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Analysis of the incidence of pelvic trauma in fatal automobile accidents   总被引:1,自引:0,他引:1  
Pelvic fractures are frequent complications of motor vehicle accidents, and motor vehicle accidents are the most common cause of pelvic fracture. Although pelvic fractures are associated with considerable morbidity and mortality, there has traditionally been no attempt to grade or classify pelvic fractures during postmortem examination. The authors performed a retrospective study of cases examined at the Jefferson County Coroner/Medical Examiner Office from 1994 to 1996, reviewing investigative reports and autopsy findings. Radiographs were examined for the presence and Tile type of pelvic fracture. Pelvic fractures were identified in 88 of 392 cases (23%). In most (89%), the pelvic fracture was readily classified according to Tile type on the basis of radiographs and the inferred mechanism of injury. This study indicates that current estimates of the mortality of pelvic fractures are low because of the exclusion of individuals who do not survive to hospitalization. Furthermore, pelvic fractures in rapidly fatal motor vehicle accidents tend to be more severe than fractures in individuals who have a significant interval of survival. The presence and classification of pelvic fractures may be readily determined by radiographs in most cases. The Tile classification scheme is easy to apply and has important implications in the comparison of study groups.  相似文献   
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Ms. Bruce's paper analyzes the interplay between the Model State Emergency Health Powers Act and the HIPAA Privacy Rule. The article begins by examining specific relevant provisions of the Act and Rule. Next, it traces the history of public health law through the court system and then uses this foundation to discuss how the Model State Emergency Health Powers Act and the HIPAA Privacy Rule could co-exist, protecting Americans in the case of a bioterror attack, while being appropriately sensitive to the confidentiality of private health information.  相似文献   
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To examine how maternal regulation and daughters' striving for autonomy are reflected in dyadic communication, 32 eighth- and twelfth-grade daughters and their mothers were audiotaped as they discussed two stories with unresolved mother-daughter conflict themes (daughter's pregnancy, mother's financial problem). The tapes were analyzed for the quality of the conversational statements made while resolving the story conflicts. Results indicated that mothers regulated conversation through questions while daughters were more conceding. This pattern was less marked in older dyads. Five dyadic interaction styles were identified and examined in relation to grade level of the daughters. The results are discussed in light of issues of regulation and autonomy during adolescence and adulthood.Received Ph.D. from Wayne State University. Research interests include cognitive/emotional development and parent-child interaction.Received M.A. from Wayne State University. Research interests include the development of social cognition and social interaction.  相似文献   
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Enhanced participation has been prescribed as the way forward for improving democratic decision making while generating positive attributes like trust. Yet we do not know the extent to which rules affect the outcome of decision making. This article investigates how different group decision rules affect group trust by testing three ideal types of decision rules (i.e., a Unilateral rule, a Representative rule and a ‘Non‐rule’) in a laboratory experiment. The article shows significant differences between the three decision rules on trust after deliberation. Interestingly, however, it finds that the Representative rule yields more trust than the Non‐rule and also significantly more trust than the Unilateral rule, when analysing the results at group level. These findings challenge the theoretical understanding by, for example, deliberative normative theorists that more inclusive, consensual and non‐hierarchical decision‐making procedures enhance trust vis‐à‐vis other more hierarchical decision‐making procedures.  相似文献   
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Political agenda-setting studies have shown that political agendas are influenced by the media agenda. Researchers in the field of media and politics are now focusing on the mechanisms underlying this pattern. This article contributes to the literature by focusing not on aggregate, behavioral political attention for issues (e.g., parliamentary questions or legislation), but on Members of Parliament’s (MP) individual, cognitive attention for specific news stories. Drawing upon a survey of Belgian MPs administered shortly after exposure to news stories, the study shows that MPs are highly selective in exploiting media cues. They pay more attention to both prominent and useful news stories, but a story’s usefulness is more important for cognitive processes that are closely linked to MPs’ real behavior in parliament. In other words, aggregate political agenda-setting effects are a consequence of the way in which individual MPs process media information that matches their task-related needs.  相似文献   
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A survey concerning intrusive/aggressive behaviours towards MPs was administered at Westminster, and in Queensland, New Zealand and Norway. Follow-up interviews were conducted with a sample at Westminster. This paper examines the experiences and associations of the 239 Westminster responders, of whom 81% had experienced intrusive/aggressive behaviours, 18% been subject to attack/attempted attack, and 53% stalked or harassed. Being stalked and subject to certain types of intrusive/aggressive behaviour were associated with younger age and being in the Commons five years or less, but serious incidents were more common in those who had been MPs for longer. There were no associations with brief periods of harassment. Some differences with party and constituency type emerged. Mental illness was prominent amongst perpetrators. Motives predominantly concerned personal grievances. Significant proportions of MPs suffered psychological ill-effects, necessitating inconvenient behaviour changes. Internal consistencies in these results and similarities to other sites are explored, and their implications discussed.  相似文献   
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We demonstrate that fixed- and random-effects models for pooled cross-sectional and time series data, and latent growth curve models for panel data are special cases of a more general model. We compare the estimates obtained from each type of model for a data set consisting of homicide rates and a vector of explanatory variables for 400 US counties over a 15-year period. Most, but not all, estimates are similar in the two models. We identify circumstances under which one approach may be advantageous to the other.
David F. GreenbergEmail:
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