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151.
152.
OBJECTIVES: This research was conducted to provide new insights on clinical nurses' and nursing students' current use of health resources and libraries and deterrents to their retrieval of electronic clinical information, exploring implications from these findings for health sciences librarians. METHODS: Questionnaires, interviews, and observations were used to collect data from twenty-five nursing students and twenty-five clinical nurses. RESULTS: Nursing students and clinical nurses were most likely to rely on colleagues and books for medical information, while other resources they frequently cited included personal digital assistants, electronic journals and books, and drug representatives. Significantly more nursing students than clinical nurses used online databases, including CINAHL and PubMed, to locate health information, and nursing students were more likely than clinical nurses to report performing a database search at least one to five times a week. CONCLUSIONS AND RECOMMENDATIONS: Nursing students made more use of all available resources and were better trained than clinical nurses, but both groups lacked database-searching skills. Participants were eager for more patient care information, more database training, and better computer skills; therefore, health sciences librarians have the opportunity to meet the nurses' information needs and improve nurses' clinical information-seeking behavior.  相似文献   
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154.
New and innovative information technologies drive the ever-evolving library profession. From clay tablet to parchment scroll to manufactured paper to computer screen pixel, information storage, retrieval, and delivery methods continue to evolve, and each advance irrevocably affects the way libraries, and librarians, work. The Internet has forever altered information and library science, both in theory and practice, but even within this context the progression continues. Though ambiguously defined, Web 2.0 offers a new outlook and new software, presenting librarians with potentially invaluable new tools and methods. This paper discusses the creation, implementation, and maintenance of a Web 2.0 technology, the wiki, as a resource tool for an academic biomedical library.  相似文献   
155.
There are many online drug information resources available from commercial vendors, but they are often too costly for hospital librarians on a limited budget. Several free Internet options available from a variety of commercial, government, U.S., foreign, professional, and consumer sites are described here.  相似文献   
156.
Training courses are insufficient to solve the “wicked problems” facing organizations. Lengthy task forces also fail to meet urgent challenges that demand a rapid response. Intrigued by the success of General Electric's innovative WorkOuts, the Federal Deposit Insurance Corporation (FDIC) has adapted this tool into an accelerated decisionmaking process to enhance both managerial and organizational effectiveness. Executives participate in a compressed version of the FDIC's accelerated decisionmaking process during management training, developing solutions for real organizational challenges posed by a corporate officer. Once exposed to this nontraditional problem-solving method, the executives are encouraged to apply the method to problems in their own realms. Emerging business demands compelled an evolution in the methodology, including the addition of tools for conscious reflection on the process, what the participants learn from the experience, and how they can apply that wisdom to their management practices.  相似文献   
157.
Low-cost physical activity monitors may provide a more accurate measure of physical activity than subjective methods (e.g., self-report) while being less costly than research-grade accelerometers. The present study assessed the validity of a low-cost monitor (Movband 2) to estimate physical activity behavior/intensity. Participants (N = 23, n = 16 female, BMI = 22.9 ± 4.0 kg/m2, age = 21.9 ± 1.6 years) completed four, five-minute treadmill stages (2.0, 3.0, 4.0, 5.0 MPH) while wearing both the Movband and the previously-validated Actigraph monitor. Oxygen consumption (VO2) was recorded during each stage (Laboratory assessment). A subset (= 15, n = 10 female, BMI = 22.2 ± 3.2 kg/m2, age = 21.5 ± 0.8 years) of these participants then wore the two accelerometers for three days (Free-living assessment). During the Laboratory assessment there were strong, significant (= 0.94, p ≤ 0.001) relationships between Movband and Actigraph counts and VO2. During Free-living assessment there was also a strong, significant (= 0.97, p < 0.001) correlation between Movband and Actigraph counts. The low-cost, Movband accelerometer appears to provide a valid assessment of physical activity behavior/intensity.  相似文献   
158.
This article describes an intervention employed in working with a 5-year-old girl who had frequent temper tantrums at school and at home. Using a brief systemic approach, the interactional cycle between the child and involved adults was assessed, and an intervention was developed and implemented to interrupt the tantrums. This involved prescribing the tantrum behavior. The tantrums disappeared after the third session. A follow-up three weeks later indicated there had been no further tantrums at home or at school.  相似文献   
159.
Purpose: To investigate the effects of a 12-week home walking program on cardiovascular parameters, fatigue perception, and walking distance in persons with multiple sclerosis (MS). Methods: Twelve ambulatory persons with MS, not currently participating in exercise were randomly assigned to control (C) or experimental groups (EX). Pretest data collection included resting HR, BP, fatigue perception (Fatigue Severity Scale), and 6-minute walk test. EX received a home walking program (30 min, 3 × week, × 12 weeks), using a modification of Karvonen''s formula to calculate HR range. A HR monitor was used to adjust walking speed. The C group refrained from any regular exercise. Posttest data were collected at week 12 and analyzed using the Mann-Whitney U Test. Results: No statistically significant differences were noted between groups in any measured parameters; however, walking distance and Physiologic Cost Index did improve in the exercise group. Conclusion: No adverse events or increase in fatigue levels related to the exercise intervention were reported in this study. This home walking program may not be of sufficient intensity to elicit significant cardiovascular changes. Abnormal cardiac responses have been documented in this population, which may have affected the results. Clinicians may need to use alternate measures to assess fitness in this population.Key Words: multiple sclerosis, home walking program, cardiovascular, aerobic  相似文献   
160.
Rainsford Island is an 11-acre island located in central Boston Harbor, Massachusetts. The proximity to the City of Boston resulted in the Island being used as a quarantine facility, poorhouse, veteran's hospital and school for wayward boys from 1737 to 1920. The Island consists of two linked topographic highs of glacial origin connected by a spit formed from reworked glacial material. The majority of the southern “high” is only slightly elevated above present-day sea level and was the site of a cemetery that serviced the quarantine facility, poorhouse and veteran's hospital. Historical research indicates that more than 1100 persons were buried on Rainsford during this time. The records for the cemetery have been lost through fire and only four sandstone posts presently mark the cemetery. Our team sought to (1) assess shoreline change on the southern portion of the Island; (2) map the boundaries of the unmarked cemetery using ground-penetrating radar and (3) determine the vulnerability of the cemetery to coastal erosion caused by long-term sea-level rise and episodic flooding. Shoreline change analysis indicates that the southern portion of the island has eroded on the north-facing beach at a rate of 0.2 m/yr while the south-facing beach has been stable. Topographic analysis of the landscape indicates that the central area of the southern portion is less than 1 m above sea level with a slightly elevated rim approximately 2 m above sea level. The ground-penetrating radar surveys indicated that the low-lying central portion exhibited evidence for burials. The results indicate that the cemetery is vulnerable to erosion and coastal flooding. A storm with a coastal storm surge of approximately 1 m will result in flooding of the cemetery. The northern edge of the cemetery is extremely vulnerable to erosion and the first mapped burial on the northern side will be impacted in approximately 10 years. The southern edge of the cemetery is protected by horizontal and vertical accretion. As a result, conservation resources should be concentrated on the northern edge of the cemetery.  相似文献   
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