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71.
Operational criteria for the determination of suicide   总被引:7,自引:0,他引:7  
Suicide is an important public health problem for which we have an inadequate public health database. In the United States, decisions about whether deaths are listed as suicides on death certificates are usually made by a coroner or medical examiner. These certification decisions are frequently marked by a lack of consistency and clarity, and laws and procedures for guiding these decisions vary from state to state and even from county to county. Without explicit criteria to aid in this decision making, coroners or medical examiners may be more susceptible to pressures from families or communities not to certify specific deaths as suicide. In addition, coroners or medical examiners may certify similar deaths differently at different times. The degree to which suicides may be underreported or misclassified is unknown. This makes it impossible to estimate accurately the number of deaths by suicide, to identify risk factors, or to plan and evaluate preventive interventions. To remedy these problems, a working group representing coroners, medical examiners, statisticians, and public health agencies developed operational criteria to assist in the determination of suicide. These criteria are based on a definition of suicide as "death arising from an act inflicted upon oneself with the intent to kill oneself." The purpose of these criteria is to improve the validity and reliability of suicide statistics by: (1) promoting consistent and uniform classifications; (2) making the criteria for decision making in death certification explicit; (3) increasing the amount of information used in decision making; (4) aiding certifiers in exercising their professional judgment; and (5) establishing common standards of practice for the determination of suicide.  相似文献   
72.
过去几年,中美关系从国际体系内的霸权国家与国际体系外的相对较弱国家之间的关系,演变为国际体系内的守成强国与崛起强国之间的关系。这种变化导致中美关系告别了过去四十余年的"接触—融入"战略框架。中美关系进入新阶段后,两国需要一个双方都可接受的、新的战略稳定框架,以确保中美关系的长期稳定。然而,由于种种原因,两国迄今尚未能形成可以为两国关系实践提供战略指导的新框架与新论述。美国方面出现了以亚太政策代替中国政策等问题;中国方面提出的"新型大国关系"概念也未能获得美方很好地理解与接受。因此,过去几年中美关系进入一个缺乏宏观战略共识指引的新时期。这是过去几年中美关系中的竞争面、消极面日益凸显的重要原因。让人鼓舞的是,中美两国领导人在危机管控、全球议题合作等领域,正在以逐案处理的方式,为两国摸索新的利益边界。这种探索或许能够导致中美两国形成新的稳定框架,其产生的"正能量"与中美结构性矛盾自然产生的"负能量"之间的"竞赛"将决定未来一段时间内中美关系的移动方向。不过,两国领导人的这种尝试未来也将面临美国政治周期变化等不确定因素的影响。  相似文献   
73.
近年来,中美在亚太地区的安全矛盾持续发酵,逐渐形成安全利益、理念和地区安全秩序构想的全面对立态势,成为影响中美和平共处的重要因素。秩序疑虑与热点问题的对立是中美在亚太地区安全矛盾的主要表现。中美亚太安全矛盾的全方位突显,根本上源于两国力量对比的变化以及由此引发的权力转移态势,是中美总体力量差距背景下局部力量平衡的表现。这种力量平衡表现为:中国作为地区经济中心与美国作为地区安全中心的“二元结构平衡”;中国作为陆权大国与美国作为海权大国的“陆海权力平衡”;在中国近海区域,中美权力均衡态势初步形成。在此过程中,中美对既有安全矛盾管理的失效以及彼此安全威胁认知的反复塑造,客观上增强了矛盾对立的烈度,安全困境逐步形成。随着权力消长和政策互动,中美在亚太地区的安全困境,逐步呈现出从经典安全困境转向“国家引导型的安全困境”加剧的趋势。未来,中美亚太安全矛盾仍然会受到结构性因素的影响,而经济相互依存趋势、技术发展引发的军事威慑变化、意识形态竞争以及非传统安全合作等因素,则将决定既有安全矛盾是否会走向冲突。  相似文献   
74.
75.
