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131.
132.
Joan D. Koss‐Chioino 《Zygon》2006,41(4):869-876
This essay introduces the five articles that follow, whose aim is to show how altruism emerges out of spiritual transformation and is integral to healing process in four kinds of ritual healing systems—popular, folk, an indigenous religious healing tradition, and complementary and alternative medicine represented by consciousness transformation movements. In this introduction I situate these largely marginalized religious and spiritual practices within the context of the religion‐science discourse, which has focused for the most part on the relationship between the established, mainstream religions and the dominant biomedical system. Antecedents of two of these types of religious practices, Spiritism and consciousness transformation movements, were part of the development of the psychological sciences in the nineteenth century but lost ground in the twentieth. Despite discrimination and persistent negative attitudes on the part of the established religions and biomedicine, these healing traditions have not only survived through the twentieth century but appear to have gained both followers and interest in the twenty‐first. In future decades, at least for complementary and alternative medical practices and perhaps also for spirit healing centers, there may be a reversal in status through greater acceptance of their unique combination of scientific and religious perspectives. 相似文献
133.
Joan Gibson 《希帕蒂亚:女权主义哲学杂志》2006,21(4):1-19
Before women could become visible as philosophers, they had first to become visible as rational autonomous thinkers. A social and ethical position holding that chastity was the most important virtue for women, and that rationality and chastity were incompatible, was a significant impediment to accepting women's capacity for philosophical thought. Thus one of the first tasks for women was to confront this belief and argue for their rationality in the face of a self‐referential dilemma. 相似文献
134.
Joan Elizabeth Neville King Thomas H. Ollendick Eleonora Gullone Bruce Tonge Shaun Watson 《Counselling psychology quarterly》2006,19(2):151-163
Social Anxiety Disorder (SAD) is a heterogeneous and distressing problem for many children and youth. This review focuses on the etiology and maintenance of SAD, and examines research findings in several key areas of investigation: genetic or hereditary factors (twin and family studies), temperament characteristics (behavioural inhibition), and parent–child interactions (attachment, parenting styles). It is concluded that genetic influences, behavioural inhibition, and parent–child interactions play significant and interactive roles in the development and maintenance of SAD. Other influences such as peer relationships, social skills deficits, and traumatic experiences are also acknowledged. Ultimately, an understanding of such pathways should facilitate effective early screening and intervention of children at risk for severe social anxiety. 相似文献
135.
Joan F. Miller Timothy R. McConnell Troy A. Klinger 《Journal of religion and health》2007,46(2):299-313
The purpose of this study was to determine the influence of spirituality, religiosity, and religious coping on quality of
life and self-efficacy among couples following a first time cardiac event. There was no significant association between measures
for spirituality and religiosity and couples’ ratings for quality of life and self-efficacy. Negative forms of religious coping
were associated with lower levels of quality of life and decreased confidence in the patient’s ability to perform physical
tasks. Spouses’ measures for quality of life, self-efficacy, spirituality, religiosity, and religious coping were associated
with patients’ measures for the same study variables.
Joan F. Miller, RN, Ph.D., is Assistant Professor of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815 and Director
of the Bloomsburg University Nursing Wellness Center. The author gives special thanks to Timothy R. McConnell, Ph.D., and
Troy A. Klinger, M.S., for their research support and helpful feedback. 相似文献
136.
137.
Joseph L Verheijde Mohamed Y Rady Joan McGregor 《Philosophy, ethics, and humanities in medicine : PEHM》2009,4(1):15-8
Organ donation after cessation of circulation and respiration, both controlled and uncontrolled, has been proposed by the
Institute of Medicine as a way to increase opportunities for organ procurement. Despite claims to the contrary, both forms
of controlled and uncontrolled donation after cardiac death raise significant ethical and legal issues. Identified causes
for concern include absence of agreement on criteria for the declaration of death, nonexistence of universal guidelines for
duration before stopping resuscitation efforts and techniques, and assumption of presumed intent to donate for the purpose
of initiating temporary organ-preservation interventions when no expressed consent to donate is present. From a legal point
of view, not having scientifically valid criteria of cessation of circulation and respiration for declaring death could lead
to a conclusion that organ procurement itself is the proximate cause of death. Although the revised Uniform Anatomical Gift
Act of 2006 provides broad immunity to those involved in organ-procurement activities, courts have yet to provide an opinion
on whether persons can be held liable for injuries arising from the determination of death itself. Preserving organs in uncontrolled
donation after cardiac death requires the administration of life-support systems such as extracorporeal membrane oxygenation.
These life-support systems can lead to return of signs of life that, in turn, have to be deliberately suppressed by the administration
of pharmacological agents. Finally, allowing temporary organ-preservation interventions without expressed consent is inherently
a violation of the principle of respect for a person's autonomy. Proponents of organ donation from uncontrolled donation after
cardiac death, on the other hand, claim that these nonconsensual interventions enhance respect for autonomy by allowing people,
through surrogate decision making, to execute their right to donate organs. However, the lack of transparency and the absence
of protection of individual autonomy, for the sake of maximizing procurement opportunities, have placed the current organ-donation
system of opting-in in great jeopardy. Equally as important, current policies enabling and enhancing organ procurement practices,
pose challenges to the constitutional rights of individuals in a pluralistic society as these policies are founded on flawed
medical standards for declaring death. 相似文献
138.
Ethicists and others who study and teach the social implications of science and technology are faced with a formidable challenge
when they seek to address “emerging technologies.” The topic is incredibly important, but difficult to grasp because not only
are the precise issues often unclear, what the technology will ultimately look like can be difficult to discern. This paper
argues that one particularly useful way to overcome these difficulties is to engage with their natural science and engineering
colleagues in laboratories. Through discussions and interactions with these colleagues ethicists can simultaneously achieve
three important objectives. First they can get a great deal of assistance in their research into the social implications of
future technologies by talking with people that are actively creating those futures. Second their presence in the lab and
the discussions that result can be a very powerful method for educating not only students, but faculty about the ramifications
of their work. And third, because the education is directly linked to the students’ everyday work it is likely that it will
not just be a theoretical exercise, but have direct impact on their practice.
相似文献
Jameson M. Wetmore (Corresponding author)Email: |
139.
140.
Susan Randall Armel Jeanna McCuaig Amy Finch Rochelle Demsky Tony Panzarella Joan Murphy Barry Rosen 《Journal of genetic counseling》2009,18(4):366-378
The number of individuals receiving genetic counseling for hereditary breast and ovarian cancer syndrome has steadily risen.
To triage patients for genetic counseling and to help reduce the amount of time needed by a genetic counselor in direct patient
contact, many clinics have implemented the use of family history questionnaires. Although such questionnaires are widely used,
scant literature exists evaluating their effectiveness. This article explores the extent to which family history questionnaires
are being used in Ontario and addresses the utility of such questionnaires in one familial cancer clinic. By comparing the
pedigrees created from questionnaires to those updated during genetic counseling, the accuracy and effectiveness of the questionnaires
was explored. Of 121 families recruited into the study, 12% acquired changes to their pedigree that led to a revised probability
estimate for having a BRCA1 or BRCA2 mutation and 5% acquired changes that altered their eligibility for genetic testing.
No statistically significant difference existed between the eligibility for genetic testing prior to and post counseling.
This suggests that family history questionnaires can be effective at obtaining a family history and accurately assessing eligibility
for genetic testing. Based on the variables that were significantly associated with a change in probability estimate, we further
present recommendations for improving the clarity of such questionnaires and therefore the ease of use by patients. 相似文献