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61.
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Philip S. Wells Martha L. Louzada Monica Taljaard David R. Anderson Susan R. Kahn Nicole J. Langlois Julie Rutberg Michael J. Kovacs Marc A. Rodger 《Journal of genetic counseling》2009,18(5):475-482
There is controversy whether asymptomatic first-degree relatives (FDRs) of patients with venous thromboembolism (VTE) and
thrombophilia should be screened, followed, and prescribed prophylaxis during risk periods. We recruited consecutive probands
with idiopathic VTE and thrombophilia from our thrombosis clinics. Those FDRs with thrombophilia were randomized in family
clusters to receive one-time verbal counseling and no organized follow-up or counseling, educational material, reminder aids
and follow-up. Only 203 of 1,129 FDRs were eligible and consented. Dropouts were common; 1 FDR (1.7%) developed VTE. VTE risk,
ability to treat and prevent were underestimated by the participants. Patients with VTE and thrombophilia and their FDRs are
often not interested in thrombophilia testing. Despite education to inform their knowledge, interest and follow-up were less
than ideal. The question of the best educational approach in these patients remains unanswered. The value of testing and following
asymptomatic carriers of probands with VTE and thrombophilia remains unknown. 相似文献
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It is apparent that Gurman and Kniskern have greatly revised their original position in response to our critique. We believe that their revised position is more fully consonant with the available empirical evidence, although certain areas of disagreement between us are still evident. Overall, we believe that this dialogue has generated some promising lines for future research and clinical practice. 相似文献
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Current outcome research on primary prevention mental health programs is encouraging and the future is exciting. Data continue to accumulate regarding the efficacy of preventive intervention. Exemplary programs can prevent multiple problems across different outcome domains suggesting the need for collaboration among preventionists across disciplines and research areas. The commentators on our review (Durlak and Wells, 1997) offered many useful suggestions to improve the next generation of research. Most recommendations fall broadly under the rubric of increasing the precision of theory, design, and program evaluation. If current recommendations for improving future research are followed, the next reviewers of primary prevention mental health programs for children and adolescents will have a more complete and useful database for analysis. 相似文献
68.
Valynda K. Wells M.S. Richard G. Scott M.S. Laurie J. Schmeller M.S. Judith A. Hilmann M.S. H. Russell Searight Ph.D. 《Journal of Contemporary Psychotherapy》1990,20(4):223-235
Family-of-origin work is defined as a person's attempt to examine and/or change the patterns of interaction that occur in the family in which s/he was raised. This article outlines a model of family-of-origin work that is used in the clinical psychology training program at St. Louis University. The family therapy literature, particularly the work of Bowen, provides its theoretical underpinnings. An integral part of family-of-origin presentations is the genogram, or visual depiction of a family tree. Many ethical issues arise from the use of family-of-origin work within the context of clinical training, including confidentiality, responsibility, informed consent, values, and the boundaries of the supervisory relationship. 相似文献
69.
G.B. Wells 《Journal of Fluency Disorders》1983,8(2):119-124
Stuttered and nonstuttered phonemes of 20 adult males were analyzed for distinctive feature patterns using the Chomsky-Halle system. The features (+ consonantal), (- voice), (+ continuant), and (- strident) occured significantly more often in stuttering than in nonstuttering instances. Results suggest that adult stuttering is most likely to occur when the primary sites of tension and discoordination are lingual and laryngeal and when the speaker must shift from (- voice) to (+ voice). 相似文献
70.
M C Wells P N Lehner E G Bolen M K Rylander 《Journal of comparative psychology (Washington, D.C. : 1983)》1975,88(2):940-944
Scotopic visual adaptation curves were obtained from 4 mallard ducks. A curve of best fit was used to compare the mallards' mean adaptation curve to the curve previously reported for the black-bellied tree duck, a crepuscular species. The curves did not differ significantly in either their slopes or base levels (thresholds). The mallards curve had a rod-cone "break" at approximately 25 min. This break is evident in the scotopic curve for pigeons, but is absent from the black-bellied tree ducks' curve. Examination of retinal tissues indicated that the black-bellied tree ducks had significantly more rods and cones, and a larger rod:cone ratio than the mallards. The mallards' scotopic visual threshold is exceeded by the natural illumination present under several nocturnal conditions. 相似文献