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101.
目的 探讨基于AHP综合评价法判断利培酮、阿立哌唑和氯氮平治疗精神分裂症疗效的方法.方法 将判断药物疗效的相关因素归纳为6个因素,9个水平并建立评价指标体系,收集评价指标的原始值,确定与各项评价指标相对应的权重系数,建立线性加权综合法模型,利用AHP计算各系统的综合评价值.结果 三类药物综合评价值得到,阿立哌唑>利培酮>氯氮平.结论 研究建立了药物疗效评判模型,并对研究药物进行定量分析,避免单因素判断药物疗效,而使药物疗效的判断更加客观,合理,全面.基于AHP综合评价法对抗精神疾病药物疗效的定量分析,为综合评价法在药物治疗的评判中提供了有利的算法支持,为后面的研究工作提供了有效依据. 相似文献
102.
BackgroundLong-term follow-up studies of interventions for children exposed to intimate partner violence are few, and the sustainability of their outcomes often remains unexplored and uncertain. Current research including follow-up assessment suggests that treatment gains may be maintained or continue post termination. In addition some children may show increased levels of symptoms.ObjectiveThe present effectiveness study investigated the long-term outcomes of two established group interventions for children exposed to intimate partner violence and their non-offending parent.Participants and SettingThe study included 50 children, 24 girls and 26 boys, aged 4 to 13 years attending a psychotherapeutic child and adolescent mental health service intervention and a psychoeducative community-based intervention.MethodsBackground information, child and parental mental health problems, trauma symptoms, and exposure to violence were assessed pre- and post treatment and at 6 and 12 months’ follow-up.ResultsSustained treatment gains and late improvements in children’s internalizing and externalizing symptoms and in symptoms of traumatic stress were recorded from post treatment to the follow-up assessments (p = .004– .044; d = 0.29–0.67). No significant increase in symptoms was reported. Additionally, very little continued or renewed child exposure to violence was reported.ConclusionsThe results of the study indicate that the children did benefit from the two interventions studied and that the outcomes of reduced child symptoms and protection from exposure to violence were sustainable. Children with severe trauma symptoms benefited the most, though maternal psychological problems may for some have hindered recovery. Clinical implications are discussed. 相似文献
103.
Lin-qin Wang Elaine Tan Su Yin Guo-qing Wei Yong-xian Hu Arnon Nagler He Huang 《Journal of Zhejiang University. Science. B》2020,21(12):921
The coronavirus disease 2019 (COVID-19) is an emerging infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Within a matter of months, this highly contagious novel virus has led to a global outbreak and is still spreading rapidly across continents. In patients with COVID-19, underlying chronic diseases and comorbidities are associated with dismal treatment outcomes. Owing to their immunosuppressive status, patients with hematological malignancies (HMs) are at an increased risk of infection and have a worse prognosis than patients without HMs. Accordingly, intensive attention should be paid to this cohort. In this review, we summarize and analyze specific clinical manifestations for patients with coexisting COVID-19 and HMs. Furthermore, we briefly describe customized management strategies and interventions for this susceptible cohort. This review is intended to guide clinical practice. 相似文献
104.
本文阐述了我国铀矿山放射性污染的种类、来源及危害,并提出了相应的治理措施,可为我国铀矿山环境污染治理提供借鉴。 相似文献
105.
施工方案的优选是施工企业编制单位工程或者分项工程施工组织设计的核心,更是施工企业获得效益或者利润最大化的重要途径,因此科学合理地选择施工方案成为施工企业的核心竞争力。本文针对某一具体项目复合地基的三种不同施工方案,依据多属性决策理论中的线性加权法对其进行分析比较,最终得出不同方案最优比选结果并作出相应决策,即采用CFG桩复合地基处理方案为最优施工方案。 相似文献
106.
运用数字式X线摄片机、双能X线骨密度仪(DEXA)、红外热像仪分别测量训练前后的颈椎的生理曲线前凸深度、最大屈伸活动指数、C4—6的BDM及项背区红外热象图的实验结果。通过对实验数据进行记录,并运用SPSS软件对数据进行处理。结果表明,训练前后A、C组的生理曲线前凸深度、最大屈伸活动指数、C4—6的BDM的对比有非常显著性差异(P〈0.01)。项背区红外热象图的变化得出患部炎症的消退和病灶部位的恢复达到65%。实验结论:羽毛球是一项非常适合中老年颈椎轻度退行性变的预防和治疗性锻炼的运动项目。 相似文献
107.
108.
Melissa Hakman Mark Chaffin Beverly Funderburk Jane F. Silovsky 《Child abuse & neglect》2009,33(7):461-470
ObjectiveParent-child interaction therapy (PCIT) has been found to reduce future child abuse reports among physically abusive parents. Reductions in observed negative parenting behaviors mediated this benefit. The current study examined session-by-session interaction sequences in order to identify when during treatment these changes occur and how much the trajectory varies from case-to-case.MethodSession-by-session parent-child interaction sequences, using the Dyadic Parent-Child Interaction Coding System-II (DPICS-II) categories, were coded for 22 child welfare involved parent-child dyads undergoing PCIT for child physical abuse. A total 5,436 interactions across PCIT were coded and analyzed using growth curve analysis.ResultsAt pre-treatment baseline, negative and positive parental responses were about equally likely to follow a child positive behavior. This pattern changed rapidly during PCIT, with rapid increases in positive parental responses and decreases in negative parental responses to appropriate child behavior. A quadratic growth pattern accounted for 70% of observed variance and virtually all change occurred during the first three sessions.ConclusionChanges in observed abusive parent-abused child interaction patterns can occur early in PCIT, a parenting intervention that involves direct coaching and practice of skills. These benefits sustained throughout treatment.Practice implicationPrior to receiving behavioral parent training (PCIT), parents who have physically abused their children failed to match their parental response to their children's behavior. This pattern of interaction improved rapidly and substantially during the first three sessions of PCIT. The changes in the patterns of interaction also remained relatively stable for the remainder of treatment while parents continued to practice positive parental responses as well as began practicing effective discipline techniques. This suggests that use of immediate parent feedback through coaching, explicit directions to parents in how to respond to child behavior, and customization of the application of skills to the problems that arise in session are important components to effective parenting programs with physically abusive parents. Targeting these behaviors with PCIT has been found to reduce rates of recidivism, further supporting clinical application of PCIT in these cases. 相似文献
109.
Witnessing violence toward a caregiver during childhood is associated with negative impact on children’s health and development, and there is a need for effective interventions for children exposed to intimate partner violence in clinical as well as in community settings. The current effectiveness study investigated symptom reduction after participation in two established group interventions (one community-based psychoeducative intervention; one psychotherapeutic treatment intervention) for children exposed to intimate partner violence and for their non-offending parent. The study included 50 children—24 girls and 26 boys—aged 4–13 years and their mothers. Child and maternal mental health problems and trauma symptoms were assessed pre- and post-treatment. The results indicate that although children showed benefits from both interventions, symptom reduction was larger in the psychotherapeutic intervention, and children with initially high levels of trauma symptoms benefited the most. Despite these improvements, a majority of the children’s mothers still reported child trauma symptoms at clinical levels post-treatment. Both interventions substantially reduced maternal post-traumatic stress. The results indicate a need for routine follow-up of children’s symptoms after interventions. 相似文献
110.