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1.
The histories and service needs of 2 groups of homeless women, those unaccompanied by minor children (n = 46) and those accompanied by minor children (n = 22), were compared, on the basis of their responses to a biennial survey of homeless people in a midsize city in the southeast United States. Mothers of children aged 2–10 also completed a measure of stress symptoms for their children (n = 20). Irrespective of family status group, problems such as substance abuse, history of mental illness, health problems, chronicity of homelessness, and crime victimization tended to cluster together. The findings also suggest that declining and/or inadequate levels of public benefits, Temporary Assistance to Needy Families, and Medicaid-funded health care in particular, have adversely affected the 2 groups, particularly families with children. The young children in this sample experienced elevated levels of stress, and significant associations were found between children's stress levels and certain risk factors of their mothers. Implications for service delivery are discussed.  相似文献   
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Public education authorities throughout the Australian States and Territories have moved towards the development of policies and programmes to integrate students considered disabled into regular classrooms. The implementation of policy frequently is reduced to disputation over resources which, it is argued, will facilitate integration. This paper contends that such debates sustain the flawed notion that integration is simply a technical issue to be achieved through deployment of special equipment and personnel to regular schools, recommending a further consideration of the contribution of pedagogy, curriculum and school organisation to disabling or enabling educational programmes.  相似文献   
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The advent of thousands of Usenet groups on the Internet, covering a vast range of medical and welfare issues and ostensibly devoted to the mutual social support of participating members, has raised the potential for the development of new forms of 'virtual' health care. This article critically analyses the use by people with diabetes of one such Usenet group. It seeks to establish, first, the extent to which such a site provides some demonstrable measure of social support to its participants. This is approached by undertaking a structural analysis of the site to identify the extent of usage, and the nature of supporting interventions using a fivefold classification (instrumental, informational, esteem and social companionship and other). Second, the article attempts to identify any disparity between the lay health-knowledge in evidence and biomedical opinions proffered by the use of a panel of consultant diabetiologists. The results of the analysis suggest that the diabetes newsgroup provides an example of an active forum for largely well-informed participants who routinely use the media as an aid to the reflexive management of their medical condition. It also raises the prospect of a renegotiated relationship between medical knowledge and lay experience based upon shared learning  相似文献   
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To explore the projection efficiency of a design, Tsai, et al [2000. Projective three-level main effects designs robust to model uncertainty. Biometrika 87, 467–475] introduced the Q criterion to compare three-level main-effects designs for quantitative factors that allow the consideration of interactions in addition to main effects. In this paper, we extend their method and focus on the case in which experimenters have some prior knowledge, in advance of running the experiment, about the probabilities of effects being non-negligible. A criterion which incorporates experimenters’ prior beliefs about the importance of each effect is introduced to compare orthogonal, or nearly orthogonal, main effects designs with robustness to interactions as a secondary consideration. We show that this criterion, exploiting prior information about model uncertainty, can lead to more appropriate designs reflecting experimenters’ prior beliefs.  相似文献   
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This paper discusses the relationship between uncertainty in a decision making environment and the desired characteristics of information used for decision making. The work is aimed at providing a better understanding of the variables that affect the design of Management Information Systems. An experiment was conducted using an inventory simulator. The subjects could decide on inventory control variables and the amount and type of information to be used in monitoring system performance. The demand for inventory was an external random variable under the control of the experimenter. The experiment investigated how different demand variances affected the decision information used, the decisions made, and the resulting decision effectiveness (cost.) It was found that decision review frequency was not affected by demand variability. However, age and degree of summary of information used were greatly affected. Subjects exposed to high variability used data with a shorter history and a higher level of detail than those exposed to low variability. It was also found that the number of reports used increased from the low to middle variance group, then decreased at very high variance. Subjects tended to “give-up” on their information system at high variance, and they relied on additional safety stock to prevent frequent stockouts. Finally, the correlation between the information used and decision effectiveness as measured by cost was low. This result was contrary to the subjects' beliefs that more and better information produced “better” decisions. It indicates that although variability may strongly affect preferences for different types of information, the information used may not in turn affect decision performance.  相似文献   
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This article presents the results of an AIDS-sponsored investigation of teaching effectiveness in the decision sciences. Two national samples were employed in the study: a sample of 247 business school deans and a sample of 3,292 students from 32 different business schools. Included among the findings are that 87 percent of the deans responding indicate they require some sort of faculty teaching effectiveness evaluation, and that great care must be exercised when interpreting student ratings of an individual instructor's teaching effectiveness.  相似文献   
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Capital budgeting models for analyzing real assets typically are based on a set of restrictive assumptions that influence financial managers' decisions and may prevent optimization of the firm's objectives. This research examines the common restrictive assumption that cash flows are intertemporally independent by first developing an economic state and simulation model based on a Markov process for including autocorrelated cash flows in the capital budgeting decision process and then demonstrating why managers should include autocorrelated cash flows in capital budgeting models by empirically testing the impact of assuming intertemporally independent cash flows on capital budgeting decisions. The results indicate that ignoring autocorrelated cash flows seriously limits the ability of capital budgeting models to provide optimal investment decisions. The model also is very attractive for practical application because it can be implemented with a minimum number of estimates and provides the set of input data required by a number of capital budgeting models. A discussion of the implementation of the model is included.  相似文献   
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