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Abstract The Bills of Mortality for London were instituted at least as early as 1528 but only a few figures survive before the extant annual series that begins in 1603. Ages at death, even in broad groups of ages, are not generally available until 1728, which is more than 50 years too late to give us any inkling of the ages, if any, at which people were specially susceptible to plague. There are reports, it is true, that suggest that children suffered from plague more severely than adults, at least on certain occasions (as in 1361 or 1418 for example), but nothing more precise. The legend of the Pied Piper of Hamelin may be a folk-memory of a plague (possibly in 1284) that killed mainly the children of the town, for the connection between infestation of rats and the loss of children suggests some kind of plague outbreak. Pollitzer concludes that no particular age group is specially liable to plague, and attributes all differences observed to different risks of exposure. The determinants of the severity of an outbreak would therefore be the environmental details and social customs.  相似文献   
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Thorough examination of the literature revealed no comprehensive reviews detailing the experiences of South Korean–U.S. adoptees as transnationally adopted persons. To address this need, multiple databases, keywords/keyword combinations, and fugitive literature were used. Data from the review were coded, categorized, and analyzed, with five themes emerging: (1) intrusive interactions, (2) boundary management, (3) discrimination and exclusion, (4) difficulties in identity development, and (5) ethnic exploration. These themes seem to fall along a developmental path from childhood through young adulthood. Understanding these experiences may be useful for formulating policy, structuring adoption services and clinical practice, and research design.  相似文献   
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Consistent with Western cultural values, the traditional liberal theory of autonomy, which places emphasis on self-determination, liberty of choice, and freedom from interference by others, has been a leading principle in health care discourse for several decades. In context to aging, chronic illness, disability, and long-term care, increasingly there has been a call for a relational conception of autonomy that acknowledges issues of dependency, interdependence, and care relationships. Although autonomy is a core philosophy of assisted living (AL) and a growing number of studies focus on this issue, theory development in this area is lagging and little research has considered race, class, or cultural differences, despite the growing diversity of AL. We present a conceptual model of autonomy in AL based on over a decade of research conducted in diverse facility settings. This relational model provides an important conceptual lens for understanding the dynamic linkages between varieties of factors at multiple levels of social structure that shape residents' ability to maintain a sense of autonomy in this often socially challenging care environment. Social and institutional change, which is ongoing, as well as the multiple and ever-changing cultural contexts within which residents are embedded, are important factors that shape residents' experiences over time and impact resident-facility fit and residents' ability to age in place.  相似文献   
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MF Cantley 《Omega》1973,1(1):55-77
This paper is about corporate planning, seen primarily but not exclusively from the viewpoint of operational research. The reasons for the rise of interest in corporate planning are examined, as are the contributions which O.R. has made or can make to corporate planning problems. An abstract discussion of these problems concentrates on those posed by increasing “connectedness” in the environment. After comparing the responses of the “commonsense manager”, the model-oriented operational researcher, and the cybernetician, the question is posed: “How can the operational researcher or planner enhance the adaptive capability of his organization?” A case study illustrates one possible form of solution, the “modular” approach; and another, the “zoom-lens” is outlined. The relevance of global system modelling to the widening problems of the corporate planner is also considered, and related to the concepts previously discussed.  相似文献   
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The available records of the ducal families of the British Isles have been studied in order to determine fertility and mortality among the highest social class.

The expectation of life was considerably higher for females than males, but a large part of the difference could be explained by deaths from violence. Mortality fell rather abruptly about the middle of the eighteenth century, and perhaps again in the twentieth century. At other times mortality has fallen gradually.

The mortality of the aristocracy was similar in Britain and the Continent. The differences are rather in favour of Britain, especially for children and old people.

The mean age at marriage rose from 22 to 29 for men, and from 17 to 24 for women, between the fourteenth and the eighteenth centuries. Thereafter it has scarcely varied. Eldest sons have always married at younger ages than did their brothers.

Between about 1760 and 1860, the rate of fertility was remarkbly high. To a large extent, falling mortality accounts for the sudden rise in fertility in the mid-18th century, but it does not explain all the increase. After 1860 or so, fertility fell, as in the general population, and at present ducal families are just failing to reproduce themselves.

In every period, roughly one in six of all marriages of completed fertility were childless. The decline in fertility was thus brought about by a reduction in the proportion of large families.

Especially since 1700, marriages into another peerage family produced more children than did other marriages. There is no evidence that the first child was significantly more often male than were subsequent children.  相似文献   
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