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381.
Interpersonal distress is a common feature in gambling disorder and adding a concerned significant other (CSO) to the recovery process could be an effective tool for improving treatment outcome. However, little empirical evidence is available regarding the effectiveness of including a CSO to interventions. We aimed to compare treatment outcomes (i.e. compliance with therapy guidelines, dropout from treatment, and relapse during treatment) in a CBT program involving a CSO to CBT treatment as usual (TAU) without a CSO. The sample comprised male gambling disorder patients (N = 675). The manualized CBT intervention consisted of 16 weekly outpatient group sessions and a 3-month follow-up period. Patient CSOs attended a predetermined number of sessions with the patient and were provided with resources to acquire a better understanding of the disorder, to manage risk situations, and to aid patients in adhering to treatment guidelines. Patients with a CSO had significant higher treatment attendance and reduced dropout compared to patients receiving TAU. Moreover, patients whose spouse was involved in the treatment program were less likely to relapse and adhered to the treatment guidelines more than those with a non-spousal CSO. Our results suggest that incorporating interpersonal support to gambling disorder interventions could potentially improve treatment outcomes.  相似文献   
382.
Green roofs have been described as technical solutions to overcome urban environmental problems, such as decrease of vegetation and stormwater management. In the present study, two pilot 20 m2 extensive green roofs were implemented in an urban Mediterranean region, at a 1st storey on a warehouse building structure, in order to test the adequacy of different substrates for supporting aromatic plants (Lavandula dentata, Helichrysum italicum, Satureja montana, Thymus caespititius and Thymus pseudolanuginosus). Experimental substrates included expanded clay and granulated cork as main components, supplemented with organic matter and crushed egg shell. A commercial substrate that obeys to FLL guidelines was also tested. Plant growth was assessed and compared within each platform. All experimental substrates proved to be adequate for vegetation growth, with the combination of 70% expanded clay, 15% organic matter and 15% crushed egg shell showing the best results regarding plant establishment and growth over time. Water runoff quality parameters - turbidity, pH, conductivity, NH4 +, NO3 ?, PO4 3? - met standard values required for water reuse for non-potable purposes, such as toilet flushing or irrigation. Preliminary qualitative thermographic measurements comparing surface temperature of different plant species and the substrate showed that temperature of vegetation surface was lower than substrate, reinforcing green roofs benefits of lowering air temperature in their surroundings. The present research shows that aromatic vegetation combined with clay substrates are suitable for green roofs located in countries of the Mediterranean region.  相似文献   
383.
In Europe, there are four main active labour market programs: training, job search assistance, wage subsidies and subsidized public sector employment. Literature indicates that among all four, job search assistance, which includes mentoring, is the active employment policy with the most positive results. This paper, an output of an European funded project work package, is aimed to answer the question ‘What is there that says that mentoring is effective in job place retention?’ In order to answer this question, we conducted a literature review. In terms of content, our literature review’s results could be categorized into 14 main topics: Retention, Employee, Supervisor, Leadership, Education, Health Care, Management &; Marketing, ICT &; IT, Finance, Programme, Benefits, Mentee, Mentor, Less positive about mentoring. In addition to the academic literature review, we conducted a review in four different EU countries: Cyprus, Romania, Hungary and Portugal. Based on these reviews we will discuss the recommendations considering the three types of actors present in an effective mentoring process: mentoring coordinator, mentor and mentee.  相似文献   
384.
This paper discusses the tension between the criminal justice system and the welfare state as expressed through practices focused on populations who are perceived as being ‘at risk’ and constituting ‘a danger’ to society, therefore challenging the national governance of social precariousness and public (in)security. The analysis of a paradigmatic institution of Portuguese Fascism has brought to light how the contradictions between the long‐term subjectivation of vagrancy processes and the uses of anti‐vagrancy policies promoted by the dictatorial state to arrest and punish a significant part of his citizens may justify the moral dilemmas underlying the current Portuguese State's response to homelessness and urban marginality.  相似文献   
385.
The effects of data uncertainty on real-time decision-making can be reduced by predicting data revisions to U.S. GDP growth. We show that survey forecasts efficiently predict the revision implicit in the second estimate of GDP growth, but that forecasting models incorporating monthly economic indicators and daily equity returns provide superior forecasts of the data revision implied by the release of the third estimate. We use forecasting models to measure the impact of surprises in GDP announcements on equity markets, and to analyze the effects of anticipated future revisions on announcement-day returns. We show that the publication of better than expected third-release GDP figures provides a boost to equity markets, and if future upward revisions are expected, the effects are enhanced during recessions.  相似文献   
386.

Background

Health-related quality of life of women in the postpartum period may depend on the mode of birth. However, previous findings are contradictory.

Aim

To explore health-related quality of life of women at the sixth week and sixth month postpartum by mode of birth.

Methods

We performed a longitudinal prospective study in Spain that included 546 healthy primiparae aged 18 to 45 years who gave birth to a healthy newborn. At the sixth week and sixth month postpartum, we analysed sociodemographic and clinical characteristics and compared health-related quality of life (measured using the SF-36) by mode of birth (normal vaginal, forceps, vacuum-extraction, elective caesarean section, emergency caesarean section). In addition, we analysed the change in health-related quality of life between the two time points for each mode of birth.

Findings

We did not find differences in health-related quality of life by mode of birth at the sixth week or sixth month postpartum. At the sixth week postpartum, regardless of the mode of birth, women with postpartum urinary incontinence reported lower health-related quality of life. Between the sixth week and sixth month postpartum, health-related quality of life improved for all modes of birth.

Conclusion

While mode of birth is not directly associated with health-related quality of life, it does have an indirect relationship in the short term. Women who reported the lowest health-related quality of life were those with postpartum urinary incontinence. Most women with postpartum urinary incontinence were in the forceps group.  相似文献   
387.
The aim of this article is to present an estimation procedure for both fixed effects and variance components in linear mixed models. This procedure consists of a maximum-likelihood method which we call Three Step Minimization (TSM). The major contribution of this method is that when variances tend to be null standard algorithms behave badly, unlike the TSM method, which uses a grid search algorithm in a compact set. A numerical application with real and simulated data is provided.  相似文献   
388.
The estimation or prediction of population characteristics based on the sample information is the key issue in survey sampling. If the sample sizes in subpopulations (domains) are large enough, similar methods as used for the whole population can be used to estimate or to predict subpopulations characteristics as well. To estimate or to predict characteristics of domains with small or even zero sample sizes, small area estimation methods “borrowing strength” from other subpopulations or time periods are widely used. We extend this problem and study methods of prediction of future population and subpopulations’ characteristics based on the longitudinal data.  相似文献   
389.
The Analysis of Verbal Behavior - We examined two methods to facilitate the emergence of untaught intraverbal responses to children with autism. Listener behavior training (LT) involved...  相似文献   
390.
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