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101.
Nonclinical use of online social networking sites: new and old challenges to medical professionalism
The AMA Council on Ethical and Judicial Affairs (CEJA) has written a position paper on how social medical use challenges medical professionalism. The report offers persuasive ethical and practical guidelines for nonclinical internet use, specifically for social networking. This commentary provides a framework from which to apply these guidelines, but adds that there may be important situations in which physicians are not able to act in accordance. The guidelines call for professional reporting of questionable online portrayals or behaviors, but this commentary argues that this may be not only cumbersome to implement, but may violate aspects of constitutional rights. While online social networking may in many ways be a new application of old challenges, there may be other aspects that require novel approaches to medical professionalism. 相似文献
102.
Intentions have been shown to be more accessible (e.g., more quickly and accurately recalled) compared to other sorts of to-be-remembered information; a result termed an intention superiority effect (Goschke & Kuhl, 1993). In the current study, we demonstrate an intention interference effect (IIE) in which color-naming performance in a Stroop task was slower for words belonging to an intention that participants had to remember to carry out (Do-the-Task condition) versus an intention that did not have to be executed (Ignore-the-Task condition). In previous work (e.g., Cohen et al., 2005), having a prospective intention in mind was confounded with carrying a memory load. In Experiment 1, we added a digit-retention task to control for effects of cognitive load. In Experiment 2, we eliminated the memory confound in a new way, by comparing intention-related and control words within each trial. Results from both Experiments 1 and 2 revealed an IIE suggesting that interference is very specific to the intention, not just to a memory load. 相似文献
103.
Schwartz SJ Weisskirch RS Zamboanga BL Castillo LG Ham LS Huynh QL Park IJ Donovan R Kim SY Vernon M Davis MJ Cano MA 《Journal of counseling psychology》2011,58(1):27-41
In the present study, we examined a bidimensional model of acculturation (which includes both heritage and U.S. practices, values, and identifications) in relation to hazardous alcohol use, illicit drug use, unsafe sexual behavior, and impaired driving. A sample of 3,251 first- and second-generation immigrant students from 30 U.S. colleges and universities completed measures of behavioral acculturation; cultural values (individualism, collectivism, and self-construal); ethnic and U.S. identity; and patterns of alcohol and drug use, engagement in potentially unsafe sexual activities, and driving while (or riding with a driver who was) intoxicated. Results indicate that heritage practices and collectivist values were generally protective against health risk behaviors, with collectivist values most strongly and consistently protective. Nonetheless, heritage identifications were positively associated with sexual risk taking for Hispanics. U.S. practices, values, and identifications were not consistently related to risk behavior participation. Results are discussed in terms of bidimensional approaches to acculturation, the immigrant paradox, and implications for counseling practice. 相似文献
104.
Alcohol expectancies have been associated with drinking behaviors among college students. Few studies, however, have focused on researcher-labeled "positive" and "negative" expectancies as well as the valuations (i.e., desirability) of these expectancies. Moreover, research on the correlates of heavy drinking among female college athletes remain relatively sparse, despite the prevalence of elevated alcohol use in this population. We examined the associations of expectancies and valuations with frequency of heavy drinking and context-specific drinking behaviors. The sample consisted of 145 female college athletes (mean age=19.6; range=17 to 22) who completed self-report surveys and indicated alcohol use in the past 30 days. Regression analyses indicated that favorable valuations of negative expectancies were related to heavy drinking, and that valuations accounted for significant proportions of variance in the model. Elevated endorsement of negative expectancies was also associated with the perceived likelihood of heavy use in convivial and personal-social drinking contexts, and favorable valuations of these expectancies accounted for significant variance in these models. These findings highlight the relevance of negative expectancies and valuations with respect to heavy drinking and context-specific drinking behaviors among female college athletes. The perception of "negative" effects of alcohol as "positive" could help explain the high rates of problematic drinking among female athletes. Future research considerations and potential implications for assessment and prevention efforts are discussed. 相似文献
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107.