SUMMARY

The Scottish Parliament, established in 1999, was to be a novel type of parliament and to herald a ‘new politics’. While it was inevitable that the Scottish parliamentary model would inherit some of the features of the Westminster system, one of the major parliamentary models in the world, Home Rulers insisted on the Scottish Parliament's need to adopt novel procedures and principles right from the start to keep it from becoming a ‘Westminister’. An analysis of Scottish Home Rule discourse in documents from the late 1980s and the 1990s shows that at the time, Westminster was constructed as an ‘anti-model’. This article establishes in what respects Westminster was an anti-model for the architects of the Scottish Parliament and describes the ideal parliamentary model which they defined. It then considers whether the Scottish model as it exists today conforms to their expectations. The case presented here is that the Scottish parliamentary system is indeed different from the British system in several fundamental respects, such as the fact that it is more committee-based and less executive-oriented, but that it is closer to the Westminster model than has been acknowledged, and that in some respects, the Scottish Parliament has moved towards that model by adopting typically British modes of functioning. Some characteristics of the Westminster system which it has integrated are the Presiding Officer's power to have a casting vote or, more controversially, the way the executive is held to account, through adversarial Question Times. The Scottish Parliament is thus neither a mini-Westminster nor an anti-Westminster: the Scottish parliamentary model is a hybrid of the West European and the Westminster models.  相似文献   
76.
This essay traces the history of problem‐solving courts (including drug courts, community courts, domestic violence courts and others), outlines problem‐solving principles, and answers a basic set of questions about these new judicial experiments: Why now? What forces have sparked judges and attorneys across the country to innovate? What results have problem‐solving courts achieved? And what – if any – trade‐offs have been made to accomplish these results?  相似文献   
77.
Popular financial reports (PFRs) are intended to increase transparency by providing financial information to a non-technical, citizen audience. We examine the extent to which PFRs are meeting the goal of transparency by developing a 23-criteria fiscal transparency index for the citizen user (FTI-CU) and applying it to a sample of PFRs (popular annual financial reports and citizen-centric reports) issued by local governments in the U.S. These criteria are organized into five areas: comprehension, access, financials, appearance, and community-focused. The analysis finds that, while there are areas for improvement, the PFRs rated the highest in the access and appearance criteria.  相似文献   
78.
This paper begins where Professor Windsor left off and enumerates some other areas in which academic research could be profitably pursued for both intellectual and practical gain. The tone of Professor Windsor's paper is pessimistic, and lays out in detail some of the obstacles to research; but these are not insurmountable. Some key areas that can be explored to the benefit of researchers and practitioners are in self‐regulation, the initiative process, term limits (a relatively recent phenomenon and not particularly well known outside of the USA), and in alliance building, constituency statutes, and links to stakeholder theory and action. Each of these additional areas is addressed in this presentation. Copyright © 2001 Henry Stewart Publications  相似文献   
79.
The world is rapidly evolving on many fronts. Brazil, Turkey and other emerging powers are taking their own initiatives and building their own global links outside the old frameworks of the G‐8, the United Nations Security Council and NATO. The “third way” politics of Tony Blair that embraced globalization from the left of center in Britain has given way to the Tory party once again. Just as recovery from the financial crash seemed on the horizon, Europe's sovereign debt crisis has erupted. The historically unprecedented pace and scale of urbanization in China is transforming the politics of the Communist Party. President Lula of Brazil, former US treasury secretary Henry Paulson, Singapore's foreign minister George Yeo and others take stock of these manifold developments.  相似文献   
80.
The authors explored the characteristics of individuals that affect their attitudes toward restorative justice-—in which offenders, victims, and communities meet to redress the damage the offence had caused. Across three studies, participants completed questionnaires that assessed whether they believe that people in general, or offenders in particular, can change fundamentally as well as attitudes toward restorative justice, rehabilitation, and punishment. In one study, the questionnaire also included measures of social dominance orientation, goal orientation, and future clarity. Generally, participants who believed that offenders can change fundamentally were more likely to agree to participate in restorative justice meetings and endorse rehabilitation over punishment. Yet, the belief that individuals in general can change fundamentally was not significantly associated with these attitudes toward alternative responses to crime. Social dominance orientation was inversely, and a learning orientation and future clarity were positively, associated with this belief that offenders can change. Thus, interventions that diminish inequality in income, privileges, and influence—and thus curb a social dominance orientation—may foster an openness toward restorative justice. Initiatives that continually reward people who gradually develop their expertise, and thus promote a learning orientation, should also foster this openness toward alternatives to custodial sentences.  相似文献   
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