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As the twenty-first century begins, a high level of participation in premarital sexual intercourse by college women is well-documented. But, in the research exploring risk-reduction sexual behaviors, the relationship of cognitive abilities to responsible sexual behavior has been under-researched. Anonymous questionnaires were administered to 626 never-married, heterosexual women at a midwestern university to examine personal goal-setting, a cognitive variable postulated to be related to risk-reduction sexual behavior. Women who frequently set goals were more religious, optimistic about life, conservative in sexual attitudes, comfortable with their sexuality, and more psychologically sexually satisfied. Those who less often set goals were more likely to drink alcohol prior to sexual intercourse, become more intoxicated, and less likely to ask if new sex partners had STI(s). The cognitive variable, goal-setting, did differentiate college women who made responsible sexual decisions from those who engaged in risk-taking sexual behaviors.Professor Emerita of Family and Consumer Science, Texas State University-San Marcos. Received her PhD from the University of Texas, Austin in Child Development and Family Relations and is a Certified Marriage and Family Therapist, American Association of Marriage and Family Therapists and licensed in the State of Texas. Her research interests include sexual attitudes and behavior of college students, adoption attitudes of unmarried pregnant teens, and teen pregnancy/parenting programs.University of Wisconsin-Eau Claire. Received his PhD from the University of Florida in Family Sociology and is a Clinical Fellow, American Academy of Clinical Sexologists and Fellow, National Council on Family Relations. His research interests include sexual attitudes and behavior of college students, adoption attitudes of unmarried pregnant teens, female sexual adjustment, and perceptions of the female physiological sexual response.  相似文献   
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Abstract: The aim of this study was to achieve a referral database for dental age estimation of unaccompanied minors of Thai nationality. A total of 1199 orthopantomograms were collected from original Thai women and men equally divided in age categories between 15 and 24 years. On the radiographs, the developmental stage of the third molars was scored applying a modified scoring technique. Inter- and intra-observer reliabilities were tested using kappa statistics. Correlation between the scores of all four wisdom teeth and left–right symmetry were evaluated with Pearson’s correlation coefficient. Student’s t-test on asymmetry was performed and regression formulas were calculated. The present database was the first to assemble third molar developmental scores on radiographs of Thai individuals and provides more appropriate dental age estimation of unaccompanied Thai minors. Future research on similar databases of different nationalities worldwide may expose ethnical influences on dental development.  相似文献   
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Numerous studies outlining what needs to be done to improve the U.S. interagency system have been conducted in the past few decades. Together, these studies reflect a growing consensus on the range of changes needed across the government, from personnel reform, to changes in processes and structures. This article does not quibble with this consensus. Rather, in light of the current economic crisis and the challenges we face in Iraq and Afghanistan, this piece argues that dramatic reform may be a luxury we cannot afford right now. Instead of offering another proposal for large-scale reorganization, the author suggests a way to get started now; one that focuses on winning the fights we are currently in while setting the trajectory for long-term change.  相似文献   
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Medicaid expenditures, which had reached more than +32 billion by 1981, have grown substantially throughout the program's history. As a result, the conventional wisdom is that Medicaid expenditures represent a significant public-policy problem. Using other measures, however, it can be shown that the program is much less of a problem than it appears to be. By 1981, spending for Medicaid represented only 12.7 percent of total state spending and had contributed only 14.2 percent to the overall growth in state expenditures since 1965. Moreover, considering only the funds which states raise from in-state sources, the median share of state budgets accounted for by Medicaid was just 5.6 percent, and only 7 states spent as much as 9 percent of their own money on the program. These figures suggest that the marginal reductions in Medicaid expenditures which would result from typical program changes are likely to be so small that rational state officials might be unwilling to incur the political opposition of powerful provider groups or the resistance of large state bureaucracies by proposing substantial reforms. The major exceptions are the few states with very large programs where even small proportional savings would amount to millions of dollars. We conclude that, given its present federal-state form and the current distribution of expenditures, it is unlikely that major reforms will be enacted because the stakes are too small for most states and the federal interest is too diffused.  相似文献   
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INTRODUCTION: Literature reports on a method for dental age calculation which is based only on radiological measurements on periapical dental radiographs: the relationship between chronological age and the two-dimensional dental pulpal size was analysed by means of multiple regression analyses. The purpose of the present study was to evaluate whether this approach could be feasible and could lead to statistically sound results with adequate repeatability when applied on panoramic radiographs. MATERIALS AND METHODS: One hundred and ninety seven panoramic radiographs were collected at random from patients of whom the age ranged from 19 to 75 years. According to the reported technique, six teeth were selected on the panoramic radiograph: in the maxilla the central and lateral incisor and second bicuspid, and in the mandibula the lateral incisor, cuspid and first bicuspid. The same exclusion criteria as in the original paper were respected. Statistical analysis was carried out in order to spot significant differences between the chronological age and the calculated age. RESULTS: When the age was calculated based on measurements of all six teeth or of all three mandibular teeth, no significant differences were found between the real age and the calculated one. In all other instances using the individual teeth separately or using all three maxillary teeth statistical analysis revealed significant differences. CONCLUSION: There appears to be no significant difference between applying the original technique on standard long-cone periapical radiographs or on orthopantomograms, especially when carrying out measurements on all six selected teeth.  相似文献   
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