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141.
Wouter B. van der Sluis Thomas D. Steensma Mark-Bram Bouman 《International Journal of Transgenderism》2020,21(2):176-181
AbstractBackground: Different surgical procedures are available for transgender women wishing to undergo genital gender-affirming surgery.Aim: To assess preoperative motivations, the frequency of orchiectomy procedures, and postoperative outcomes of orchiectomy in transgender individuals.Methods: All transgender individuals who underwent orchiectomy in the period between January 2012 and January 2020 at our institution were retrospectively identified. A chart study was conducted, recording motivations, demographics, perioperative characteristics and surgical outcomes. The frequency of orchiectomy and vaginoplasty procedures during the study period were determined and compared.Results: During the study period, an increase of performed orchiectomy procedures was observed. The orchiectomy/vaginoplasty ratio was 0.01–0.07 in the period 2012–2018 and 0.24 in 2019. A total of 43 transgender individuals were retrospectively identified. Sixteen (37%) initially wished to undergo a vaginoplasty, but did not meet institutional requirements (nonsmoker, BMI < 30kg/m2) or were not eligible for vaginoplasty surgery because of interfering somatic or mental health issues. Fourteen (33%) individuals who underwent orchiectomy regarded it as a preceding step to a future vaginoplasty procedure. Out of these fourteen, one person is now on the waiting list for vaginoplasty surgery. Thirteen (30%) others did not report a desire to pursue vaginoplasty in the future. This was mostly motivated by the absence of genital dysphoria or motivations related to their gender identity, with a desire to discontinue anti-testosterone treatment. The postoperative course was uncomplicated in 39 (91%) individuals.Conclusion: In the Netherlands, especially in the last year, the frequency of orchiectomy procedures has increased. Reasons that people chose to undergo this procedure include: not being eligible for a vaginoplasty procedure, seeing it as a preceding step to a possible future vaginoplasty or other identity-related motivations (i.e., non-binary gender identification or absence of genital dysphoria). 相似文献
142.
ABSTRACT Decisive action against criminal outlaw motorcycle gangs (OMCGs) ranks high on the criminal justice agenda. Nevertheless, in many Western European countries the number of OMCG chapters has increased rapidly. Official OMCG support clubs also have mushroomed. The present study extends prior research from the Netherlands and elsewhere by employing a gang database of 1,617 OMCG members and 473 support club members maintained by the Dutch police and examining members’ juvenile and adult criminal careers based on judicial data. While committing an offense was no prerequisite of being included in the database, criminal career data show that the majority of OMCG and support club members is convicted at least once. In addition, we find there is ample variation in both the level and shape of these individual’s criminal trajectories. In line with prior research, the majority of OMCG and support club members are found to be adult onset offenders. A considerable share of both samples however, follows criminal trajectories characterized by early onset, frequent and persistent criminal behavior. Building on prior theoretical accounts of OMCG evolution, these findings are interpreted against the background of recent changes in the Dutch outlaw biker landscape. Implications for the Dutch whole-of-government approach are discussed. 相似文献
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