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231.
Nearly 20 years after the Telecommunications Act of 1996, it is unclear how its mandates influence current parents’ mediation behavior. Parents of 2- to 17-year-old children (N = 1,431) were surveyed about their awareness and perceptions of the TV ratings system and use of the V-chip. Most (81%) parents knew about the ratings system and found it to be only “somewhat useful.” Only 16% of those parents had ever used the V-chip. Ratings awareness and perceptions and V-chip use varied with family characteristics. Policymakers should revisit how to provide better tools for mediating children’s viewing in this new information age.  相似文献   
232.
The Supporting Effective Teaching (SET) project consists of studies that examine the relationship between elementary general education teachers' beliefs about disability and ability and their roles in inclusive classrooms, and how these are related to teaching practices. Teaching effectiveness is operationally defined as multiple dimensions of teaching practices observed in inclusive classrooms. This paper examines previously reported and newly completed studies that investigate the characteristics of teachers in inclusive classroom settings, what they believe about their roles and responsibilities and about their students' learning, and how their beliefs relate to their teaching effectiveness with students both with and without disabilities.  相似文献   
233.
Out-of-home placement decision-making in child welfare is founded on the best interest of the child in the least restrictive setting. After a child is removed from home, however, little is known about the mechanism of placement decision-making. This study aims to systematically examine the patterns of out-of-home placement decisions made in a state's child welfare system by comparing two models of placement decision-making: a multidisciplinary team decision-making model and a clinically based decision support algorithm. Based on records of 7816 placement decisions representing 6096 children over a 4-year period, hierarchical log-linear modeling characterized concordance or agreement, and discordance or disagreement when comparing the two models and accounting for age-appropriate placement options. Children aged below 16 had an overall concordance rate of 55.7%, most apparent in the least restrictive (20.4%) and the most restrictive placement (18.4%). Older youth showed greater discordant distributions (62.9%). Log-linear analysis confirmed the overall robustness of concordance (odd ratios [ORs] range: 2.9–442.0), though discordance was most evident from small deviations from the decision support algorithm, such as one-level under-placement in group home (OR = 5.3) and one-level over-placement in residential treatment center (OR = 4.8). Concordance should be further explored using child-level clinical and placement stability outcomes. Discordance might be explained by dynamic factors such as availability of placements, caregiver preferences, or policy changes and could be justified by positive child-level outcomes. Empirical placement decision-making is critical to a child's journey in child welfare and should be continuously improved to effect positive child welfare outcomes.  相似文献   
234.
Introduction     
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235.
美国医学教育中的职业化问题:从证据到责任   总被引:4,自引:0,他引:4  
职业化是维护公众对医学职业信任的核心要素,也是医患关系的本质所在.但有证据表明,公众对医学职业的信任日渐消失,医生也在维护医学职业价值观念时面临着各种挑战.本文在医学教育背景下界定"职业化"的定义和框架,描述了职业化面临的各种挑战,也详细论述了医学院校和教学医院在维护医学职业化过程中的角色和作用.此外,还评述了现行和试行中的评价职业化的工具、方法.最后,作者还提出一些建议供医学院校和教学医院参考.  相似文献   
236.
Given world aging, social workers will be involved in assisting older persons in their home-country and/or abroad in various types of governmental or nongovernmental agencies. This paper identifies potential opportunities for social workers with gerontological backgrounds interested in working in international and cross-cultural settings. Discussed are the role of social work education in assisting the development of student interest and competence in working with and for older persons in an aging world. Also discussed are international opportunities in field placements for work with older people.  相似文献   
237.
ABSTRACT

This paper considers the way in which current notions of integration and curriculum entitlement may disadvantage pupils with exceptional needs. An illustrative case of a pupil with profound and multiple learning difficulties is discussed along with general issues of entitlement arising, and the implications for that individual. Through an examination of the effects of the criteria for ‘being educated’ that result from the implementation of the National Curriculum in the UK, we question current perceptions of issues such as normalization, age appropriateness and 'integration’. We use a case study of a child with autism to question whether his educational interests are best served by current notions of integrated education. We suggest a broader notion of education that encompasses rather than contrasts with care, and suggest that curriculum entitlement should involve common curricular principles rather than common curricular content and should not deny within‐child factors. We further suggest that ‘integration’ should be reconceptualized as 'inclusion’ and we query the features that make educational needs ‘special’  相似文献   
238.

As part of a larger ethnographic inquiry designed to ascertain how the Cree communities of the James Bay in northern Quebec viewed, interpreted, and handled the growing incidence of diabetes, this study explored the perceptions, knowledge, and experiences of health professionals serving aboriginal clientele in connection with diabetes. Qualitative data were gathered through in-depth interviews with 28 health professionals. Findings indicate that health professional perceptions of lifestyle are generated from within a nonaboriginal context and that knowledge and understanding of diabetes are rooted within patterns of health practices attributed to individual behaviour. The study concludes that trends towards individualizing the incidences and prevalence of diabetes obfuscate the socioeconomic processes affecting Cree people.  相似文献   
239.
The reading and mathematics achievement and specific mathematical competencies of 74 children were followed over four time points during second and third grades. At the beginning of the study, children were classified into one of four groups: moderate mathematics deficiencies but normal reading (MMD‐only); moderate mathematics and reading deficiencies (MMD/MRD); moderate reading deficiencies but normal mathematics (MRD‐only); and normal achievement in reading and mathematics (NA). Although the MMD‐only and the MMD/MRD groups started out at the same level in mathematics, the MMD‐only group surpassed the MMD/MRD group over time. A parallel pattern in reading was not observed for the MRD‐only and MMD/MRD groups, with children in both groups performing at consistently low levels. Weaknesses in fact retrieval and estimation characterized children with MMD, with or without RD. The MMD‐only group showed an advantage over the MMD/MRD group in problem solving. Reading and language strengths help children compensate for deficiencies in selected areas of mathematics.  相似文献   
240.
Citrulline-malate (CM) is a precursor to nitric-oxide (NO) in the NO synthase (NOS) pathway and is suggested to increase exercise performance in younger individuals. With age, NO production decreases and augmented NO production may provide beneficial effects on sports performance among masters athletes (MAs). Purpose: To examine the effects of acute CM supplementation on grip strength, vertical power, and anaerobic cycling performance in female, MA tennis players. Methods: Seventeen female MA (51?±?9 years) completed two double-blind, randomized trials consuming CM (12?g dextrose?+?8?g CM) and placebo (PLA) (12?g dextrose). One hour after consumption, subjects completed grip strength, vertical power, and Wingate anaerobic cycling assessments in respective order. Maximal and average grip strength, peak and average vertical power, anaerobic capacity, peak power, explosive power, and ability to sustain anaerobic power were calculated from the tests. Results: When consuming CM, participants exhibited greater maximal (p?=?.042) and average (p?=?.045) grip strength compared to PLA. No differences existed between trials for peak (p?=?.51) or average (p?=?.51) vertical power. For the Wingate, peak power (p?p?p?Conclusions: These data suggest that consuming CM before competition has the potential to improve tennis match-play performance in masters tennis athletes. However, this study utilized a controlled laboratory environment and research evaluating direct application to on-court performance is warranted.  相似文献   
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