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It has been well documented that persons with disabilities (PWDs) have a more vulnerable health status than persons without disabilities; yet, they often receive inadequate primary care within the US health care system. This study explores how PWDs think about the health care they receive, particularly how primary care providers facilitate or hinder quality care for PWDs. The findings from this study expand the concept of expertise in health care, suggesting it goes well beyond technical competence of health care providers. For PWDs, expertise is multi-dimensional, not solely the domain of providers and includes having knowledge and using that knowledge within the context of the provider-patient relationship. PWDs identified three distinct areas of expertise: medical/technical, medical/biographical, and systems. Expertise can be brought to health care encounters by both PWDs and providers, and it can be developed through collaboration during interactions between providers and PWDs.  相似文献   
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We compute the limiting povwer of the Durbin-Watson test in a general linear regression model Our treatment includes previous results due to W. Kramer and H, Zeisel as well as new results. In particular, we provide new insight under which conditions the limiting power is zero or one. Stochastic-simulations correspond to our investigations.  相似文献   
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The possible negative consequences of current low fertility levels are causing increasing concern, particularly in countries where the total fertility rate is below 1.5. Social inertia and self‐reinforcing processes may make it difficult to return to higher levels once fertility has been very low for some time, creating a possible “low‐fertility trap.” Policies explicitly addressing the fertility‐depressing effect of increases in the mean age at child‐bearing (the tempo effect) may be a way to raise period fertility to somewhat higher levels and help escape the “low‐fertility trap” before it closes. Reforms in the school system may affect the timing of childbearing by lowering the age at completion of education. A more efficient school system, which provides the same qualifications with a younger school‐leaving age, is potentially capable of increasing period fertility and hence exerting a rejuvenating effect on the age composition, even if the levels of cohort fertility remain unchanged. Such policies may also have a positive effect on completed cohort fertility.  相似文献   
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This paper presents probabilistic population projections for five regions of Asia (South Asia, Central Asia, China region, Pacific OECD and Pacific Asia) and Asia as a whole. Over this century, Asia will experience very heterogeneous demographic development: Central Asia is expected to almost double in population and South Asia will become by far the world’s most populous region, rapidly surpassing the China region. Simultaneously, the Pacific OECD countries are likely to shrink in population size and experience extreme population ageing. The proportion of the population aged 60 and above in these countries (with Japan having the greatest weight) is expected to reach 50 per cent of the total population (with the 95 per cent uncertainty interval ranging from 35 to 61 per cent). The China region will experience a more rapid speed of ageing, with the proportion aged 60 and above expected to increase by a factor of four from 10 per cent in 2000 to 39 per cent in 2100.  相似文献   
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Analysis of future population trends reveals a regional pattern of continued growth, dependent upon basic assumptions about demographic factors and the priority given to human rights, socioeconomic development, and global interdependence. Developing countries will account for 85-87% of world population growth, and the most rapid increase will occur in Africa. The optimum size of population remains debatable. Ecologist argue for a reduction to 1-2 billion people in order to be in balance with nature and maintain a high quality of life. A rapid, but plausible, fertility decline would result in a population of 10 billion by 2070. The lowest feasible UN projection is 8 billion. A 1-2 billion world population would not be feasible without drastic mortality increases and fertility declines. Population control is a highly charged and complex issue; feminists are not about to place responsibility for environmental degradation on women's excess fertility. The spirit of the UN Universal Declaration of Human Rights is that women have the right to determine family size with personal integrity and freedom rather than suffer coercion for the rights of society. Family planning is a necessary ingredient for achieving the goal of desired family size. The quality of life may be undermined by upholding human rights, without recognition of the context of socioeconomic development and global interdependencies. Global economic conditions, political crises, and environmental degradation can undermine even the best national development efforts. The most difficult task ahead is addressing priorities and forming a consensus. Human rights, socioeconomic conditions, and global interdependencies must be satisfied in a mutually beneficial way. When national and global goals conflict, a compromise must be reached. There are many unknowns. The challenge is to "identify a set of policies that will stabilize world climatic conditions, promote economic development, enhance the quality of life, and respect human rights." Investment in human capital, such as education and health, will help women to avoid unwanted pregnancies. Improving the status of women is key to socioeconomic development, human rights, and global interdependencies.  相似文献   
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On the morning of April 24, 2013, Rana Plaza, an eight-story building housing five garment factories collapsed killing 1,129 workers and injuring 2,500. It quickly emerged that U.S.- and European-based retailers were sourcing items produced at Rana Plaza. This paper takes the Rana Plaza collapse as a case study of how media discourse constructs ideas about corporate deviance, responsibility, and risk management in the global supply chain. Guided by the crime news frame and global risk governance, newspaper articles from the U.S. and Bangladesh are used for a content analysis. This paper expands the literature of corporate crime and global risk governance to include the fast fashion industry. We find little evidence that either country discusses Rana Plaza as corporate deviance or the criminal condemnation of corporations. We find evidence that global risk governance is nationalized, as U.S. papers shift blame away from U.S. corporations and onto Bangladesh.  相似文献   
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