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1.
Thrombolytic therapy for unstable angina has not gained acceptance as a primary treatment for unstable angina (UA) despite the evidence showing a reduction in mortality when these agents are given for myocardial infarction. The purpose of this review is to examine the clinical value of thrombolytic therapy for UA. The multiple lines of evidence supporting intracoronary thrombus formation as a key mechanism in the pathogenesis of UA are reviewed. Studies examining the effect of thrombolytic therapy on angiographic endpoints have shown little effect on the extent of luminal narrowing, but do reveal a decrease in angiographically detected thrombus. Twelve randomized, controlled trials of thrombolytic agents in 611 UA patients with predefined clinical endpoints have been published. These trials varied widely in design and adjunctive therapy both in treated and control grops. Review of these trials show a tendency to fewer clinical events such as death, infarction, and need for revascularization in treated patients, with a corresponding increase in bleeding complications. Clinical efficacy of thrombolytic therapy cannot be excluded by the available data, perhaps in part because of insufficient numbers of patients treated. Determination of the net clinical value of thrombolytic therapy must await larger and more definitive trials. 相似文献
2.
Making it easier for older people to talk to smart homes: the effect of early help prompts 总被引:1,自引:0,他引:1
K. Maria Wolters Klaus-Peter Engelbrecht Florian Gödde Sebastian Möller Anja Naumann Robert Schleicher 《Universal Access in the Information Society》2010,9(4):311-325
It is well known that help prompts shape how users talk to spoken dialogue systems. This study investigated the effect of
help prompt placement on older users’ interaction with a smart home interface. In the dynamic help condition, help was only
given in response to system errors; in the inherent help condition, it was also given at the start of each task. Fifteen older
and sixteen younger users interacted with a smart home system using two different scenarios. Each scenario consisted of several
tasks. The linguistic style users employed to communicate with the system (interaction style) was measured using the ratio of commands to the overall utterance length (keyword ratio) and the percentage of content
words in the user’s utterance that could be understood by the system (shared vocabulary). While the timing of help prompts
did not affect the interaction style of younger users, it was early task-specific help supported older users in adapting their
interaction style to the system’s capabilities. Well-placed help prompts can significantly increase the usability of spoken
dialogue systems for older people. 相似文献
3.
Age-related changes in selective attention, inhibitory efficiency, and the ability to form new associations suggest that older adults may have greater difficulty with more complex and less comprehensible symbols. We examined comprehension of symbols varying in terms of ratings of familiarity, complexity, and comprehensibility, by younger (aged 18-35) and older (aged 55-70) adults. It was found that older adults have greater difficulty than younger adults in comprehending warning symbols and that accident scenario training improves comprehension. Regression analyses indicated that familiarity and comprehensibility were important in determining performance on the pre-training comprehension test by both younger and older adults. However, training eliminated the effects of stimulus characteristics for younger adults, while older adults' comprehension continued to be significantly influenced by comprehensibility. We suggest that symbol design incorporates cues to knowledge to facilitate the linkage between new knowledge (i.e. the warning symbol) and relevant knowledge in long-term memory. Statement of Relevance: Symbol characteristics play an important role in age-related differences in warning symbol comprehension. To optimise comprehension by older adults, symbols should have a clear relationship with areal-world referent. Alternatively, symbol design could incorporate cues to knowledge to facilitate the linkage between new knowledge and relevant knowledge in long-term memory. 相似文献
4.
For ultra low carbon (ULC) and low carbon steel (LC), the influence of heating rate, annealing temperature, and holding time on the recrystallisation behaviour and the resulting grain size was investigated. For ULC smallest grain sizes of about 9 μm were obtained at the lowest heating rate whereas for LC significant smaller grain sizes of about 5 μm were determined at the highest heating rate. Furthermore, the evolution of the grain size distribution with varying heating rate, annealing temperature, and holding time was studied in dependence of the rolling and normal direction. The state of the as‐hot rolled microstructure as well as the precipitation state exert a strong influence on the development of the recrystallised microstructure along the different directions for both steel grades. The inherent prolonged microstructure due to the cold rolling process is still obvious just after recrystallisation. With ongoing annealing and grain growth, the aspect ratio approaches the equiaxed state. This change proceeds faster for the ULC steel grade. With increasing annealing temperature, the bimodal character of the grain size distribution disappears and the distribution becomes more homogeneous. 相似文献
5.
