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Henshaw SK Adewole I Singh S Bankole A Oye-Adeniran B Hussain R 《International family planning perspectives》2008,34(1):40-50
CONTEXT: Each year, thousands of Nigerian women have unintended pregnancies that end in illegal abortion. Many such procedures occur under unsafe conditions, contributing to maternal morbidity and mortality. METHODS: In a 2002-2003 survey of women and their providers in 33 hospitals in eight states across Nigeria, 2,093 patients were identified as being treated for complications of abortion or miscarriage or seeking an abortion. Women's abortion experiences and the health consequences and associated costs were examined through bivariate analysis. Multivariate analysis was used to examine the characteristics of women by type of pregnancy loss and to compare characteristics among three groups of women who had induced abortions in differing circumstances. RESULTS: Among women admitted for abortion-related reasons, 36% had attempted to end the pregnancy before coming to the hospital (including 24% with and 12% without serious complications), 33% obtained an induced abortion at the facility (not withstanding the country's restrictive law) without having made a prior abortion attempt and 32% were treated for complications from a miscarriage. Of women with serious complications, 24% had sepsis, 21% pelvic infection and 11% instrumental injury; 22% required blood transfusion and 10% needed abdominal surgery. The women in this group were poorer and later in gestation than those who sought abortions directly from hospitals. They paid more for treatment (about 13,900 naira) than those who went directly to the hospital for an abortion (3,800 naira) or those treated for miscarriage (5,100 naira). CONCLUSIONS: Policy and program interventions are needed to improve access to contraceptive services and postabortion care in order to reduce abortion-related morbidity and mortality. 相似文献
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Background
The effectiveness of psychotherapeutic interventions in treating depressive disorders has been shown in manifold ways. However, information is missing from the point of view of psychotherapists concerning diagnostic and therapeutic procedures, their experienced difficulties and barriers, their self-assessment of their competence in the handling of depressive patients and the satisfaction with the cooperation in routine care.Method
A cross-sectional survey of cognitive-behavioral (n=61) and psychodynamic psychotherapists (n=78) was carried out.Results
The concordance of clinical diagnoses with diagnoses using the formal ICD-10 criteria was very low. Both groups feel themselves specifically responsible for early detection and differential diagnosis. They neither differ with regard to the frequency of cooperation contacts to other service providers nor with regard to their satisfaction with them or the experienced barriers in the care for depressed patients.Conclusion
A good psychotherapeutic care exists with options for improvement concerning diagnostic procedures and a stronger connection network. 相似文献107.
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Isaac Levi 《Synthese》2003,135(1):141-164
I respond to Erik Olsson's critique of my account of contraction frominconsistent belief states, by admitting that such contraction cannot be rationalized as adeliberate decision problem. It can, however, be rationalized as a routine designed prior toinadvertent expansion into inconsistency when the deliberating agent embraces a consistent point of view. 相似文献
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For practical reasons, research on the recognition of objects from different viewpoints has relied almost exclusively on the
use of two-dimensional representations of three-dimensional objects. We describe an apparatus that enables the presentation
of three-dimensional objects in a discrimination learning paradigm. Three chambers positioned on a movable table allow each
of two objects to be presented on either the left or the right side; a viewing window exposes only two of the objects at a
time. The objects can be arbitrarily designated as either an S+ or an S−. In addition, they can be placed precisely in any
arbitrary Startposition and rotated in depth in 100 steps of 3.6° each. We have successfully used this apparatus to investigate
recognition of depth-rotated objects by both pigeons and humans. By varying the stimuli, number of stimulus chambers, and
software programs, the apparatus can be used for other types of tasks and to investigate other types of processes. 相似文献