It has been suggested that focusing on procedures when setting priorities for health care avoids the conflicts that arise
when attempting to agree on principles. A prominent example of this approach is “accountability for reasonableness.” We will
argue that the same problem arises with procedural accounts; reasonable people will disagree about central elements in the
process. We consider the procedural condition of appeal process and three examples of conflicts over coverage decisions: a
patients’ rights law in Norway, health technologies coverage recommendations in the UK, and care withheld by HMOs in the US.
In each case a process is at the center of controversy, illustrating the difficulties in establishing procedures that are
widely accepted as legitimate. Further work must be done in developing procedural frameworks.
The opinions expressed are the authors’ own. They do not reflect any position or policy of the National Institutes of Health,
US Public Health Service, or Department of Health and Human Services. This research was supported by the Intramural Research
Program of the NIH Clinical Center. 相似文献
108.
Ament PA Robbins DK Brockman CJ Hawkins R Lake S Bazin MB 《Behavior research methods》2008,40(1):309-314
Visual abilities at near-point distances of 200 self-reported normal vision college students were assessed. Results show that normal visual functioning with no deficits is the exception. The most common visual deficits observed involved binocular lateral posture and fusion convergence deficits. Binocular and monocular acuity deficits also had high prevalence rates, although not as prevalent as the binocular convergence deficits. In addition, 1,340 articles published in four major journals from the years 1997-2004 were examined to ascertain the extent to which authors report the visual capabilities of their participants. Reporting of research participant visual abilities by authors using visual stimuli in experiments appears to be lacking. The results are discussed in terms of the potential impact that visual deficits may have on results obtained in experiments in which visual stimuli are used and the importance of reporting the visual assessment tests and procedures used to assess the visual abilities of potential participants. 相似文献
109.
Amaryll Perlesz Rhonda Brown Jo Lindsay Ruth McNair David De Vaus Marian Pitts 《Journal of Family Therapy》2006,28(2):175-199
Lesbian parents, their children and grandparents ‘do family’ in rich and diverse ways. This article draws on innovative grounded theory research using qualitative, multi‐generational family interviews with twenty lesbian‐parented families living in Victoria, Australia. The intersection between the public and the private in lesbian family life has been seriously neglected by family researchers, and in particular the perspectives of family members other than the lesbian parents themselves. This article addresses the question of ‘How members of lesbian‐parented families define and describe their family’, and the results reported here focus on children's and grandparents' views, because they are the voices less well represented in the literature. Children and grandparents straddle both mainstream and marginalized spaces as they negotiate contemporary family life. We examine the interface and tensions between the traditional and the transformative, and the implications of these findings for family therapists are briefly discussed. 相似文献
110.
Bonnie J. Leadbeater Erin M. Boone Nadia A. Sangster Lindsay C. Mathieson 《Aggressive behavior》2006,32(4):409-419
While recent research using peer ratings demonstrates positive relations between youth's reputations for aggression and popularity, it is not clear whether aggressive youth themselves make these links. Using youth's self‐reports, this study assessed the associations of relational and physical aggression with indicators of both personal gains in peer relations (perceived popularity and receipt of prosocial attention) and personal costs in terms of retaliation or depressive responses (peer victimization and depressive symptoms) in a large sample (n=455) of eighth‐ to tenth‐grade students. Regression analyses reveal that more relationally aggressive youth report more prosocial attention but also more relational (but not physical) victimization. In contrast, more physically aggressive youth report more depressive symptoms and physical (but not relational) victimization. Findings suggest that some costs of aggression (victimization) are higher for boys while others (depressive symptoms) are greater for girls. Group differences were also found for aggressive, victimized, and aggressive/victimized youth compared to the typical low aggressive/low victimized youth. These data suggest that the costs of relational and physical aggression may outweigh benefits except for aggressive non‐victimized boys. Aggr. Behav. 32:409–419, 2006. © 2006 Wiley‐Liss, Inc. 相似文献