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81.
Health-seeking encompasses the activities individuals perform in order to restore wellness when they perceive themselves as ill. Alarmingly, it is apparent that there is a decrease in frequency of health-seeking as one ages. While there have been numerous studies about elderly health-seeking behavior across the globe, the need to know about their preferences remains a research imperative, hence this conjoint analysis investigation. The objective of this study is to identify the health-seeking preferences of a select group of Filipino elderly in the community. To measure preferences for health-seeking, a conjoint analysis survey of 304 Filipino elderly aged 60 years and above was conducted from June to July 2012 using the balanced incomplete block design. Results indicate that the most important attribute in terms of health-seeking behavior is the physician's experience. Elderly clients tend to seek health care from expert private practitioners who provide full information regarding illness and charge professional fees of less than 500 pesos (8–9 British pounds or 12–13 U.S. dollars). Results suggest that there are factors that may impede or promote health care seeking in elderly clients, of which physicians’ experience is deemed most important. These preferences, if integrated into the current practice, can help health care practitioners in improving the quality of care provided.  相似文献   
82.
The purpose of this cross-sectional study was to investigate leg muscle power and compare two activities (jumping and cycling) in 383 girls and 407 boys ages 9–19 years. Results in anthropometric characteristics and jumping performance were comparable until midadolescence, and sex differences were observed. Lean leg volume (LLV) was the reason for most of the variance (76% in girls and 88% in boys) in jumping performance. However, the LLV exponent was higher than expected in boys but not girls. Therefore, unidentified qualitative changes of muscle function during growth in boys must be considered. The squat jump index (SJI) was highly correlated to cycling peak power (CPP; N = 790, r = .94, p < .001). Although prediction error of CPP from SJI was less than 5% when considering each sex-and-age group, individual errors mounted to 40%. Due to its practicability, SJI is recommended in large-scale developmental prospective studies. However, cycling and jumping protocols are not interchangeable when measuring peak power values.  相似文献   
83.
The study presents the results of a pilot implementation of the Content and Language Integrated Learning in OpenSimulator Project-CLILiOP. Content and Language Integrated Learning together with constructivism provided the theoretical basis of the project. A multi-user virtual environment was developed using Opensimulator, which entailed a tour of the students’ avatars on a virtual island where they viewed and exchanged information in the English language regarding geographical terms and concepts. The project’s duration was ten weeks. A total of 105 students participated, divided into three groups: one used the application, the second was taught the same cognitive material using a conventional teaching method, but still under the scope of CLIL, while the third was conventionally taught. Results indicate that the learning outcomes of CLILiOP were better compared to the other two teaching methods, but also underline the need to further investigate the uses of 3D multi-user virtual environments in second language learning.  相似文献   
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85.
This paper explores how teachers in a poor township primary school in South Africa construct meaning regarding gender violence among children, and how they talk about addressing that violence. The paper argues that major influences on the endemic violence include complex societal structures that are inscribed with cultures of violent masculinities, extreme socio-economic conditions and gender inequality. It shows how primary school teachers recognise violent masculinities and gender power imbalances but simultaneously uphold the notion of children’s innocence as a rationale for refuting the primary school as a site of violence. The paper explores contradictions embedded in some of the solutions which the teachers suggest as a way of addressing violence. For example, while they highlight the importance of teaching peace, respect and equality, they also advocate the use of corporal punishment as an effective means of dealing with violent conduct among school children.  相似文献   
86.
Over the last years, there has been a significant increase in the attention paid to the activities of knowledge-intensive business services (KIBS). KIBS produce and diffuse knowledge, which is crucial for innovation processes. The paper gives an overview of the role and function of KIBS in innovation systems and their knowledge production, transformation and diffusion activities. Focusing on innovation interactions between manufacturing small- and medium-sized enterprises (SMEs) and KIBS, the empirical analyses grasps KIBS position in five regional contexts. The analysis leads to the conclusion that innovation activities link SMEs and KIBS through the process of knowledge generation and diffusion.  相似文献   
87.
Our study examines how and why Ghana's first attempt to use biometric technology for voter identification and verification in its 2012 general elections failed. We employ activity theory as the analytical lens and interpretive case study as the methodology. Our findings show that the effectiveness of biometric technology to provide reliable identification does not depend solely on its technical qualities but also on real-time connectivity between registration centres and an electronic national register. Furthermore, the electoral officials need to be trained intensively to operate the machines and given guidance on how to handle situations when breakdowns occur. While biometric technology does introduce powerful capabilities, it is just one piece of a complex human activity system.  相似文献   
88.
Intuitive conceptions in mathematics guide the interpretation of mathematical concepts. We investigated if they bias teachers’ conceptions of student arithmetic word problem solving strategies, which should be part of their pedagogical content knowledge (PCK). In individual interviews, teachers and non-teaching adults were asked to describe students’ strategies in situational contexts within or outside the scope of the intuitive conception. The results revealed that teachers relied on their PCK and identified student strategies; however, in the presence of the intuitive conception, their PCK was overshadowed and they ceased to differ significantly from non-teachers. This brings the attention to certain biases that can have a strong impact on teachers’ efficient use of PCK.  相似文献   
89.
Alanine aminotransferase (ALT) is the most common and cost effective screening test for asymptomatic liver disease. There is paucity of data on normal ALT among healthy individuals in India. An observational cross sectional study was conducted from January to July 2013 to estimate the upper limit of normal for ALT in healthy south Indian population. Adults undergoing voluntary or pre-employment health screening were included. Those with current and past alcoholism or smoking, acute illness or hospitalization during preceding 12 months, non-steroidal anti-inflammatory or over the counter medication use within a month, current or past intake of herbal medications, any chronic medical illness, abnormal body mass index (BMI), fatty liver in ultrasound, abnormality in haemoglobin, platelet count, blood sugar, creatinine, lipid profile and thyroid function test and positive serology (Hepatitis B, C or HIV) were excluded. A total of 2600 subjects were screened. 344 were included for analysis. Mean age was 35 years in men and 34.83 years in women, with a mean BMI of 22.2 kg/m2 in men and 21.8 kg/m2 in women. The mean ALT in men and women were 21.87 ± 2.9 (97.5th percentile 28 U/L) and 19.35 ± 3.3 (97.5th percentile 24 U/L) respectively. In conclusion, mean and upper limit of ALT (97.5th percentile) in south Indian men was 21.87 and 28 IU/L and women were 19.35 and 24 IU/L respectively. There is a need to re-consider ALT levels in our population for better detection of individuals at risk for liver disease.  相似文献   
90.
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