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101.
A stress management and prevention workshop for nonclinical industrial workers using rational-emotive principles with 18 months followup is reported. Twenty-two senior safety officers participated in an intervention program of five weekly meetings aimed at improving cognitive skills and assertiveness mainly by decreasing irrational thought processes. We hypothesized an increase in assertiveness, and a decrease in irrational beliefs, and emotional and cognitive stress symptoms (manifested in somatic complaints and cognitive weariness). Assertiveness improved and somatic complaints and irrationality decreased in the short term. Eighteen months later, cognitive weariness was also reduced. The other improvements were still evident, but not to the same extent as short-term effects. Although the workshop improved rationality, further practice would be needed in the behavioral aspect of stress prevention to achieve long-term improvements in assertiveness.Talma Kushnir, Ph.D., is a social and medical psychologist at the Occupational Health and Rehabilitation Institute, Raanana, Israel, and teaches psychology and health promotion at the Tel-Aviv University Medical School.Ruth Malkinson, Ph.D., fellow and RET trainer and supervisor of the Institute for RET, and teaches at the School of Social Work and Medical School at Tel-Aviv University, Israel. Both authors contributed equally to this studyThis study was supported by the Committee for Preventive Action and Research in Occupational Health, The Ministry of Labor and Social Affairs, Jerusalem, Israel.The authors thank Estie Weisberg for her administrative assistance in organizing the workshops.  相似文献   
102.
This paper presents recent research into compliance with current driving hours regulations, the effectiveness of using driving hours to predict fatigue, and alternative compliance and enforcement options. The paper describes results of a major survey of truck driver fatigue in New Zealand, a review of international compliance and enforcement procedures, and research focussing on the social forces and influences that affect truck drivers. The survey of truck drivers was based on interviews and performance tests collected from 600 truck drivers at depots, wharves, markets, and other locations throughout the North Island of New Zealand. The interviews included: questions on driver demographic and work/rest patterns, drivers' attitudes towards fatigue, propensity towards daytime sleepiness, and a self-assessment of the driver's momentary level of fatigue. In addition, a simulator-based performance test of driving was undertaken. The performance test included a combination of a standard driving task, a dual-axis sub-critical tracking task (maintaining speed and steering in a controlled but unstable environment, a virtual roadway affected by the appearance of random wind gusts requiring steering correction), and a tertiary or side-task requiring driver monitoring and periodic responses. The initial results from the first 100 drivers have found a sizable number of drivers exceeding the allowable driving hours, high levels of fatigue and sleepiness, and interesting differences between line-haul and local delivery drivers. A related research project into the social processes and relationships that affect truck drivers has resulted in a good understanding of the social conditions that influence cultural change and the actions of truck drivers and fleet managers. In this paper we will have particular regard to these processes in the construction of ideas concerning safety. This includes an understanding of the role of major stakeholders, such as freight forwarders and the enforcement agencies with respect to drivers and their conditions, actions and understanding of the road transport industry. This knowledge coupled with the survey results and an understanding of compliance and enforcement alternatives will be used to explore potential fatigue management options.  相似文献   
103.
    
This study investigated the effects of expressing through writing either positive feelings, negative feelings, or both about an upsetting event in order to assess which mode of expression facilitated greater emotional and cognitive processing. Undergraduate student participants with self-reported unresolved upsetting experiences were randomly assigned to one of three writing groups. After completing three writing sessions, they were evaluated at baseline, postexperimentally, and at 1-month follow-up. All groups experienced positive benefits; however, participants in the positive writing group showed greater adaptive cognitive changes than the other groups. Thus it appears that the written expression of positive feelings is as therapeutic as the written expression of negative emotions, which may prompt increased cognitive reorganization or benefit finding among a nonclinical sample.  相似文献   
104.
105.
    
Abstract

For many decades, the stress process was described primarily in terms of negative emotions. However, robust evidence that positive emotions co-occurred with negative emotions during intensely stressful situations suggested the need to consider the possible roles of positive emotions in the stress process. About 10 years ago, these possibilities were incorporated into a revision of stress and coping theory (Folkman, 1997). This article summarizes the research reported during the intervening 10 years that pertains to the revised model. Evidence has accumulated regarding the co-occurrence of positive and negative emotions during stressful periods; the restorative function of positive emotions with respect to physiological, psychological, and social coping resources; and the kinds of coping processes that generate positive emotions including benefit finding and reminding, adaptive goal processes, reordering priorities, and infusing ordinary events with positive meaning. Overall, the evidence supports the propositions set forth in the revised model. Contrary to earlier tendencies to dismiss positive emotions, the evidence indicates they have important functions in the stress process and are related to coping processes that are distinct from those that regulate distress. Including positive emotions in future studies will help address an imbalance between research and clinical practice due to decades of nearly exclusive concern with the negative emotions.  相似文献   
106.
    
