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Direct evidence for substantial iron and copper mobilization into the coronary flow immediately following prolonged, but not short, cardiac ischemia is presented. When small volumes of coronary flow fractions (CFFs) were serially collected upon reperfusion, after 25-60 min of ischemia, the copper and iron levels in the first CFF were 50-fold and 12- to 15-fold higher, respectively, than corresponding pre-ischemic values. The copper and iron levels after shorter periods (15-21 min) of ischemia were only about five-fold higher than the pre-ischemic values. This demonstrates that the resumption of coronary flow is accompanied by a burst of both metal ions. The levels of Cu/Fe in the CFFs correlated well with the loss of cardiac function following global ischemia of varying duration. After 18 min of ischemia, the residual cardiac function was less than 50%, and the damage was essentially reversible. After 25 min of ischemia, it exceeded 50% and was only partially reversible, while after 35 min, the damage exceeded 80%, and was mostly irreversible. The results are in accord with the hypothesis that copper and iron play causative roles in myocardial injury through mediation of hydroxyl radical production. Thus, the pattern of Cu/Fe mobilization from the tissue into the CFF can be used for the prediction of the severity of myocardial damage following ischemia, and could be developed into useful modalities for intervention in tissue injury.  相似文献   
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The hormone-binding domain of the glucocorticoid receptor must be bound to heat shock protein (hsp) 90 for it to have a high-affinity steroid-binding conformation. Cell-free assembly of a glucocorticoid receptor-hsp90 heterocomplex is brought about in reticulocyte lysate by a preformed protein-folding complex containing hsp90, hsp70, and other proteins [Hutchison, K.A., Dittmar, K. D., & Pratt, W.B. (1994) J. Biol. Chem. 269, 27894-27899]. In this \"foldosome\" system, hsp70 is required for assembly of the receptor-hsp90 complex and concomitant activation of steroid-binding activity [Hutchison, K.A., Dittmar, K.D., Czar, M.J., & Pratt, W.B. (1994) J. Biol. Chem. 269, 22157-22161]. All previous experiments involving cell-free assembly of both receptor-hsp90 and protein kinase-hsp90 heterocomplexes have been carried out with the protein-folding system in rabbit reticulocyte lysate. In this work, we show that concentrated lysates of receptor-free mouse (L cells) and insect (Sf9) cells and also a plant (wheat germ) lysate fold the immunopurified glucocorticoid receptor into a functional (i.e., steroid binding) heterocomplex with hsp90. Receptor heterocomplex formation in animal lysates and in the plant lysate are not identical in that the dynamics of complex assembly are different, but both systems produce a functional complex that binds steroid. Also, in contrast to animal and insect complexes, receptor-plant hsp90 complexes are not stabilized by molybdate. When added to the other lysate, purified plant and animal hsp90s show partial complementarity, in that a receptor-hsp90 complex is formed but the receptor is not converted to the steroid-binding conformation. When added to rabbit reticulocyte lysate that has been depleted of endogenous hsp70, purified wheat germ and mouse hsp70's are equally active in promoting both assembly of receptor-hsp90 heterocomplexes and conversion of receptor to the steroid-binding conformation. Thus, hsp70 from the plant kingdom has conserved the ability to interact functionally with chaperone proteins of the animal kingdom to cooperate in protein folding as evidenced by formation of a functional receptor-hsp90 heterocomplex.  相似文献   
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The most common group of squirrel monkey vocalizations, peeps, are emitted during different social situations including social separation, affiliative interactions, feeding and aggressive confrontations. The present experiments investigated whether peeps and other vocalizations emitted during different social contexts are pharmacologically altered in a similar manner. First, vocalizations were characterized during (1) social separation in juveniles, and (2) \"resident-intruder\" aggressive confrontations between dominant monkeys from different social groups. Then, the effects of alcohol (EtOH) and the benzodiazepine chlordiazepoxide (CDP) on vocalizations during social separation and during aggression were examined. Isolated juveniles emitted only one type of call, the isolation peep. Resident monkeys primarily emitted peeps, but also emitted cackles, chucks, noisy calls and pulsed calls. Aggressive peeps were similar in structure and frequency (kHz) to isolation peeps, but were shorter in duration. At the same doses, both CDP (0.3-3 mg/kg) and EtOH (0.1-1.0 g/kg) reduced explosive motor behaviors and isolation peeps in juvenile monkeys during social separation and increased threat displays and aggression peeps in resident monkeys during confrontations with an intruder monkey from a different social group. Thus, similarly structured vocalizations that were emitted during social separation and aggression were very sensitive to EtOH and CDP, but the social context determined the direction and magnitude of effects.  相似文献   
