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101.
Helena Andreasson Marielle Nyman Hedvig Krona Lennart Meyer Henrik Anckarsäter Thomas Nilsson Björn Hofvander 《International journal of law and psychiatry》2014
This study describes the prevalence of adverse events and length of stay in forensic psychiatric patients with and without a restriction order. Detailed clinical and administrative information from medical records and written court decisions was gathered retrospectively from admission until discharge for a Swedish population-based, consecutive cohort of forensic psychiatric patients (n = 125). The median length of stay for the whole cohort was 951 days, but patients with a restriction order stayed in hospital almost five times as long as patients without. Restriction orders were related to convictions for violent crime, but not for any other differences in demographic or clinical variables. The majority of the patients (60%) were involved in adverse events (violence, threats, substance abuse, or absconding) at some time during their treatment. Patients with restriction orders were overrepresented in violent and threat events. Previous contact with child and adolescence psychiatric services, current violent index crime, psychotic disorders, a history of substance, and absconding during treatment predicted longer length of stay. Being a parent, high current Global Assessment of Functioning scores, and mood disorders were all significantly related to earlier discharge. In a stepwise Cox regression analysis current violent index crime and absconding remained risk factors for a longer hospital stay, while a diagnosis of mood disorder was significantly related to a shorter length of stay. 相似文献
102.
Trait Anger,Physical Aggression,and Violent Offending in Antisocial and Borderline Personality Disorders 下载免费PDF全文
Nathan J. Kolla M.D. Ph.D. Jeffrey H. Meyer M.D. Ph.D. R. Michael Bagby Ph.D. Amanda Brijmohan B.Sc. 《Journal of forensic sciences》2017,62(1):137-141
Antisocial personality disorder (ASPD) and borderline personality disorder (BPD) are common conditions in forensic settings that present high rates of violence. Personality traits related to the five‐factor model personality domains of neuroticism and agreeableness have shown a relationship with physical aggression in nonclinical and general psychiatric samples. The aim of the present investigation was to examine the association of these personality traits with violence and aggression in ASPD and BPD. Results revealed that trait anger/hostility predicted self‐reported physical aggression in 47 ASPD and BPD subjects (β = 0.5, p = 0.03) and number of violent convictions in a subsample of the ASPD participants (β = 0.2, p = 0.009). These preliminary results suggest that high anger and hostility are associated with physical aggression in BPD and ASPD. Application of validated, self‐report personality measures could provide useful and easily accessible information to supplement clinical risk assessment of violence in these conditions. 相似文献
103.
Toon MH Maybauer DM Arceneaux LL Fraser JF Meyer W Runge A Maybauer MO 《Journal of injury & violence research》2011,3(2):98-110
Burns are an important cause of injury to young children, being the third most frequent cause of injury resulting in death behind motor vehicle accidents and drowning. Burn injuries account for the greatest length of stay of all hospital admissions for injuries and costs associated with care are substantial. The majority of burn injuries in children are scald injuries resulting from hot liquids, occurring most commonly in children aged 0-4 years. Other types of burns include electrical, chemical and intentional injury. Mechanisms of injury are often unique to children and involve exploratory behavior without the requisite comprehension of the dangers in their environment. Assessment of the burnt child includes airway, breathing and circulation stabilization, followed by assessment of the extent of the burn and head to toe examination. The standard rule of 9s for estimating total body surface area (TBSA) of the burn is inaccurate for the pediatric population and modifications include utilizing the Lund and Browder chart, or the child's palm to represent 1% TBSA. Further monitoring may include cardiac assessment, indwelling catheter insertion and evaluation of inhalation injury with or without intubation depending on the context of the injury. Risk factors and features of intentional injury should be known and sought and vital clues can be found in the history, physical examination and common patterns of presentation. Contemporary burn management is underscored by several decades of advancing medical and surgical care however, common to all injuries, it is in the area of prevention that the greatest potential to reduce the burden of these devastating occurrences exists. 相似文献
104.
William H. Meyer 《Human Rights Review》2012,13(3):327-347
This article discusses indigenous rights within the context of global governance. I begin by defining the terms ??global governance?? and ??indigenous peoples?? and summarizing the rights that are most important to indigenous peoples. The bulk of this article studies the global governance of indigenous rights in three areas. The first example is the creation of the 2007 UN Declaration on the Rights of Indigenous Peoples. A second example involves violations of indigenous rights brought before the Inter-American Court of Human Rights. A third case looks at a relatively new international regime created by indigenous peoples themselves??the Inuit Circumpolar Council. I conclude by using theories of sovereignty to assess the relative successes and failures of indigenous efforts to secure their rights. 相似文献
105.
L von Meyer 《Zeitschrift für Rechtsmedizin》1985,94(3):219-225
The EMIT cannabinoid assay was used for screening blood and urine after smoking tetrahydrocannabinol (THC; 10 mg) or ingestion of THC (30 mg). Cannabinoid levels in urine remain detectable up to 1 week. Confirmation was done by adsorption of the THC carboxylic acid onto a C18 extraction column and elution with acetone and TLC. The method is simple and sensitive and is applicable with common laboratory equipment. The detection limit is 10 ng/ml, using 10 ml urine. 相似文献
106.
This article discusses the current state of risk-management practices in local communities in the United States and offers some alternatives to present policies, which are mainly implicit rather than explicit attempts to limit overall risks of death and injury due to technological and natural causes. The article is divided into three sections. The first discusses the concept of risk-management as presently used in local government. The second section results from a limited survey of local risk-managers. The third section offers some policy alternatives. While generalization is itself risky, all of our observations point toward the conclusion that local government officials have little understanding of, hence little concern for, the quantity of risk posed for citizens by various hazards. If it seems desirable to place risk-management decisions in the hands of local officials, then some capacity for risk quantification, hence comparison, must be developed. The bulk of the policy suggestions at the end of this article concerns possible means through which this capacity might be augmented. 相似文献
107.
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109.
This paper investigates whether expected closeness had a significant impact on turnout in the different electoral districts of the German General Elections, 1983-1994. We find no closeness effect for the 1983 but a significant positive one for the 1987 election. The 1990 election revealed an asymmetry: In West Germany we find a positive and statistically significant closeness effect, in East Germany a negative but also significant one. This result is lacking a theoretical explanation so far. For 1994 we find a positive significant effect in West and a positive but not significant one in East Germany. 相似文献
110.