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121.
Schneider CE 《Indiana law journal (Indianapolis, Ind. : 1926)》1994,69(4):1075-1104
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Milad Webb M.D. Ph.D. Sarah S. Sherman Ph.D. LokMan Sung M.D. Carl J. Schmidt M.D. Leigh Hlavaty M.D. 《Journal of forensic sciences》2020,65(6):2023-2029
Pediatric thoracolumbar fractures are rare due to the physiological differences which afford greater resilience to the immature spine. Most pediatric thoracolumbar fractures occur as the result of high energy trauma, such as motor vehicle accidents, and modes of reasonable accidental injuries are limited by age and developmental capabilities of the child. These fractures can occur as the result of inflicted blunt force trauma and child abuse, and in most cases, the mechanism of injury to the spine is not known. We report the death of a 29-month-old man due to blunt force trauma to the back and forced hyperextension of the thoracolumbar spine causing fracture of the fourth lumbar (L4) vertebral body. A complete forensic examination revealed a previous healing fracture of the anterior aspect of the L4 vertebral body, with acute disruption of the anterior longitudinal ligament overlying the fracture site, complete fracture of the vertebral body, and fatal retroperitoneal hemorrhage. We present a review of the biomechanical considerations of the pediatric spine, a survey of pediatric spinal fractures, and a review of the literature on pediatric abusive thoracolumbar fractures. In this case, there was never a provided explanation for how the injury occurred; however, understanding the biomechanics of the pediatric spine allowed for the determination of the mechanism, force required to produce this specific pattern of abusive spinal injury, and the manner of death. 相似文献
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Maria Zetterqvist Lars-Gunnar Lundh Carl Göran Svedin 《Journal of youth and adolescence》2013,42(8):1257-1272
Research comparing adolescents engaging in suicidal and non-suicidal self-injury (NSSI), both separately and in combination, is still at an early stage. The purpose of the present study was to examine overlapping and distinguishable features in groups with different types of self-injurious behaviors, using a large community sample of 2,964 (50.6 % female) Swedish adolescents aged 15–17 years. Adolescents were grouped into six categories based on self-reported lifetime prevalence of self-injurious behaviors. Of the total sample, 1,651 (55.7 %) adolescents reported no self-injurious behavior, 630 (21.2 %) reported NSSI 1–4 times, 177 (6.0 %) reported NSSI 5–10 times, 311 (10.5 %) reported NSSI ≥ 11 times, 26 (0.9 %) reported lifetime prevalence of suicide attempt and 169 (5.7 %) adolescents reported both NSSI and suicide attempt. After controlling for gender, parental occupation and living conditions, there were significant differences between groups. Pairwise comparisons showed that adolescents with both NSSI and suicide attempt reported significantly more adverse life events and trauma symptoms than adolescents with only NSSI, regardless of NSSI frequency. The largest differences (effect sizes) were found for interpersonal negative events and for symptoms of depression and posttraumatic stress. Adolescents with frequent NSSI reported more adversities and trauma symptoms than those with less frequent NSSI. There were also significant differences between all the NSSI groups and adolescents without any self-injurious behavior. These findings draw attention to the importance of considering the cumulative exposure of different types of adversities and trauma symptoms when describing self-injurious behaviors, with and without suicidal intent. 相似文献
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Toward the usable recognition of individual benefits and costs in regulatory analysis and governance 下载免费PDF全文
Regulatory agencies in the United States and Europe have well‐deserved reputations for fixating on the total benefits and costs of proposed and final regulatory actions, without doing any more than anecdotally mentioning the subpopulations and individuals who may bear disproportionate costs or reap disproportionate benefits. This is especially true on the “cost” side of the cost–benefit ledger, where analysts exert little effort to even inform decisionmakers and the public that the costs of regulations might be distributed either regressively or progressively. Many scholars and advocates have observed that regulation can increase the efficiency of market outcomes, but caution about its untoward (or suboptimal) effects on equity. Here, we argue that without considering distributional information about costs and benefits, regulatory policies in fact can also cause violence to notions of efficiency, for two reasons: (i) society cannot hope to approach Pareto‐efficient outcomes without identifying those who must lose so that others can gain more; and (ii) because the harm experienced by involuntary risks and by imposed regulatory costs is likely non‐linear in its magnitude (at the individual level), efficiency is, in fact, a strong function of the shape of the distribution of these effects. This article reviews evidence about the distribution of regulatory costs and benefits, describes how agencies fail to incorporate readily available distributional information, and sketches a vision for how they could analyze costs and benefits to promote more efficient regulatory choices and outcomes. 相似文献
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Carl J. Saxer 《The Pacific Review》2017,30(4):566-580
While the Korea–United States (KORUS) free-trade agreement negotiations were concluded in 2007, and ratified in 2011, the agreement has remained deeply controversial. Labor unions, civil society groups, and opposition politicians in South Korea have criticized the agreement as being unfair, and also in the United States have voices spoken out against the agreement. The process of negotiation by South Korea was deeply flawed, and the conclusion of the agreement, that included a unilateral ratification by the ruling party in National Assembly, was forcefully opposed by many groups in South Korean society with violent demonstrations leading almost to the collapse of the Lee Myung-bak government. This article argues that it was not only the perception of potential economic damage to, in particular agricultural, domestic interest that was the main cause of the public resistance to the agreement, but that the unique nature of the relationship with the United States, and how this influenced the progress of negotiating and ratifying the agreement in South Korea, was a leading course of the divisiveness of the agreement and the massive resistance it faced. This is also why while the conservative Park Geun-hye government has expressed its willingness to re-negotiate other free-trade agreements, it has remained adamant in its refusal to even consider reopening the KORUS agreement. It is not only the apparent trade benefits that accrued to South Korea that is behind this refusal. With the ruling party having lost the April 2016 National Assembly elections and presidential elections scheduled for December 2017, the conservative elite, concerned about its electoral fate, has no interest in re-opening such a divisive issue as the KORUS free-trade agreement. 相似文献
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Carl L. BankstonIII 《Society》2010,47(4):312-321
Equality of opportunity, or equality of individuals in a competition to reach unequal positions, has emerged as a fundamental
cultural value over the course of American history. However, the ability of individuals to achieve desired occupations and
statuses is limited by the structure of available opportunities and by the social origins of individuals. Affirmative action
is an effort to engineer equality of opportunity by government intervention to promote the upward mobility of individuals
with disadvantaged backgrounds. In the past, this effort has been directed primarily at compensating for the historical consequences
of slavery and racial discrimination, but more recently socio-economic affirmative action has taken on the task of compensating
for all disadvantages of social origin. This attempt faces several serious problems, though. It assumes that government is
capable of continually re-engineering the competition. Beyond that, it aims at directing everyone toward a relatively small
number of socially desired positions, promoting chronic shortages in the less-desired but necessary occupations. 相似文献
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