Individuals confronted with a life-threatening illness often report posttraumatic growth (PTG) or finding benefits in disease. These positive evaluations of personal strength, perceptions of improved personal relations and new possibilities may represent a defensive response (cf Janus-face model). Three studies investigated the effects of mortality reminders on reports of PTG or benefit findings among people living with life-threatening illness or their caregivers. 80 people living with HIV (Study 1), 164 breast cancer survivors (Study 2) and 50 family caregivers for a patient with Huntington Disease (Study 3) were randomly assigned to the experimental (mortality reminders) or control conditions. Across three studies, those exposed to mortality reminders reported lower PTG or benefit finding, compared to the controls. These effects were moderated by time elapsed since diagnosis: mortality reminders led to lower PTG/benefit finding among those who received the diagnosis more recently. The results provide an insight into the defensive character of PTG/finding benefits in illness and changes in the function of these beliefs over time elapsing since diagnosis.  相似文献   
107.
    
Taking decisions during the development of a new drug requires combining many and varying pieces of information. The interconnections between these different pieces of information are often only partially known and in some cases merely conjectured. Despite this uncertainty, decisions must be taken – often with regard to the balance of risk and benefit – in order to make progress. A clear, consistent and efficient methodology for describing the structure of a project and the comprehensive state of knowledge at any point in time is required in order to add transparency to the decision process. A viable methodology must allow for a natural characterization of the uncertainty inherent in the drug development process and a relatively easy implementation. We present a possible solution that satisfies these requirements. The foundation of the proposed approach is based on a beta‐binomial update mechanism well known in Bayesian statistics. This work provides a consistent framework for solving hierarchical multicriteria decision problems. Copyright © 2014 John Wiley & Sons, Ltd.  相似文献   
108.
    
The paper explores the concept that, for a given population, there is not a single “traffic safety culture,” but rather a set of alternative cultures in which the individual driver might belong. There are several different cultures of dangerous driving behavior and each might need a separate strategy for intervention or amelioration. First, the paper summarizes the over-arching theory explored in the research, which applies Multi-group Structural Equation Modeling (MSEM) in a modification of the Theory of Planned Behavior (TPB) in the explanation of Risky Driving Behavior, based on ten observed explanatory factors. Second, we apply Latent Class Cluster (LCC) segmentation to the full sample, revealing four segments: one cluster reflecting a “Low Risk Driving Safety Group” and three clusters describing three different groups of problematic drivers. We first apply MSEM to two groups; the “Low Risk Driving Safety Group,” and the “High Risk Driving Safety Group,” defined as the members of the three problematic clusters together, revealing how a “Low Risk” culture differs from the “High Risk” culture, with the relative importance of the TPB explanatory factors varying sharply between the two groups. Finally, the three problematic clusters are profiled for demographics and their mean scores for the ten observed explanatory factors. Each of the clusters is reviewed in terms of responses to selected survey questions. Three separate and distinct dangerous traffic safety cultures emerge: first, a culture of risky driving dominated by excitement seeking and optimism bias; a second dominated by denial of societal values; and a third characterized by its propensity to find rational justifications for its speeding behavior. The paper applies two research methods together: LCC segmentation divides our sample into meaningful subgroups, while MSEM reveals both within-group analysis of variance and between-group differences in safety attitudes and outcomes. The paper concludes that the combination of the segmentation powers of the LCC and the analysis powers of the MSEM provides the analyst with an improved understanding of the attitudes and behaviors of the separate groups, all tied back to the over-arching theory underlying the research.  相似文献   
109.
    
Purpose of designing crosswalks is to allow pedestrians to cross the roads safely avoiding conflicts between pedestrians and motorized vehicles. However, pedestrians do not always comply with the crossing rules, whether it is timing (signalization) and/or location (crossing facility). An observation survey of illegal crossings was conducted at six intersections in Izmir, Turkey to determine the distance and time gap perception of the pedestrians for safe road-crossing within the 25 m of the crosswalk. Each intersection was observed on weekdays during afternoon (12.30–13.30) and evening peak hours (17.00–18.00). Totally, 444 illegal crossings were observed at all intersections. Data were analyzed playing the video recordings in office. All roads were consisted of two lanes. In this study pedestrians’ illegal crossing behavior at signalized intersections depending on the position of the oncoming vehicle is of interest. Safety margins and crossing times of the pedestrians were also reported. Position of the vehicle was determined for the first lane at the instant the pedestrian stepped the lane. Pedestrians’ distance gap perception was categorized into five groups depending on the position of the oncoming vehicle which are; vehicle is within the 25 m of the crosswalk, vehicle is within the 25–50 m of the crosswalk, vehicle is within the 50–75 m of the crosswalk, vehicle is just beyond 75 m, and vehicle is out of field of view. Factors affecting the distance gaps, safety margins and crossing times were analyzed by ANOVA. The most significant effect was the vehicle speed in all analysis. Pedestrians based their decision of crossing on distance rather than time gap.  相似文献   
110.
    
There is little information about the content of ethics consultations (EC) in pediatrics. We sought to describe the reasons for consultation and ethical principles addressed during EC in pediatrics through retrospective review and directed content analysis of EC records (2000–2011) at St. Jude Children's Research Hospital. Patient-based EC were highly complex and often involved evaluation of parental decision making, particularly consideration of the risks and benefits of a proposed medical intervention, and the physician's fiduciary responsibility to the patient. Nonpatient consultations provided guidance in the development of institutional policies that would broadly affect patients and families. This is one of the few existing reviews of the content of pediatric EC and indicates that the distribution of ethical issues and reasons for moral distress are different than with adults. Pediatric EC often facilitates complex decision making among multiple stakeholders, and further prospective research is needed on the role of ethics consultation in pediatrics.  相似文献   
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