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Women have a higher prevalence of obesity than men in most developed countries. Obesity affects many aspects of women's health by increasing risk for heart disease, diabetes, breast cancer, and infertility. One reason for the gender difference in obesity may be that fluctuations in reproductive hormone concentrations throughout women's lives uniquely predispose them to excess weight gain. Studies in experimental animals and women have shown that hormonal changes across the menstrual cycle affect calorie and macronutrient intake and alter 24-hour energy expenditure. Pregnancy is a significant factor in the development of obesity for many women. Various factors are associated with excess weight retention following pregnancy, including weight gain during pregnancy, ethnicity, dietary patterns, and interval between pregnancies. There is a need to tailor recommendations for energy intake during pregnancy to individual women, and recent evidence also suggests that the timing of weight gain during pregnancy is a critical factor. Menopause is also a high-risk time for weight gain in women. Although the average woman gains 2-5 pounds during menopausal transition, some women are at risk for greater weight gains. There is also a hormonally driven shift in body fat distribution from peripheral to abdominal at menopause, which may increase health risks in older women. Hormone therapies have varying impacts on body weight and fat distribution. In summary, hormonal fluctuations across the female life span may explain the increased risk for obesity in women. Awareness of these factors allows development of targets for prevention and early intervention.  相似文献   
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Intrahippocampal injection(ihci) of guanidinosuccinic acid (GSA) to rats, induced typical generarized clonic seizures and epileptiform discharges in electrohippocampogram (EHG) and electrocorticogram (ECoG), degenerative changes of neuronal cells in the injected side hippocampus. The pyramidal cells in CA1 area were found to be more vulnerable to GSA than the granular cells. Phenobarbital and phenytoin are typical antiepiletics, but in no case did they successfully protect against GSA induced convulsions, epileptiform discharges in the EHG and ECoG and neurolysis. Ketamine, a selective noncompetitive NMDA receptor antagonist, was shown to protect against not only seizures, but also neuronal cell damage induced by GSA. All these results indicate that GSA very like the endogenous excitatory amino acid, glutamic acid, it also has such effects mentioned above. Therefore, the NMDA receptor may mediate both effects of GSA.  相似文献   
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Pre-transplant nephrectomy was done in a 25-year-old man for calculous pyelonephritis using a retroperitoneal laparoscopic approach with a newly devised ligature applicator-dissector- kidney retractor.  相似文献   
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This article continues the series of electronic microscopical investigations of tick attachment and host's inflammatory reaction in the attachment site. In all this works we used larvae of different Ixodid ticks but the same species of the host (white mouse), Ixodid species having different type of attachment. Dermacentor marginatus (Amosova, 1989a) is characterized by the superficial penetration of mouth parts, the abundance of cement around them and on the surface of the host's skin, the mouth parts of Hyalomma asiaticum are fully inserted and the superficial cement is minimal (Amosova, 1989b) and Ixodes ricinus has mouth parts inserted more deeply in the skin tissue of the host and the cement substance localised only on the surface of the skin at the 1st and 2nd days of feeding period. For this investigation we choose Haemaphysalis longicornis because it is known (see Kemp et al., 1982) that genus Haemaphysalis has the most superficial localisation of the mouth parts in the attachment site. We have studied a fine structure of cement cone and the cement substance surrounding the mouth parts in the skin and have demonstrated that it is very similar to the Dermacentor marginatus cement structure. The pattern of cellular response is similar to D. marginatus lesion too.  相似文献   
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One hundred and six episodes of bleeding from esophageal or gastric varices in 72 patients with cirrhosis of the liver were randomized to treatment either with intravenous terlipressin 2 mg initially and 1 mg every four hours for 24 hours together with bolus injection and continuous infusion of placebo, or with somatostatin 250 micrograms as a bolus and continuous infusion of 250 micrograms/h somatostatin for 24 hours and placebo injections. Standard treatment with transfusions, fluid and electrolyte correction, and lactulose was administered in both groups. In the terlipressin group, 48 out of 53 bleeding episodes (91%) and in the somatostatin group 43 out of 53 bleeds (81%) were initially stopped by the vasoactive drugs. Four of the five bleeds not arrested by terlipressin, and nine of the ten bleeds not arrested by somatostatin, were stopped by balloon tamponade. In one patient in each group variceal bleeding could not be stopped initially, and both patients died. The failure rate of the vasoactive treatment alone, including rebleeds within the study period, was 17% in the terlipressin, and 28% in the somatostatin, group. The initial hemostasis, including balloon tamponade, were 98%, and the definitive bleeding control rates were 89% in both groups. The hospital mortality rate was 21% (11/53) in the terlipressin, and 21% (11/53) in the somatostatin, group. Blood transfusions and duration of bleeding did not differ significantly. The study indicates that a large proportion of bleeds from esophageal and fundic varices can be stopped initially (86%) and definitively controlled (77%) by vasoactive drugs alone.  相似文献   
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Although polymer blend nanocomposites are widely studied, the balance between stiffness and toughness has not yet been investigated in detail. Some materials producers as well as some sectors in the automotive industry try to improve the toughness of materials without an important loss in stiffness. With this in mind, the aim of the study reported here was to obtain a good balance between toughness and stiffness of polymer blends with different amounts of clay and compatibilizer. In this context, the microstructure of polyamide 6/ethylene–propylene–diene metallocene terpolymer/(ethylene–propylene–diene copolymer)‐graft‐(maleic anhydride) blends with various amounts of clay (2, 3, 4 and 5 wt%) and compatibilizer (10 and 20 wt%) was studied to analyse the achieved morphology to understand the macroscopic properties. The morphology of the rubber phase and the dispersion of the montmorillonite (MMT) are the main factors that influence the mechanical properties. In this sense, the highest Young's modulus is achieved for nanoblends with 5 wt% of MMT, although this nanoblend has the lowest value of notched Izod impact strength. The results obtained suggest that there is a clear trade‐off between stiffness, toughness and temperature behaviour when the ratio of (ethylene–propylene–diene copolymer)‐graft‐(maleic anhydride) to MMT is 5:1. Copyright © 2009 Society of Chemical Industry  相似文献   
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