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61.
Medical fraud and overservicing are estimated to cost the Australian community between $130 and $200 million per annum, a figure far greater than the national cost of burglary and almost the same as the total property loss from all conventional crime. An examination of the social antecedents of medical fraud and overservicing suggests that the predisposition of some doctors to engage in these practices occurs because of the following: (1) medical training and professional socialization that orientate student doctors away from altruistic health issues towards narrower self-interested professional concerns; (2) career expectations of a high pattern of material consumption that are often frustrated by an increasingly competitive medical market place; and (3) professional medical organizations that lobby for national health policies which reflect the mercenary self-interest of doctors rather than the health interest of the nation. 相似文献
62.
Amy H. Herring Joseph G. Ibrahim Stuart R. Lipsitz 《Journal of the Royal Statistical Society. Series C, Applied statistics》2004,53(2):293-310
Summary. Non-ignorable missing data, a serious problem in both clinical trials and observational studies, can lead to biased inferences. Quality-of-life measures have become increasingly popular in clinical trials. However, these measures are often incompletely observed, and investigators may suspect that missing quality-of-life data are likely to be non-ignorable. Although several recent references have addressed missing covariates in survival analysis, they all required the assumption that missingness is at random or that all covariates are discrete. We present a method for estimating the parameters in the Cox proportional hazards model when missing covariates may be non-ignorable and continuous or discrete. Our method is useful in reducing the bias and improving efficiency in the presence of missing data. The methodology clearly specifies assumptions about the missing data mechanism and, through sensitivity analysis, helps investigators to understand the potential effect of missing data on study results. 相似文献
63.
Biao Zhang 《Australian & New Zealand Journal of Statistics》2004,46(3):407-423
Demonstrated equivalence between a categorical regression model based on case‐control data and an I‐sample semiparametric selection bias model leads to a new goodness‐of‐fit test. The proposed test statistic is an extension of an existing Kolmogorov–Smirnov‐type statistic and is the weighted average of the absolute differences between two estimated distribution functions in each response category. The paper establishes an optimal property for the maximum semiparametric likelihood estimator of the parameters in the I‐sample semiparametric selection bias model. It also presents a bootstrap procedure, some simulation results and an analysis of two real datasets. 相似文献
64.
For a wide variety of applications, experiments are based on units ordered over time or space. Models for these experiments generally may include one or more of: correlations, systematic trends, carryover effects and interference effects. Since the standard optimal block designs may not be efficient in these situations, orthogonal arrays of type I and type II, which were introduced in 1961 by C.R. Rao [Combinatorial arrangements analogous to orthogonal arrays, Sankhya A 23 (1961) 283–286], have been recently used to construct optimal and efficient designs for many of these experiments. Results in this area are unified and the salient features are outlined. 相似文献
65.
当前西方危机与现代性危机最深刻的症候,是在其最高知识权威的影响下,现代后期的某些学说(列奥·施特劳斯所谓的历史主义、相对主义学说)撼动了西方人的根基,人们丧失了方向感。这种理论上的危机带来的实际后果主要表现在:一种本来意义上的政治哲学所要求的普遍有效方式去解答对错、好坏问题不再可能。既然现代性的危机源于对现代政治哲学隐含的这个前提的表达,那么,现代性批判的中心课题是对现代理性主义或对理性之现代信仰的批判,它逻辑地包含了对恒久和普遍美好生活原则的辩护,试图恢复人们的自信,以便能够合理地赋予价值判断以效力。 相似文献
66.
67.
张育仁 《重庆师范大学学报(哲学社会科学版)》2008,(6)
2008年9月,莫怀戚长篇小说<白沙码头>研讨会在重庆召开.与会专家学者一致认为:<白沙码头>不是一般意义上的传奇小说,其内涵深厚,信息量极大,它所展示的民间生存智慧和作家的民间艺术立场相当鲜明而感人,特别是对我们反省现实、反省历史、反省我们当代人自己具有不可替代的价值意义. 相似文献
68.
69.
The theory of incapacitation involves reducing an offender's ability or capacity to commit further crimes. Capital punishment accomplishes this goal. An executed murderer never murders again. However, we do not execute all murderers, only capital murderers. This policy produces several research questions. Do capital murderers present a special risk to society? Are capital murderers more likely to murder or commit other violent crimes again than other murderers or the average citizen? To answer these questions, many states require a prediction of future dangerousness of a newly convicted murderer. To what extent has the judgment of future dangerousness matched actuarial data of subsequent murders and serious crimes? Using a secondary analysis, this investigation attempted to assemble available data of postconviction dangerousness of death sentenced capital murderers to create a more comprehensive actuarial account of subsequent dangerousness and to present the data in a common format used by the Federal Bureau of Investigation and the Bureau of Justice Statistics. Across 14 studies identified with relevant data, there were 13 instances of subsequent murder and 462 serious crime or prison rule violations. 相似文献
70.