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OBJECTIVE: To determine whether application of topical aqueous lidocaine to a laceration attenuates the pain from the subsequent lidocaine injection in children. DESIGN: Prospective, double-blind study. SETTING: A large, urban, tertiary care children's hospital emergency department. PATIENTS: A convenience sample of 100 children, five to 16 years of age, presenting with simple lacerations over a six-month period. INTERVENTIONS: An unlabelled 3-ml solution of either 1% lidocaine or placebo (saline) was used to soak a Telfa pad (Kendall, Mansfield, MA) and then placed onto the laceration for 10 minutes. The wound was then injected with 1% lidocaine, irrigated, and sutured per standard emergency department protocol. Independent pain response was elicited from the patient and parent four times: before any intervention, after the soak, after the injection, and at the end of the procedure. Blood pressure and heart rates were recorded at the same intervals. RESULTS: Four patients were excluded. Of the 96 remaining patients, 46 received the placebo and 50 received lidocaine. Age, sex, race, and laceration length and location were similar between groups. Physiologic parameters did not differ between groups. For all four pain ratings, the independent variables of age, sex, race, and laceration length or location did not differ between groups. Topical lidocaine was ineffective in relieving pain from the injection. When groups were combined, a significant negative correlation was noted for age versus injection pain (P = .035), with older children reporting less pain from injection than younger children. CONCLUSION: For children, soaking a simple laceration with 1% lidocaine does not decrease pain from the subsequent lidocaine injection.  相似文献   
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The results of simulations of direct concentration control of a distillation column in industrial scale are presented. Both controlled variables, the two product concentrations, are determined by on-line gas chromatographs and are characterised by high dead times of about 30 min. For the resulting scanning control of the product concentrations corresponding decentralised PI controllers were developed and applied. The control of the product concentrations developed presents a conventional DV structure and was exemplarily tested for disturbances in feed flow and feed concentrations. The calculations carried out exhibit a good time behaviour of the whole system. On this occasion it can be stated that the control quality could be clearly improved if a steady-state decoupling by output transformation was employed. In this case the results achieved are totally comparable to those of internal model control (IMC), which was in use at the production plant for over two years.  相似文献   
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Summary A relatively high level analytical model for computer systems serving both batch and interactive users is presented. The model is unusual in its employment of an endogenous priority scheme to represent a class of strategies for controlling service to the two types of customers. Numerical methods developed by V. L. Wallace are used to generate steady state probability distributions for the infinite state Markov chain formed by the model. Data from the Michigan Terminal System, which includes a load controlling mechanism of the type modelled, is used to validate the model. Finally, additional parameter studies indicate that the model reflects the dynamic behavior of such system in a reasonable way.  相似文献   
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Cluster formation of E-cadherin on the cell surface is believed to be of major importance for cell-cell adhesion. To mimic this process the extracellular part of mouse E-cadherin (ECAD) was recombinantly fused to the assembly domain of rat cartilage oligomeric matrix protein (COMP), resulting in the chimeric protein ECAD-COMP. The COMP domain formed a five-stranded alpha-helical coiled-coil. This enabled the formation of a pentameric ECAD with bundled C-termini and free N-termini. The pentameric protein construct ECAD-COMP and the monomeric ECAD were expressed in human embryonal kidney 293 cells. Electron microscopy, analytical ultracentrifugation, solid phase binding and cell attachment assays revealed that pentamers showed strong self-association and cell attachment, whereas monomers exhibited no activity. At the high internal concentration in the pentamer the N-terminal EC1 domains of two E-cadherin arms interact to form a ring-like structure. Then the paired domains interact with a corresponding pair from another pentamer. None of the four other extracellular domains of E-cadherin is involved in this interaction. Based on these results, an in vivo mechanism is proposed whereby two N-terminal domains of neighbouring E-cadherins at the cell surface first form a pair, which binds with high affinity to a similar complex on another cell. The strong dependence of homophilic interactions on C-terminal clustering points towards a regulation of E-cadherin mediated cell-cell adhesion via lateral association.  相似文献   
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We have investigated the optical response of a red emitting CdTe/CdMgTe laser structure after optical excitation. For the first time, stimulated emission has been observed in this material system at room temperature, demonstrating the potential for the development of CdTe/CdMgTe laser structures in the visible spectral range. An analysis of our experimental data yields a threshold carrier density of about 3.5·1012 cm-2 and a net gain coefficient of about 95 cm-1 at T=300 K  相似文献   
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Evaluating the quality of ranking functions is a core task in web search and other information retrieval domains. Because query distributions and item relevance change over time, ranking models often cannot be evaluated accurately on held-out training data. Instead, considerable effort is spent on manually labeling the relevance of query results for test queries in order to track ranking performance. We address the problem of estimating ranking performance as accurately as possible on a fixed labeling budget. Estimates are based on a set of most informative test queries selected by an active sampling distribution. Query labeling costs depend on the number of result items as well as item-specific attributes such as document length. We derive cost-optimal sampling distributions for the commonly used performance measures Discounted Cumulative Gain and Expected Reciprocal Rank. Experiments on web search engine data illustrate significant reductions in labeling costs.  相似文献   
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