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191.
192.
重症患者病情复杂多变,临床医生面临诸多不确定性。不断改善临床思维模式,提高处理临床问题的判断力和决策力,是青年重症医生成长中亟待解决的问题。传统的查房模式在此方面作用有限。为此,探索了一种新的模式—交叉查房。交叉查房是对传统教学查房模式的拓展,由一线医生扮演上级医师的角色承担查房任务,上级医师扮演评价者的角色,对查房的整体过程和关键环节进行把关、纠错和补充,查房结束后通过量化指标对查房效果进行评估。交叉查房作为一种新的训练工具,能有效提高查房质量,是一种值得推广的教学查房模式。
相似文献193.
Christopher C. Knight 《Zygon》2016,51(3):573-591
On the basis of both philosophical arguments and the theological perspectives of Eastern Orthodox Christianity, a critique of two beliefs that are common within the mainstream science–theology dialogue is outlined. These relate to critical realism in understanding language usage and to naturalistic perspectives in relation to divine action. While the naturalistic perspectives on the history of the cosmos that are predominant within the dialogue are seen as generally acceptable from an Orthodox perspective, it is argued that they require theological expansion. This expansion suggests an understanding other than the “causal joint” model commonly adopted in relation to “special” divine action. This alternative model renders the distinction between “special” and “general” divine action redundant, and is based on what has been called a “teleological‐Christological” understanding of the cosmos, rooted in the fourth gospel's notion of the divine Logos. The relevance of this critique to scholars outside of the Orthodox community is urged. 相似文献
194.
This essay is concerned with the central issue of philosophical anthropology: the relation between nature and culture. Although Rousseau was the first thinker to introduce this topic within the modern discourse of philosophy and the cultural sciences, it has its origin in Diogenes the Cynic, who was a disciple of Socrates. In my essay I (1) historically introduce a few aspects of philosophical anthropology, (2) deal with the nature–culture exchange, as introduced in Kant, then I (3) relate this topic to the Ancient Cynic Diogenes. Surprisingly, although we usually identify Critical Theory and Freudian psychoanalysis as theories that have shown that cultural progress should not be comprehended as a development from nature to culture, and that instead it should be conceived as a development from culture against (external as well as internal) nature, I show that Cynicism can be conceived as a vivid example within the history of our culture that reveals a double sense of repression and alienation, which is part of human civilization and mankind. 相似文献
195.
It is a feature of scientific inquiry that it proceeds alongside a multitude of non-scientific interests. This statement is
as true of the scientific inquiries of previous centuries, many of which brought scientists into conflict with institutionalised
religious thinking, as it is true of the scientific inquiries of today, which are conducted increasingly within commercial
and political contexts. However, while the fact of the coexistence of scientific and non-scientific interests has changed
little over time, what has changed with time is the effect of this coexistence on scientific inquiry itself. While scientists
may no longer construct their theories with various religious dictates in mind, growing commercial and political interests
in science have served to distort the interpretation of science. Using the U.K.’s recent crisis with bovine spongiform encephalopathy
(BSE) as my context, I examine two ways in which this distortion has occurred – the interpretation of the science of BSE by
politicians and by commercial parties for the purposes of justifying policy decisions and informing the public of risk, respectively.
Fallacious reasoning, I contend, is the manifestation of this distortion in these contexts. In demonstration of this claim,
I examine how politicians and commercial parties alike have employed two fallacies in their assessments of the science of
BSE. These fallacies extend in novel ways the set of so-called traditional informal fallacies. The interpretation of science,
I conclude, is a rich context in which to conduct a study of fallacious reasoning; moreover, such a study can contribute in
significant ways, I argue, to the public understanding of science. 相似文献
196.
Trang U. Le Sara K. Johnson Jacqueline V. Lerner 《Journal of community & applied social psychology》2023,33(2):391-405
Scholars have regarded social responsibility as a motivator of civic actions. Social responsibility, however, does not consistently lead to civic actions. Informed by sociopolitical development theory and social cognitive theory, the present study examined critical reflection about societal inequalities and intentional self-regulation as potential moderators of the relationships between adolescents' social responsibility and political activities, social activism and community service. Survey data were collected from 737 adolescents in the Northeastern United States (Mage = 14.52, 58.2% girls, 57.5% White/European American). Path analysis indicated that social responsibility was associated with all three types of civic actions, and critical reflection moderated the relationship between social responsibility and political activities. We discussed limitations, implications and directions for future research. See Supplementary Material section to find this article's Community and Social Impact Statement . 相似文献
197.