Hans-Joachim Timpe Salah Ali Sven Ulrich Gerd Müller Klaus-Peter Kronfeld V. E. Zubarev 《Advanced Synthesis \u0026amp; Catalysis》1990,332(6):1013-1028
Photoinitiated Polymerization with Dialkoxy Thiocarbonyl Disulfides – a Polymerization Reaction with Primary Radical Termination The photoinduced free radical polymerization of methyl methacrylate (MMA) and some other vinyl monomers using dialkoxy thiocarbonyl disulfides ( 1 – 4 ) as photoinitiators was studied. The photolysis of these initiators leads to cleavage of the S S bond, which was determined by spin trapping experiments with phenyl tert-butyl nitrone. No evidence was found for a further thermal decomposition of the primary alkoxy thiocarbonyl sulfide radicals (R·) at room temperature. In the absence of scavengers the primary radicals react back exclusively to the initial compounds, due to a strong cage effect. By means of UV spectroscopic measurements and in the presence of MMA the quantum yields of the initiator decomposition were detected to be 0.8. The polymerization of acrylic and methacrylic derivatives can be initiated by the R·, contrary to the situation with fumarates and maleates. The mechanism of MMA polymerization depends on the light intensity absorbed by the initiators. At high intensities the combination of primary and polymer radicals terminates the chain reaction. This follows from the measured monomer exponent of α = 2, the light intensity exponent of β = 0,2 and the number of thiocarbonyl end groups of 2 in the polymers isolated. Contrary to this, in the low intensity region the experimental data obey the ideal kinetic equation. Kinetic modelling gives evidence for an interaction of the monomer with the cage radicals. 相似文献
6.
Tatyana Strekalova Dmitrii Pavlov Alexander Trofimov Daniel C. Anthony Andrei Svistunov Andrey Proshin Aleksei Umriukhin Alexei Lyundup Klaus-Peter Lesch Raymond Cespuglio 《International journal of molecular sciences》2022,23(4)
The phenomenon of individual variability in susceptibility/resilience to stress and depression, in which the hippocampus plays a pivotal role, is attracting increasing attention. We investigated the potential role of hippocampal cyclooxygenase-2 (COX-2), which regulates plasticity, neuroimmune function, and stress responses that are all linked to this risk dichotomy. We used a four-week-long chronic mild stress (CMS) paradigm, in which mice could be stratified according to their susceptibility/resilience to anhedonia, a key feature of depression, to investigate hippocampal expression of COX-2, a marker of microglial activation Iba-1, and the proliferation marker Ki67. Rat exposure, social defeat, restraints, and tail suspension were used as stressors. We compared the effects of treatment with either the selective COX-2 inhibitor celecoxib (30 mg/kg/day) or citalopram (15 mg/kg/day). For the celecoxib and vehicle-treated mice, the Porsolt test was used. Anhedonic (susceptible) but not non-anhedonic (resilient) animals exhibited elevated COX-2 mRNA levels, increased numbers of COX-2 and Iba-1-positive cells in the dentate gyrus and the CA1 area, and decreased numbers of Ki67-positive cells in the subgranular zone of the hippocampus. Drug treatment decreased the percentage of anhedonic mice, normalized swimming activity, reduced behavioral despair, and improved conditioned fear memory. Hippocampal over-expression of COX-2 is associated with susceptibility to stress-induced anhedonia, and its pharmacological inhibition with celecoxib has antidepressant effects that are similar in size to those of citalopram. 相似文献
7.
M. F. Lesch 《Theoretical Issues in Ergonomics Science》2013,14(2):173-191
Since it is not always possible to design-out hazards, safety communications take on the critical roles of warning about potential hazards, informing how to avoid injury, and revealing the possible consequences of failing to take appropriate action. Failures to adequately communicate, comprehend, or remember safety information may result in serious injury or death. While one goal of safety communications is to persuade, the focus here is on their role as reminders of hazards. It is suggested that psychological research in the area of memory can provide pointers as to how to improve a warning's ability to communicate safety information such that it is adequately understood and remembered. Towards this end, selected psychological theories and findings in the area of memory and their application to the study of warning processing are reviewed. Based on the studies reviewed, recommendations are made for improving memory for warning information and areas for future research are suggested. It is concluded that increased communication and collaboration among researchers from different disciplines, as well as professionals in the field, will more rapidly advance the science of safety communication. 相似文献
8.
Differenzierung pflanzlicher und tierischer Proteine durch isoelektrische Focussierung in Agarosegel
Klaus-Peter Kaiser Günter Matheis Dorle Schweiger-Recknagel und Hans-Dieter Belitz 《Zeitschrift für Lebensmitteluntersuchung und -Forschung A》1981,173(6):468-470
Zusammenfassung Am Beispiel von Fleisch-, Fischund Kartoffelproteinen wird über die Leistungsfähigkeit einer modifizierten Focussiermethode in Agarosegel berichtet. Bei erhöhtem Probendurchsatz lassen sich Analysendauer und Kosten senken.
Differentiation of plant and animal proteins by isoelectric focusing in agarose gel
Summary A modified time and cost saving method for isoelectric focusing of protein mixtures in agarose gel is described. The efficiency of the method is demonstrated by separation of meat, fish and potato proteins.相似文献
9.
10.
When three dimensional measurements are conducted with fringe projection, the quality of the grating used for the generation of the fringes is important. It has a direct influence on the achievable depth resolution in a given measurement setup. In the past, Ronchi grating or gratings written in nematic liquid-crystal displays or in digital micromirror devices have been used. We report on the application of a reflective ferroelectric liquid-crystal-on-silicon display as the fringe-generating element in a setup based on a stereo microscope. With this device the depth resolution of measurements by use of phase-shifting algorithms can be significantly improved compared with the application of a Ronchi grating or a nematic liquid-crystal display. 相似文献