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281.
This article is a summary of research that investigated the Canadian and Australian legislative framework associated with advance directives in health care. The research focused on the context in which older people are encouraged to use advance directives. These are directions about refusal of medical treatment given in advance of incompetence. An advance directive may be given in a written document (living will) expressing one's wishes, by appointing another person (proxy) to make the decisions, or as a combination of the two. A lack of consistency and clarity about the terminology was found in both countries. This could be a barrier for older people to express their wishes in advance. Several confusing issues were also identified with the legislation related to advance directives. There appears to be a move towards appointing a substitute decision-maker, but with significant differences across the Australian States and in Canadian Provinces. The "conversation" about future decisions emerged as an important theme, together with an emphasis on the process of "advance care planning" replacing the focus on advance directive forms.  相似文献   
282.
Capillary electrophoresis is widely used in the forensic community for the analysis of Short Tandem Repeat DNA. The CE system used in most forensic laboratories allows the user to modify standard operational protocols to accommodate some samples that fall outside of interpretational guidelines. We have made operational changes and monitored system resolution and the ability of the software to identify alleles as a result of these modifications. Increased amount of amplified product in the injection preparation, lengthened injection times or repeated injections of the same sample were all investigated along with variations in run voltages. Certain protocol modifications offer some advantages to the analysis of STRs and may allow the analyst to avoid extraction of additional portions of crime scene samples to achieve interpretable results.  相似文献   
283.
Trust the People! Populism and the Two Faces of Democracy   总被引:5,自引:0,他引:5  
Populism, understood as an appeal to 'the people' against both the established structure of power and the dominant ideas and values, should not be dismissed as a pathological form of politics of no interest to the political theorist, for its democratic pretensions raise important issues. Adapting Michael Oakeshott's distinction between 'the politics of faith' and 'the politics of scepticism', the paper offers an analysis of democracy in terms of two opposing faces, one 'pragmatic' and the other 'redemptive', and argues that it is the inescapable tension between them that makes populism a perennial possibility.  相似文献   
284.
This study examined the effects of educational context on affective outcomes in a sample of 743 gifted Israeli adolescent students. Educational context (special gifted classes versus regular classes—with one day pull-out program) was hypothesized to predict context-sensitive personal variables and labeling of giftedness in the direction of better student personal-social adjustment and more favorable self-perceptions of giftedness in regular compared to special gifted classes. By contrast, students in special classes were predicted to show more positive school attitudes and better overall satisfaction with school than their mainstreamed counterparts. Analyses of the data showed that gifted adolescents in regular classes revealed a more positive personal-social profile than gifted mainstreamed students, showing lower test anxiety, a higher academic self-concept, and more positive perceptions of their giftedness. By contrast, students in special gifted classes held more favorable school attitudes and were more satisfied with their school environment in comparison to their mainstreamed counterparts. Overall, these data support the research hypotheses and point to a differential pattern of relationships between school program and personal-social adjustment, on one hand, and school attitudes and satisfaction, on the other.  相似文献   
285.
286.
A sample of 313 college women completed a questionnaire about experiences with violence in childhood and adulthood and adult adjustment and relationship functioning. Nine percent of the women reported having witnessed some type of physical conflict between their parents. Witnessing marital violence was associated with other family mental health risks, childhood physical and sexual abuse, and adult physical assaults by strangers. Women who witnessed marital violence reported more symptoms of posttraumatic stress disorder than other women, after family background and abuse variables were accounted for. Significant interactions between witnessing marital violence and childhood physical abuse were observed for measures of social avoidance and predictability in partner relationships, indicating that the effects of witnessing marital violence depended on the presence of childhood abuse. Implications of these results for research and interventions are discussed.  相似文献   
287.
In policy research a frequent aim is to estimate treatment effects separately by subgroups. This endeavor becomes a methodological challenge when the subgroups are defined by post‐treatment, rather than pre‐treatment, variables because if analyses are performed in the same way as with pre‐treatment variables, causal interpretations are no longer valid. The authors illustrate a new approach to this challenge within the context of the Infant Health and Development Program, a multisite randomized study that provided at‐risk children with intensive, center‐based child care. This strategy is used to examine the differential causal effects of access to high‐quality child care for children who would otherwise have participated in one of three child care options: no non‐maternal care, home‐based non‐maternal care, and center‐based care. Results of this study indicate that children participating in the first two types of care would have gained the most from high‐quality center‐based care and, moreover, would have more consistently retained the bulk of these positive benefits over time. These results may have implications for policy, particularly with regard to the debate about the potential implications of providing universal child care. © 2002 by the Association for Public Policy Analysis and Management.  相似文献   
288.
Wrightson  Margaret T. 《Publius》1989,19(3):39-55
In South Carolina v. Baker the Supreme Court struck a powerfulblow at constitutional federalism. As a result of this landmarkcase, the question of whether issuing tax exempt bonds is asovereign right of the states or a privilege they are accordedby the national government has been settled. Relying in parton precedent from Garcia, the Court determined that immunityis not a right under the Tenth Amendment. In addition, SouthCarolina established a new doctrine of intergovernmental taximmunity which formally accords superior powers to the nationalgovernment. Taken together, these results have implicationsfor the future course of intergovernmental fiscal policy aswell as the basic character of the relationship between thenational and state and local governments.  相似文献   
289.
Using a data set of 123 countries, the global status of youth is assessed by examining the relationship between national development and a youth-adult ratio, or the number of youth relative to the number of adults in a nation. First, the size of the population of youth in comparison to the size of the adult population is determined, where it becomes evident that the majority of nations have high or very high numbers of youth relative to adults. Second, the opportunities nations provide their young people are evaluated by looking at the range and average levels of economic, political, social, and educational development within the modern world system. Third, a strong relationship is found between relative size of the youth population and national development, with youth ratios most closely associated with educational and political development. The results of this study demonstrate the existence of inter-age and intra-age stratification throughout the world, which has important implications for the future well-being of youth as well as the world system of nation-states.This paper was presented at the 81st annual meeting of the American Sociological Association, New York, New York, August 30–September 3, 1986.Ph. D. in sociology from Pennsylvania State University. Research interests include generational politics, youth movements, and political sociology.Ph. D. in psychology from Syracuse University. Research interests include aging and politics, social psychological aspects of health care, gerontology, and life-course development.  相似文献   
290.
The present study explored the relations between family status and coping processes in adolescence. Given the inconsistent findings with regard to the divorce experience, our intent was to determine if coping strategies endorsed by adolescents are related to family status. Further, appraisals of stressfulness, controllability, and perceived outcome of stressful situations were examined in relation to family status and coping strategies endorsed. Adolescents of divorced parents more frequently endorsed theoretically less mature, defensive coping strategies. Sex differences were noted in the intact group, while males and females in the divorce group were more alike in their coping responses. Appraisal variables were differentially related to coping behaviors in each group.Received Ph.D. from Vanderbilt University. Research interest is cognitive development.Received Ph.D. from Wayne State University. Research interest is adult cognitive development.  相似文献   
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