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排序方式: 共有128条查询结果,搜索用时 46 毫秒
41.
This paper examines the political implications of current decision making efforts that underpin recent cost-cutting measures of federally supported programs serving the elderly. Current policy changes that favor the private sector (e.g., shifts of the cost of care to other levels of government and to elderly individuals and their families) have also generated a renewed interest in the policy of mandating family responsibility. The paper also examines attitudes concerning filial responsibility, such as multigenerational living. The inadequacy of current policy analysis that has encouraged the disestablishment of the current long-term care system and the shifting of care costs to the private sector, especially to the individual and the family are also examined.  相似文献   
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Mandibular length, mandibular angle, and maximum ramus height measurements used during forensic evaluation of skeletal remains require use of a mandibulometer. This study presents a new method of taking these measurements from images, so that practitioners without access to an expensive mandibulometer or those working with 3D models (e.g., CT scans) can collect and utilize these measurements. Ten trials performed on a sample of 45 mandibles were used to compare measurements collected from photographs and images extracted from 3D surface scans to those collected with a mandibulometer, including intra‐ and inter‐observer analyses. All technical error of measurement (TEM) values were less than 2 mm regardless of observer, trial, or method. Relative TEM values were less than 2% for all except mandibular length (2.10%) and ramus height (2.32%) for the right versus left photographs. Results are comparable with mandibulometer error rates, indicating that the proposed method is accurate and reliable.  相似文献   
44.
Inmates represent a vulnerable population with increased rates of trauma and posttraumatic stress disorder (PTSD). However, little is known about the rates of trauma and PTSD among male inmates with acute psychiatric illness. This prospective, randomized study was conducted to assess the current rates of trauma and PTSD in this population. The sample consisted of 48 patients admitted to a hospital jail psychiatry service in New York City. Subjects were administered the Life Stressor Checklist‐Revised and the Structured Clinical Interview for DSM‐IV‐TR Disorders, PTSD Module (SCID‐I). The rate of PTSD diagnosis via SCID‐I was 46.2% as compared to 2.1% diagnosis via clinical interview. All participants reported a history of at least one stressful and/or traumatic event, and many of these events occurred during incarceration. These results demonstrate that a great deal of trauma and PTSD goes unrecognized and untreated in this population, indicating the need for more effective treatment interventions.  相似文献   
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Abstract

The study investigated the relationship between static and dynamic risk and reconviction in a sample of child sexual abusers who had completed a long-term residential treatment programme for their sexual behaviour problems. Results found that only High/Very High risk men as measured by a static risk assessment schedule (Risk Matrix 2000) were reconvicted for sexual offences (17% over a 2-year period, 42% over a 5-year period). Results also showed that it was generally men who were rated as a high level of dynamic risk that were reconvicted for a sexual offence (13% versus 5% over a 2-year period; 44% versus 10% over a 5-year period). The study also indicated the benefits of residential treatment for such High risk/High Deviance men in that no men who left the programme having responded to treatment had been reconvicted for sexual offences at either follow-up period.  相似文献   
46.
During the opening stages of the Pacific War, between December 1941 and spring 1942, the Imperial Japanese Army appeared unstoppable. US forces in the Philippines, despite their efforts, could not hold out against the enemy advance, and by April the last vestiges of their resistance at Bataan and Corregidor became untenable. The intelligence obtained during the initial encounters provided the US defense establishment with undeniable reasons to conclude that Japanese ground forces possessed a high level of tactical skill, and assessments of the Imperial Japanese Army tended to exaggerate the latter's capabilities.  相似文献   
47.
The illicit market for new psychoactive substances is forever expanding. Benzodiazepines and their derivatives are one of a number of groups of these substances and thus far their number has grown year upon year. For both forensic and clinical purposes it is important to be able to rapidly understand these emerging substances. However as a consequence of the illicit nature of these compounds, there is a deficiency in the pharmacological data available for these ‘new’ benzodiazepines. In order to further understand the pharmacology of ‘new’ benzodiazepines we utilised a quantitative structure-activity relationship (QSAR) approach. A set of 69 benzodiazepine-based compounds was analysed to develop a QSAR training set with respect to published binding values to GABAA receptors. The QSAR model returned an R2 value of 0.90. The most influential factors were found to be the positioning of two H-bond acceptors, two aromatic rings and a hydrophobic group. A test set of nine random compounds was then selected for internal validation to determine the predictive ability of the model and gave an R2 value of 0.86 when comparing the binding values with their experimental data. The QSAR model was then used to predict the binding for 22 benzodiazepines that are classed as new psychoactive substances. This model will allow rapid prediction of the binding activity of emerging benzodiazepines in a rapid and economic way, compared with lengthy and expensive in vitro/in vivo analysis. This will enable forensic chemists and toxicologists to better understand both recently developed compounds and prediction of substances likely to emerge in the future.  相似文献   
48.
This study examines the recent spontaneous emergence of nonprofit cultural alliance organizations in the U.S. Cultural alliances are community-based associations, formed by arts/cultural organization members, which provide member interaction, collaboration, networking, resource sharing, and professional education opportunities. This research accomplishes three objectives: (1) generation of a body of knowledge about cultural alliances, (2) development of a cultural alliance member satisfaction model, and (3) quantitative analysis of member survey data to assess services provided, service quality, and member satisfaction. The results indicate that the survey instrument is an important assessment tool for use by association boards of directors and executive directors.  相似文献   
49.
Non-governmental organisations' (NGOs) dominance of the Indonesian labour movement has been undermined by changes in the regulation of labour since the fall of Suharto. This article examines the effects of these changes on the form and discourse of labour representation in contemporary Indonesia. It is argued that while NGOs' renewed acceptance of unionism as the primary form of labour organisation demonstrates the strength of the 'trade union' as a criterion of significance, their (partial) execution of 'trade union functions' during the late New Order period demands that we re-examine the ways in which we perceive and measure organised labour activism.  相似文献   
50.
The most prominent set of school board governance best practices used in the United States is the National School Boards Association’s (NSBA’s) Key Work of School Boards. In this article, we operationalize adherence to the Key Work of School Boards with multiple survey items answered by Wisconsin school board members. Using multivariate regression models, we find that adherence to the best practices results in improved achievement in districts represented by board members who have served for five or more years. The findings support the idea that school board governance behaviors are linked to district-level academic outcomes.  相似文献   
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