Christian Compare Cinzia Albanesi 《Journal of community & applied social psychology》2023,33(2):332-355
This systematic review examined the role of Service-Learning experiences promoted by higher education institutions to strengthen the achievement of social justice outcomes among youth. We screened and coded studies following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Of the 555 articles found in the database search, 47 peer-reviewed studies were included in the final sample. Social justice construct, together with research location, participants, target community and outcomes, were coded. Results show effects of Service-Learning experiences on (a) fostering significant improvement of students' social justice beliefs, (b) stimulating significant changes in students' attitudes with respect to the development of altruistic behaviours and their commitment to social justice, and (c) increasing students' critical understanding by sparking questioning processes related to personal assumptions of inequalities. This systematic review provides insights into the strengths and challenges of implementing social justice-oriented Service-Learning experiences. 相似文献
198.
In this paper, we argue that psychological capital is unequally distributed among people from different social classes, ethnic backgrounds and genders. Confronting the limitations of the current, individualistic perspective on psychological capital, we offer a re-conceptualisation of the construct from a critical, interdisciplinary perspective, placing it at the intersection of sociology and psychology. We discuss the various mechanisms through which social inequalities may cause differential access to psychological capital for members of low- and high-status social groups and show how this differential access to psychological capital results in and exacerbates social inequalities. By doing this, we postulate a recursive theory on psychological capital that both recognises the formative effect of socio-organisational structures on one's psychology and vice versa. 相似文献
199.
Yolanda Vasquez-Salgado Tissyana C. Camacho Isabel López Gabriela Chavira Carrie L. Saetermoe Crist Khachikian 《Infant and child development》2023,32(3):e2371
The current study investigated science identity development among Latinx university students selected for a critical race theory (CRT)-informed undergraduate research experience. Twenty students (12 female, 8 male; Mage = 22.00; SD = 2.77) enrolled in biomedical-related majors at a 4-year university responded to open-ended questions regarding their identity as scientists at 2 weeks, 6 months, and 18 months after they began the program. Results illustrated a steady increase in the number of students identifying as scientists over 18 months. At 2 weeks into the program, only 35% of Latinx students felt like a scientist. At 6 months, 45% of Latinx students identified as a scientist. At 18 months, 70% of Latinx students reported feeling like a scientist. Results also revealed variation in science identity trajectories, with four trajectories viewed in the data: (1) consistent or fast achievement, (2) gradual achievement, (3) achievement adjustment, and (4) never reach achievement. The majority of students demonstrated a trajectory in which they reached science identity achievement (the feeling that they are “a scientist”). Our results provide evidence of the positive, longitudinal impact that a CRT-informed curriculum has on the science identity development of Latinx students. Implications surrounding future research and strategies to facilitate long-term Latinx student participation in the biomedical sciences are discussed. 相似文献
200.
Taina B. Quiles Lindsay T. Hoyt Miranda P. Dotson Elena Maker Castro Madeline May Alison K. Cohen 《American journal of community psychology》2023,71(1-2):136-146
The COVID-19 pandemic and violence against people of Color during 2020 brought troubling racial inequities to the forefront of American discourse. In line with the Critical Consciousness (CC) and Social Justice Youth Development (SJYD) frameworks, emerging adults may have developed their capacity for critical reflection, motivation, and action against systemic inequities. We drew from interviews with 27 emerging adults (ages 18–23) across the US, and used thematic analysis to explore differences in their reflections, motivations to act, and actions based on their racial/ethnic identification. We found nuanced variability in their critical reflections based on self, social, or global awareness and experiences of marginalization. White and Asian emerging adults used vague language or expressed feeling their reflections were insufficient. Black and Latinx emerging adults emphasized the importance of education and raising awareness. Although all emerging adults took action based on a sense of duty, few engaged in critical action; decisions to take in-person action varied based on whether they viewed racism or COVID-19 as a greater threat. Findings demonstrate that emerging adults' experiences of racialization may have related to their CC development. We share implications for community psychologists conducting antiracist research addressing White fragility and dismantling racial hierarchy. 相似文献