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201.
Prevalence rates of trauma and posttraumatic stress disorder (PTSD) were estimated from a probability sample of 2,509 adults from 4 cities in Mexico. PTSD was assessed according to Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1994) criteria using the Composite International Diagnostic Interview (CIDI; WHO, 1997). Lifetime prevalence of exposure and PTSD were 76% and 11.2%, respectively. Risk for PTSD was highest in Oaxaca (the poorest city), persons of lower socioeconomic status, and women. Conditional risk for PTSD was highest following sexual violence, but nonsexual violence and traumatic bereavement had greater overall impact because of their frequency. Of lifetime cases, 62% became chronic; only 42% received medical or professional care. The research demonstrates the importance of expanding the epidemiologic research base on trauma to include developing countries around the world. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
202.
Professional psychologists are increasingly likely to encounter opportunities to work with patients and families facing end-of-life issues. Psychologists can provide psychological assessment, intervention for patients and families, consultation with and support of health care team members, grief therapy, and program development and evaluation. Psychological services are useful for healthy individuals who wish to make thoughtful plans about their own future care, patients with life-limiting illnesses, families stressed by providing end-of-life care, bereaved individuals, and health care providers who face issues of burnout and strain. Several challenges for psychologists working in end-of-life care are noted, including training, development of clear roles, and reimbursement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
203.
Polymeric foams prepared from polymerizing high internal-phase emulsions (polyHIPEs) provide several distinct advantages over conventional polymer resins for applications in separations as well as chemical transformations, most notably reliance on convective rather than diffusive mass transport. Elimination of the slow diffusion through pores of a typical macroporous resin bead allows for higher throughputs to be achieved using polyHIPE resins. This review will discuss recent examples of polyHIPE materials used in separations applications (metal complexation, ion-exchange, protein purification, chromatography, and oil/water separation) as well as supports for various catalysts (small molecules, nanoparticles, and enzymes) for chemical-transformation applications.  相似文献   
204.
The Federal Water Pollution Control Act of 1972, P.L. 92-500, requires tertiary treatment of all effluent by 1983; Oregon State policy focuses on maintaining future effluent discharges at a level no greater than current levels. The Federal and State policies are combined in planning for the future management of the quality of the Willamette River. As a consequence, the Willamette will be clean-too clean- and the economic inefficiency inherent in the water quality control plan will cause misallocation of public resources. This misallocation could be avoided by incorporating economic principles, especially cost comparisons and the consideration of alternative procedures, into the water quality plan.  相似文献   
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206.
Although innovation is vital for the success of organizations, many may not be capitalizing on the creativity of all workers. Gender bias in attributions of creativity may lead to an imbalance in the extent to which organizations support the creativity of men and women. Because organizational support for creativity is positively associated with creative outcomes, this may undermine the creativity of women in the workplace. To determine if gender influences creative workplace behavior through support for creativity, conditional process models were used to analyze the survey responses and external employment data of workers (N = 14,590) across industries in the US. Our analyses demonstrate that men report greater support for creativity in the workplace than women, and greater support for workplace creativity leads to more frequent creative workplace behaviors. The proportion of women employed in an industry influences this relationship, such that differences between men and women become smaller as the proportion of women in an industry increases. However, the level of creativity required in an occupation does not influence the relationship between gender and creativity. The theoretical and practical implications of these results are discussed.  相似文献   
207.
This study presents two routes to produce amorphous silica from an Egyptian rice husk under conditions optimized for least environmental impact and low cost. The first route includes thoroughly washing of the husk sample with water, dry milling and leaching with citric acid. The leaching process was applied in two stages, that is, at 323 K for 180 min and then at 353 K for 60 min. After washing and drying, the leached sample was subjected to a heat treatment in a muffles furnace at four sequential steps. The second route includes all the previously mentioned steps, except the citric acid leaching. The final products were characterized using x-ray fluorescence analysis, carbon content analysis, x-ray diffraction, differential thermal analysis, nitrogen adsorption, mercury intrusion, and scanning electron microscopy. The results show that the citric acid leaching has many advantages with respect to silica yield and porosity as well.  相似文献   
208.
Warp-knitted spacer fabrics are considered, which are plates or shells composed of two knitted plane layers connected by vertical beams. Our aim is to compute the effective stiffness and permeability of such spacer fabrics on the basis of their structure and properties of yarns and the monofil. In order to reduce the computational effort and simplify the computational model, homogenization and dimension reduction techniques are applied. They replace the fabric by an equivalent two-dimensional plate or shell with effective elastic properties. To compute the effective permeability, the fluid simulation is done on the fully resolved micro-structure. The paper demonstrates the algorithm on application examples. We compute the elastic properties of a spacer fabric and its effective permeability for different outer-plane compression stages. Numerical examples were performed by applying the multi-scale simulation tools, developed at Fraunhofer ITWM and by comparing with the corresponding experimental results, based on measurements performed at the TU Dresden. The developed algorithms and simulation tools enable a full virtualisation of the material design adapted to exposure scenarios in various technical application cases, i.e. infiltration processes with polymers in the field of fiber reinforced composites, which enables new discoveries for the designing and manufacturing process of 3D warp-knitted spacer fabrics.  相似文献   
209.
Introduction: Oral phosphate binders are the main stay of treatment of hyperphosphatemia. Adherence rates to ferric citrate, a recently approved phosphate binder, are unknown. Methods: We conducted a post‐hoc analysis to evaluate whether adherence rates were different for ferric citrate vs. active control in 412 subjects with end stage kidney disease (ESKD) who were randomized to ferric citrate vs. active control (sevelamer carbonate and/or calcium acetate). Adherence was defined as percent of actual number of pills taken to total number of pills prescribed. Findings: There were no significant differences in baseline characteristics including gender, race/ethnicity, and age between the ferric citrate and active control groups. Baseline phosphorus, calcium, and parathyroid hormone levels were similar. Mean (SD) adherence was 81.4% (17.4) and 81.7% (15.9) in the ferric citrate and active control groups, respectively (P = 0.88). Adherence remained similar between both groups after adjusting for gender, race/ethnicity, age, cardiovascular disease (CVD), and diabetic nephropathy (mean [95% CI]: 81.4% [78.2, 84.6] and 81.5% [77.7, 85.2] for ferric citrate and active control, respectively). Gender, race/ethnicity, age, and diagnosis of diabetic nephropathy did not influence adherence to the prescribed phosphate binder. Subjects with CVD had lower adherence rates to phosphate binder; this was significant only in the active control group. Discussion: Adherence rates to the phosphate binder, ferric citrate, were similar to adherence rates to active control. Similar adherence rates to ferric citrate are notable since tolerance to active control was an entry criteria and the study was open label. Gender, race/ethnicity, nor age influenced adherence.  相似文献   
210.
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