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91.
Diane L. Baker Timothy Eash Jane L. Schuette Wendy R. Uhlmann 《Journal of genetic counseling》2002,11(5):399-418
Patient letters provide a permanent record of the genetic counseling that was provided and are unique in medical care; rarely do other health care providers send summaries written specifically to their patients and families. We surveyed genetic counseling training program directors and found that while the acquisition of patient letter-writing skills was considered important, there were no specific guidelines made available to students. To develop letter-writing guidelines, we evaluated patient letters, reviewed references on professional correspondence, surveyed the medical literature, and worked with a writing consultant. The guidelines we subsequently developed and present here include a format for writing patient letters, suggestions on presenting medical information in understandable terms, and wording considerations. These patient letter-writing guidelines are intended to serve as a guide for teaching students this important skill and as a resource for practicing health care professionals. 相似文献
92.
Alan Baker 《The Philosophical quarterly》2003,53(210):49-67
One recent trend in the philosophy of mathematics has been to approach the central epistemological and metaphysical issues concerning mathematics from the perspective of the applications of mathematics to describing the world, especially within the context of empirical science. A second area of activity is where philosophy of mathematics intersects with foundational issues in mathematics, including debates over the choice of set–theoretic axioms, and over whether category theory, for example, may provide an alternative foundation for mathematics. My central claim is that these latter issues are of direct relevance to philosophical arguments connected to the applicability of mathematics. In particular, the possibility of there being distinct alternative foundations for mathematics blocks the standard argument from the indispensable role of mathematics in science to the existence of specific mathematical objects. 相似文献
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The effects of censor characteristics and audiences' initial agreement with a censored communication on attitude change and desire to hear a communication were investigated. Subjects were informed that a communication taking a position with which they had originally agreed or disagreed had been censored. The censor was either an attractive or unattractive agent and his expertise on the topic of the speech was either high or low. The results indicated that in all cases except one, censorship led to an increased desire to hear the communication and attitude change toward the position of the communication. In the one exceptional case, when an attractive expert censor forbade a communication with which the audience disagreed, the subjects decreased their desire to hear the speech and did not change their attitudes on the topic of the communication. The results were interpreted as indicating that censorship arouses both reactance and balancing attempts but that balancing will be observed only in limited situations. 相似文献
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The Whorf-Sapir hypothesis has raised considerable controversy in the literatures of psychology and anthropology. Several misconceptions of the hypothesis are reviewed, and the hypothesis was experimentally supported in a visual reproduction paradigm. Subjects were first given label training for a set of figures, and were then asked to recall by drawing the shapes. Training with categorized labels resulted in a 25% improvement in recall when compared to a condition with nonword (paralog) labels. Even stronger evidence of linguistic influence on visual memory was obtained by examining the order of recall. The conceptual relationships among labels strongly influenced the sequence of reproductions. 相似文献
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Four schizophrenic patients with paranoid and grandiose delusions who had been hospitalized for an average of 17 yr were exposed to social reinforcement contingencies in a multiple baseline design. During the baseline period, each patient was interviewed for four 10-min sessions each day. The elapsed time from onset of conversation to onset of delusional talk was recorded. At the end of each day, the patients engaged in a 30-min informal chat with a nurse-therapist while relaxing with coffee, snacks, and cigarettes. The intervention introduced two contingencies: (1) The 10-min interviews were terminated as soon as the patient began talking delusionally; (2) The patients earned time for their evening chat by talking rationally during their daytime interviews. Increases of from 200 to 600% in the amount of rational talk exhibited during the interviews occurred as the contingencies were introduced for each patient sequentially over time. These increases were maintained in three patients when the amount of reinforcement was halved, but declined when the patients were confronted directly with their delusional ideas. A modest amount of generalization occurred from the day-time interviews to the evening chats but did not extend to the behavior of the patients on the ward. 相似文献
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Teachers were trained in the systematic use of attention and praise to reduce the disruptive classroom behavior of four first-grade children. Observation measures showed a significant improvement from baseline to treatment for these children and no significant changes for same-class controls. While the amount of teacher attention to target children remained the same from baseline to treatment, the proportion of attention to task-relevant behavior of these children increased. Psychological tests revealed no adverse changes after treatment. 相似文献