analyses to be rendered explicit for the practitioner, their colleagues and their clients.  相似文献   
144.
Although only a short‐lived experience, evacuation during the Second World War has left a profound impact on millions of people in Britain. In some ways British Jewry shared the common problems of evacuation created by class differences and a fundamental clash between town and country. Nevertheless, Jews, because of their particular religious needs and a strong tradition of anti‐Semitism in Britain, had unique experiences as evacuees during the war. Indeed evacuation had a profound importance for the shaping of post‐war British Jewry ‐ scarring those who suffered anti‐Semitic hostility but also assimilating many at the cost of their religious and cultural identity.  相似文献   
145.
This study examined African Americans' racial label preferences at two time points using data collected in the 1971 and 1992 Detroit Area Studies. Survey respondents chose from the following racial labels: Black, Negro, Colored, Afro-American, African American, or no preference/it makes no difference which label. At both time points, there were significant differences in age and education by preferred labels but gender and income differences by preferred labels were not statistically significant. Racial label preference was associated with protest ideology and perceptions of Whites' discriminatory intent in 1971 and with perceptions of Whites' discriminatory intent in 1992. In multivariate analyses, age, gender, protest ideology, and the perception of Whites' intent were significant predictors of emergent racial labels. Suggestions for future research on the relationship between institutional inequality, self-designation, and identity were discussed.  相似文献   
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147.
The article analyses arguments for reform of public sector pension schemes by the UK Coalition government on the grounds that existing provision is ‘unfair’. Three dimensions of ‘fairness’ are discussed. That between public and private sector provision; between the costs to public sector employees and other taxpayers; and between members of public sector schemes. The article argues that there are serious weaknesses in the Coalition position on each of these dimensions of ‘fairness’. It suggests that these weaknesses are rooted in the discussion of public sector pensions in isolation from the overall pattern of occupational pension provision in the UK and that a more satisfactory analysis requires reference to principles of distributive justice.  相似文献   
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149.
Abstract

An expert opinion poll of the members of the BioMedical and Life Sciences Division (DBIO) of the Special Libraries Association (SLA), conducted on the occasion of the SLA's Centennial (Washington, DC, June 14–17, 2009), identified 100 journals across three major categories (Clinical Medicine and Allied Health Sciences, Journals Primarily Reporting Molecular and Cellular Biology, and Journals of Natural History) as the most influential over the last 100 years. The Top Ten, containing winners from all three of these groups, were also named, as were a “Journal” and a “Publisher” of the Centennial.”  相似文献   
150.
Cox LA 《Risk analysis》2012,32(7):1244-1252
Simple risk formulas, such as risk = probability × impact, or risk = exposure × probability × consequence, or risk = threat × vulnerability × consequence, are built into many commercial risk management software products deployed in public and private organizations. These formulas, which we call risk indices, together with risk matrices, “heat maps,” and other displays based on them, are widely used in applications such as enterprise risk management (ERM), terrorism risk analysis, and occupational safety. But, how well do they serve to guide allocation of limited risk management resources? This article evaluates and compares different risk indices under simplifying conditions favorable to their use (statistically independent, uniformly distributed values of their components; and noninteracting risk‐reduction opportunities). Compared to an optimal (nonindex) approach, simple indices produce inferior resource allocations that for a given cost may reduce risk by as little as 60% of what the optimal decisions would provide, at least in our simple simulations. This article suggests a better risk reduction per unit cost index that achieves 98–100% of the maximum possible risk reduction on these problems for all budget levels except the smallest, which allow very few risks to be addressed. Substantial gains in risk reduction achieved for resources spent can be obtained on our test problems by using this improved index instead of simpler ones that focus only on relative sizes of risk (or of components of risk) in informing risk management priorities and allocating limited risk management resources. This work suggests the need for risk management tools to explicitly consider costs in prioritization activities, particularly in situations where budget restrictions make careful allocation of resources essential for achieving close‐to‐maximum risk‐reduction benefits.  相似文献   
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