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81.
Objective: To investigate the efficacy of 3-D printed bone models as a tool to facilitate initiation of bisphosphonate treatment among individuals who were newly diagnosed with osteoporosis.

Design: Fifty eight participants with estimated fracture risk above that at which guidelines recommend pharmacological intervention were randomised to receive either a standard physician interview or an interview augmented by the presentation of 3-D bone models.

Main outcome measures: Participants’ beliefs about osteoporosis and bisphosphonate treatment, initiation of bisphosphonate therapy assessed at two months using self-report and pharmacy dispensing data.

Results: Individuals in the 3-D bone model intervention condition were more emotionally affected by osteoporosis immediately after the interview (p = .04) and reported a greater understanding of osteoporosis at follow-up (p = .04), than the control group. While a greater proportion of the intervention group initiated an oral bisphosphonate regimen (alendronate) (52%) in comparison with the control group (21%), the overall initiation of medication for osteoporosis, including infusion (zoledronate), did not differ significantly (intervention group 62%, control group 45%, p = .19).

Conclusion: The presentation of 3-D bone models during a medical consultation can modify cognitive and emotional representations relevant to treatment initiation among people with osteoporosis and might facilitate commencement of bisphosphonate treatment.  相似文献   

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Journal of Behavioral Education - Children with autism spectrum disorder often lack fundamental play skills, which can aid development with social, language, and imitation skills (Boutot et al....  相似文献   
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The Second Vatican Council’s constitution Gaudium et Spes stated that man is ‘the only creature on earth that God has willed for its own sake’. Post-conciliar Catholic teaching on the environment largely reproduced this anthropocentric theology. Pope Francis’ encyclical letter Laudato Si’, however, appears directly to contradict this well-established tradition with its repeated assertions of the intrinsic value of nonhuman life and its critical approach to the term ‘anthropocentrism’. Questioning this putative discontinuity, this article challenges the perception that Laudato Si’ has definitively rejected anthropocentrism. It suggests that the claim for the intrinsic value of nonhuman life, and the traditional assertion that man is the only creature willed for its own sake, can be seen to converge in light of the traditional theological anthropology of the human being as microcosm. On this view, the centrality of the human person in the order of creation is constituted by its gathering up of the sakes of creatures. The distinctive place of the human does not come at the expense of the rest of creation, but rather is the means of creation’s movement towards the unity and harmony to which God calls it. Laudato Si’ is distinguished not by its rejection of anthropocentrism, but by its refusal to set human and nonhuman over against one another. In contrast, the language of ‘intrinsic value’ is criticised for conceiving created value as a zero-sum game, as though human and nonhuman value are in competition with one another; the language of ‘stewardship’ is criticised for its extrinsicist conception of the human being in the natural order.  相似文献   
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Suicide determination is not standardized across medical examiners, and many suspected suicides are later classified as accidental or undetermined. The present study investigated patterns between these three groups using a medical examiner database and 633 structured interviews with next of kin. There were similarities across all three classification groups, including rates of mental illness and psychiatric symptoms. Those classified suicide were more likely to be male, to have died in a violent fashion, and have a stronger family history of suicide. Chronic pain was very common across all three groups, but significantly higher in the accidental and undetermined groups.  相似文献   
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ABSTRACT

Large datasets associated with internet search engines and social media platforms are increasingly used to study psychological variables. Over the past decade, ‘big data’, as they have become known, have become central to the exploration of a diverse range of topics. Few studies, however, have examined religiosity (religious belief, commitment, and devotion), particularly Islamic religiosity in the Arab world. This study looked at religiosity in the United Arab Emirates through data extracted from Twitter, a popular social media platform. The data comprised 152 million Twitter messages, spanning the period 1 April–30 September 2016. Bilingual search algorithms were employed to investigate the temporal patterns of religiosity expressed within the dataset. The study also explored patterns in the expression of obscenity (offensive language), hypothesising a negative relationship with religious sentiment. Religiosity followed hypothesised temporal patterns and was also inversely correlated with obscenity. There were differences observed between languages (Arabic vs English) and gender, with males, surprisingly, expressing greater religiosity than females. This research contributes to the nascent study of religiosity through social media.  相似文献   
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