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61.
Evans I 《Science and engineering ethics》2002,8(3):393-396
The UK Medical Research Council (MRC) takes the issue of conflict of interest very seriously. The overall aim is to preserve
a climate in which personal and organisational innovation can flourish while ensuring that potential conflicts are disclosed
and identified and conflicts are either avoided or managed with integrity. The approach needs to encompass the MRC’s various
responsibilities and the levels at which conflicts might arise: MRC staff (scientists and administrators); the governing Council;
research Boards and committees; external peer-reviewers; and applicants for funding. To achieve its goals, the MRC has issued
practical guidance on various aspects of conflict of interest. For the future, the MRC has identified the continuing commercialisation
of science and the increasing involvement of lay people in scientific decision-making as special challenges in this area.
An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance
in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002. 相似文献
62.
Hasselmo N 《Science and engineering ethics》2002,8(3):421-427
This paper is a discussion of efforts to manage real and potential conflicts of interest in university research in the United
States. The focus is on the report by an Association of American Universities (AAU) task force that addresses both individual
and institutional conflict of interest issues.
An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance
in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002. 相似文献
63.
Hofmann B 《Science and engineering ethics》2002,8(1):17-29
Technology is believed to have liberated health care from dogmas, myths and speculations of earlier times. However, we are
accused of using technology in an excessive, futile and even detrimental way, as if technology is compelling our actions.
It appears to be like the monster threatening Dr. Frankenstein or like the socerer’s broom in the hand of the apprentice.
That is, the same technology that should liberate us from myths, appears to be mythical. The objective of this article is
to investigate the background for the re-entrance of the myth: How we encounter it and how we can explain it. The main point
is that a myth of technology is normative: it relates ‘is’ and ‘ought’ and directs our actions. This becomes particularly
clear in health care. Hence, if there is a myth of technology, it is an ethical issue, and should be taken seriously. 相似文献
64.
Virbalis R 《Science and engineering ethics》2002,8(3):349-352
The current legal framework within the Lithuanian health system is described including a review of the physician’s autonomy,
rights and duties, and patients’ rights including the right to reimbursement. The role of ethical codes and the law are discussed.
An earlier version of this paper was presented at an International Conference on “Conflict of Interest and its Significance
in Science and Medicine” held in Warsaw, Poland on 5–6 April, 2002. 相似文献
65.
66.
Maio G 《Theoretical medicine and bioethics》2002,23(1):45-53
An ethical conflict arises when we must performresearch in the interest of future patients,but that this may occasionally injure theinterests of today's patients.In the case of cognitively impaired persons, thequestion arises whether it is compatible withhumane healthcare not only to treat, but alsoto use these patients for research purposes.Some bioethicists and theologians haveformulated a general duty of solidarity, alsopertaining to cognitively impaired persons, as ajustification for research on these persons. Ifone examines this thesis from the theory ofjustice according to John Rawls, it is revealedthat such a duty of solidarity cannotnecessarily be extrapolated from Rawls'conception of justice. This is at least true ofRawls' difference principle, because accordingto the difference principle only those measuresare justifiable which serve the interest of therespective least well off. Those measures whichwould engender additional injury for the leastwell off could not be balanced by any utilityaccording to Rawls.However, John Rawls' difference principleis subordinate to the first principle,which is that each person has an equalright to the most extensive basic libertycompatible with the same liberty for others.These primary goods are determined by thefreedom and integrity of the person.This integrity of decisionally impaired personswould be in danger if one would abstain fromresearch and thus forego the increase inknowledge related to their disease. Thus onecould conclude, at least from Rawls' firstprinciple, that society must take on a duty toguarantee the degrees of freedom forcognitively impaired persons and thus alsosupport the efforts for their healing. 相似文献
67.
George W. Harris 《Ethical Theory and Moral Practice》2002,5(3):271-286
The problem of pessimism is the secular analogue to the evidential problem of evil facing traditional theism. The traditional theist must argue two things: that the evidence shows that this is on balance a good world and that it is the best possible world. Though the secular optimist who advocates any form of secular moral theory need not argue that the current and future world will likely be the best possible world, she nonetheless must argue that were there a clean solution to the problem of current and future suffering in which all sentient life could be instantly and painlessly eliminated, we would have reasons not to employ the clean solution because the future promises to bring on balance a good world in which the evil of human and animal suffering is outweighed by whatever is good in the world. Pessimism is the view that the evidence argues against secular optimism. It is argued here that it is anything but clear that secular optimism is warranted when viewed from an impersonal point of view. The problem is then evaluated from the personal point of view in which a form of personal optimism is defended even in the face of impersonal pessimism. 相似文献
68.
Noddings N 《Theoretical medicine and bioethics》2002,23(6):441-454
Care theory offers a way to overcome a weaknessof liberalism – its reluctance to intervene inthe private lives of adults. In caring for thehomeless, we must sometimes use a limited formof coercion, but our intervention is alwaysinteractive, and the process of finding asolution is one of negotiation between theneeds expressed by the homeless and the needswe infer for them. 相似文献
69.
Though Americans are a religious people, there are times when religion or religious views may confound the ethical process. This article claims that religious values may be expressed as either principles or narratives, then seeks to establish a case for dealing with religious claims as principled narratives. Methods of evaluation are explored and then seven guidelines are offered for dealing with religion in ethics consultations. 相似文献
70.
社会因素对剖宫产率的影响 总被引:16,自引:0,他引:16
近二三十年来,剖宫产率在世界范围内不断升高。究其原因,除了医学因素外,社会因素起着重要作用,从社会经济发展,社会科学文化水平、社会习俗观念、法律、医疗道德、国家计划生育政策、医学教育等多个角度分析了社会因素对剖宫产率的影响,并就如何发挥社会因素的积极作用,消除和避免其消极作用,使剖部率维持在合理的范围内进行了讨论。 相似文献