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81.
In Italy, public expenditure reduction is achieved through a revision of social security and health care programs. In particular, public health expenditure control has been implemented through a reform that imposes more stringent budget rules to local governments and a considerable reduction in grants-in-aid from the central government. This paper investigates empirically whether the response to this decrease in categorical lump-sum grants from the central to local governments results in an asymmetric response to intergovernmental grants. Hard budget and soft budget constraint hypotheses are estimated by using a sample of cross-sectional and time observations covering the 20 Italian regions over the period 1989–1993. The main finding is the existence of a standard and a super flypaper effect in both models. The introduction of the soft-budget constraint hypothesis results in a stronger effect of grants and a lower response of own resources which shows that local governments prefer to incur some deficit instead of reducing health care expenditure.  相似文献   
82.
    
We find that the staggered passage of state-level laws that legalize marijuana for medical use increases states' borrowing costs by 7–9 basis points. Consistent with economic theory on substance use suggesting that marijuana legalization increases local consumption of the drug (by expanding its availability and reducing its perceived risks), we predict and find that increased consumption represents an important mechanism that explains the higher state bond spreads. We also show that following such laws’ passage, states incur higher marijuana-consumption-related expenditures, including for police, corrections, and public welfare.  相似文献   
83.
文章通过对广西工业职业技术学院2004—2007级大学生体质健康6项指标进行测试统计和分析,从事实依据出发,找问题,提建议,使学生能了解自身的健康状况,达到正确引导学生锻炼身体、增强体质健康的目的。  相似文献   
84.
Drawing on the attraction–selection–attrition (ASA) framework, this paper examines a mechanism, namely person–organization (P–O) fit, through which high-performance HR practices (HPHRPs) affect two negative employee outcomes: work-related stress and quit intentions. Using a sample of Egyptian public health sector workers, a mediation model is tested empirically using structural equation modelling. The study results show that HPHRPs positively affected P–O fit, which in turn had significant negative associations with work stress and quit intentions. P–O fit also explained a high proportion of mediation in the relationship between HPHRP and both outcomes.  相似文献   
85.
周静 《价值工程》2011,30(33):313-313
小儿腹泻是多病因多因素引起的以腹泻和电解质紊乱为主的一组临床综合症,发病年龄以6个月~2岁婴幼儿最多见,一年四季均可发病,造成小儿营养不良,生长障碍,严重者可引起脱水和电解质紊乱,甚至危急生命。治疗和护理小儿腹泻提倡采用中西医结合的方法,应从小儿生活起居护理、饮食护理等方面,根据其病因、症状、体征采用相应的护理对策。  相似文献   
86.
QHSE管理体系是质量、健康、安全、环境为一体的管理模式。该管理体系的建立使企业内的职责和权限更明确、清晰.为企业节省了大量的审核时间及审核经费,为企业带来了经济效益。结合企业管理现状,通过对管理体系的具体分析.提出企业实施QHSE管理体系的几点建议。  相似文献   
87.
The present research investigated and studied students’ representations about daily life technologies, in a prospect of studying technology in Greek primary education. In the research participated 60 Greek primary school students aged 9 to 12 years old. Research data were collected through semi-structured, personal, clinical-type interviews. Each interview investigated student’s conceptions and views about the following thematic areas: the concept of technology, daily life technologies, technological change, and the impact of technology use in everyday life. Data analysis revealed that the majority of students equated technology with modern tools and appliances, especially with computers, TV, mobile phones, satellites and other micro- and macro-technologies, whereas experience based technologies (de Vries, Technology education: Beyond the “technology is applied science” paradigm. J. Technol. Edu. 8 (1996), 7) have been hardly recognized by them as technology. Also students’ representations can be categorized either as technology-oriented representations, which focus on a collection of technical means without reference to humans, or as human-oriented representations, focused on technical means with substantial reference to human needs and activities. Depending on these types of representations, students seem to conceive differently the nature of the problems, which they recognize that the wide use of technology causes mainly to the environment and the responsibility of the user for these problems. Moreover, it seems that the concept of technological change is a quite difficult one for the students. In order to help students form adequate representations about daily life technology and technological change an appropriate teaching approach was designed on the basis of these students’ representations.  相似文献   
88.
    
Nanomaterials are known to cause biological effects to humans through various routes of exposure such as injection, intravenous, oral, and inhalation. The risk analyses through conventional qualitative or semi-quantitative approaches, such as control banding tools with limited safety data, and information on the risks posed by nanomaterials, have created uncertainties in decision-making by various stakeholders. Therefore, an integrated Nanomaterial Risk (NanoRisk) framework that incorporates the Bayesian Network (BN) model, control banding, and process parameters focusing on humidity, the mass of nanomaterials, and operating temperatures was developed to assess the hazards of nanomaterials and their potential biological effects to human health as a result of exposure. The proposed risk assessment was applied to nanomaterials used in the paint and coating industry (nano-silica, nano-titanium, and nano-silver), and the nodes of the BN model were constructed from physiochemical properties, biological effects, routes of exposure, and types of studies extracted from published data. The flexible analytic approach of the BN model allows for a valuable prediction of hazard exposure towards nanomaterials, thus facilitating decision-making. Furthermore, the integrated framework proposes suitable control measures to reduce the hazard exposure according to the hazard level at different modes of operation. The distinctive feature of NanoRisk demonstrates comprehensive analysis and results that are comparable with previously developed methods.  相似文献   
89.
邓小燕 《价值工程》2011,30(33):296-296
文章从腹痛的知识点和腹痛的观察要点出发,从护理人员的自身查找原因,重视对腹痛待查病人的观察与护理,提高诊疗水平,不延误重症患者的抢救时机。  相似文献   
90.
    
Abstract

Social enterprises are being promoted as responsive and innovative way to deliver public services. As part of this promotion, these organizations are being required to demonstrate the social and economic value they generate. Social return on investment (SROI) is a performance measurement tool currently being encouraged to capture this impact. This paper draws on survey and interview data to analyse how SROI is used and understood in health and social care settings. It indicates that despite being accepted as an internationally recognized measurement tool for social enterprise, SROI is underused and undervalued due to practical and ideological barriers.  相似文献   
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