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171.
Abstract

Bone marrow transplantation (BMT) has been under-studied from a social work perspective. This article reports on a cross-institutional study into the psychological and social preparation for bone marrow transplantation. The data presented was collected from all consenting BMT recipients treated over a preceding three year period at four teaching hospitals. The key findings included demographic issues which had an influence on post transplant adjustment, lack of rehabilitation services, ongoing physical incapacity, disappointment at the slow rate of recovery, lack of counselling resources, difficulties in the way information was presented, difficulties with the transition from hospital to home and a perceived lack of interest by hospital staff of the needs of carers. These results were presented to the social workers in each BMT unit. They considered the extent to which the findings matched their clinical experience, and the relevance of the research to their social work practice. This discussion suggested the need for social work involvement on a number of levels beyond case-work, particularly in promoting organisational change.  相似文献   
172.
I estimate the degree of substitutability between U.S. long-distance telecommunications carriers. AT&T's Marshallian demand elasticity for basic long-distance service is estimated to be about –10. With various assumptions regarding producer behavior, a range of residual demand elasticities, price-cost margins, and the dead-weight losses are calculated. I argue that producer behavior is such that the dead-weight loss to supracompetitive pricing is likely to be about 1.5% of industry revenues. The results bear on whether AT&T's deregulation was merited and whether to allow the Bell Operating Companies to enter the long-distance market. ( JEL L13, L96, C30)  相似文献   
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The setting of specific objectives for children's services and the identification of key outcome indicators, together with the development of a core information specification for children's services with its practical application in the implementation of the Integrated Children's System, all mean that substantially more data are now available to child welfare agencies. Not so long ago in the UK it was the role of research teams to collect and analyse such data. Now that so much of it is already available to agencies, are researchers who work in this area of applied social policy research becoming redundant? Using data from the cohorts of looked after children being studied at the Centre for Child and Family Research, Loughborough University, the paper demonstrates how researchers can work in consultation with the managers of child welfare agencies to make better sense of the data at their disposal. It considers three issues: what additional variables need to be explored to help agencies better understand their performance; how groups of children could be identified who follow predictable pathways through social care; and how qualitative information is necessary to gain a true picture of what is happening. All of these examples demonstrate a fundamental role for researchers in working with social services personnel to identify how services can be improved.  相似文献   
176.
The diffusion and use of digitally based information and communication technologies (ICTs) offers the opportunity to redefine and reconceptualize 'community' both in terms of delineating the boundaries of community, as well as the modes of communication used between members. The creation of an electronic infrastructure, the Internet, permits the possibility of widespread public communication that is inexpensive and relatively easy to access. A second consequence builds on the first; the emergence of (virtual) communities based on geographically distributed sources of information production and exchange rather than the geographic proximity of community members to one another. An assessment of three cases of ICT-linked communities suggests that one component of sustainability of these virtual communities of interest may be a geographic linkage. While interests not based on geography are, at least at present, more transitory and less important than those created by the use of the Internet and similar kinds of ICTs. While we may join a virtual community because of an interest we have, unless that interest affects us in our daily lives, in our lives as physically-instantiated and geographically-centred individuals and citizens, there is no good reason to believe that we will long continue an active membership in the virtual community. Indeed, this is precisely what the three case studies presented in this paper suggest.  相似文献   
177.
Malaria treatment practices among mothers in Guinea   总被引:2,自引:0,他引:2  
A survey of mothers of young children in Guinea, West Africa (June-July 1988) suggests that individual, sociocultural, and structural factors influence the use of antimalarials for episodes of fever presumed to be malaria. A survey of 243 mothers was carried out in eight different sites (four urban and four rural) in two regions of the country. Among mothers interviewed, use of Western antimalarials for infants and children with fever was acceptable, but access to treatment was problematic. Mothers interviewed were less likely to use antimalarials during pregnancy, partly because of certain misconceptions about their effects and lack of access to the medication. Despite programmatic efforts to promote practices of presumptive treatment of fever among young children and chemoprophylaxis during pregnancy among mothers in towns and villages surveyed, variables associated with low use of antimalarials by mothers and their young children reflect important barriers to the implementation of child survival initiatives.  相似文献   
178.
Recent revisionist scholarship on the history of sociology suggests that women scholars in the pre-World War II era made distinctive contributions to the development of the field of sociology. Most research, however, has focused on women prominent in their era, whose works might or might not be typical of all women who published during the same periods. Furthermore, few studies have made explicit comparisons between works by women and by men writing in this same era, so it has been difficult to sort out gender effects from historical era effects. This study explores writings by women and men in the first volumes of the American Journal of Sociology, from 1895 through 1940. As the oldest continuously published sociology journal in the U.S., AJS played a central role in the development of American sociology. We find that women authors were present in AJS from the earliest days, though their share of authorships never was large, and fluctuated year by year. Women’s work was distinctively different from that of men, with more women than men writing empirical, evidence-based articles, focusing on women, children, immigrants, the poor, and other have-not groups, and advocating for social reform. Writings of rank-and-file and prominent women sociologists were similar in methods, content, and form, and their distinctive contributions to sociology paralleled many of the concerns of feminist sociologists today.  相似文献   
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180.
This paper investigates the effect of learning and forgetting on production scheduling decisions. Numerous papers have appeared on this topic in the last four decades; they show that firms are better off producing in larger batches in the presence of learning and forgetting. However, these papers fail to consider one or more of realistic features of learning and forgetting; factors such as (1) the amount forgotten increases with break length between two batches and (2) the forgetting could be slow over an initial short interval followed by fast forgetting. Our paper contributes by demonstrating that a consideration of these realistic features leads to a different conclusion—firms may be better off producing in smaller batches in the presence of learning and forgetting. This is a new insight that provides one more justification for producing in small batches.  相似文献   
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