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The authors present two cases of bilateral subclavian steal syndrome, a rare condition that does not commonly cause neurovascular symptoms. Lateralizing hemispheric events occur usually with carotid lesions. Vertebral-basilar insufficiency is three times more common in bilateral than in unilateral subclavian steal syndrome. Arm-exercise-induced brain-stem dysfunction is rare, and is seen only in bilateral subclavian steal syndrome.  相似文献   
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BACKGROUND: The design of delivery systems that can truly conduct continuous quality improvement (CQI) as a routine part of clinical care provision remains a vexing problem. The effectiveness of the \"computerized firm system\" approach to chronic disease CQI was examined, with diabetes as the focus of a 5-year case study. METHODS: A large family medical center had been divided into two parallel group practices for reasons of efficiency. These frontline structures (also known as primary care \"firms\") were supported to serially adapt and evaluate selected CQI interventions by first introducing process changes on one firm but not the other and comparing the groups. Because all the required longitudinal data were contained in a computerized repository, it was possible to conduct these controlled \"firm trials\" in a matter of months at low cost. RESULTS: During a 3-year period, implementation of point-of-service reminders and a pharmacist out-reach program increased recommended glycohemoglobin (HbA1c) testing by 50% (p = 0.02) and reduced the number of diabetic patients inadequately controlled by 43% (p < 0.01). Following this outcome improvement, patients exhibited a 16% reduction in ambulatory visit rates (p = 0.04). The observed outcome improvement, however, was reversed during the subsequent 2 years, when staffing austerities forced by unrelated declines in clinic revenue caused the withdrawal of trial interventions. CONCLUSIONS: The processes and outcomes of diabetes care were improved, demonstrating that CQI and controlled trials are not mutually exclusive in moving toward the practice of evidence-based management. Health care systems can, by conducting serial firm trials, become learning organizations. CQI programs of all kinds will likely never flourish, however, until quality improvement and reimbursement mechanisms have become better aligned.  相似文献   
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Limited natural resources, high energy consumption, economic considerations, and environmental concerns demand that we develop new technologies for the sustainable production of chemicals and fuels. New methods that combine the selective activation of C-H bonds of hydrocarbons with oxidation by a green oxidant such as molecular oxygen would represent huge advances toward this goal. The spectacular selectivity of transition metals in cleaving C-H bonds offers the potential for the direct use of hydrocarbons in the production of value-added organics such as alcohols. However, the use of oxygen, which is abundant, environmentally benign, and inexpensive (particularly from air), has proven challenging, and more expensive and less green oxidants are often employed in transition-metal-catalyzed reactions. Advances in the use of oxygen as an oxidant in transition-metal-catalyzed transformations of hydrocarbons will require a better understanding of how oxygen reacts with transition metal alkyl and hydride complexes. For alkane oxidations, researchers will need to comprehend and predict how metals that have shown particularly high activity and selectivity in C-H bond activation (e.g. Pt, Pd, Rh, Ir) will react with oxygen. In this Account, we present our studies of reactions of late metal alkyls and hydrides with molecular oxygen, emphasizing the mechanistic insights that have emerged from this work. Our studies have unraveled some of the general mechanistic features of how molecular oxygen inserts into late metal hydride and alkyl bonds along with a nascent understanding of the scope and limitations of these reactions. We present examples of the formation of metal hydroperoxide species M-OOH by insertion of dioxygen into Pt(IV)-H and Pd(II)-H bonds and show evidence that these reactions proceed by radical chain and hydrogen abstraction pathways, respectively. Comparisons with recent reports of insertion of oxygen into other Pd(II)-H complexes, and also into Ir(III)-H and Rh(III)-H complexes, point to potentially general mechanisms for this type of reaction. Additionally, we observed oxygen-promoted C-H and H-H reductive elimination reactions from five-coordinate Ir(III) alkyl hydride and dihydride complexes, respectively. Further, when Pd(II)Me(2) and Pt(II)Me(2) complexes were exposed to oxygen, insertion processes generated M-OOMe complexes. Mechanistic studies for these reactions are consistent with radical chain homolytic substitution pathways involving five-coordinate M(III) intermediates. Due to the remarkable ability of Pt(II) and Pd(II) to activate the C-H bonds of hydrocarbons (RH) and form M-R species, this reactivity is especially exciting for the development of partial alkane-oxidation processes that utilize molecular oxygen. Our understanding of how late transition metal alkyls and hydrides react with molecular oxygen is growing rapidly and will soon approach our knowledge of how other small molecules such as olefins and carbon monoxide react with these species. Just as advances in understanding olefin and CO insertion reactions have shaped important industrial processes, key insight into oxygen insertion should lead to significant gains in sustainable commercial selective oxidation catalysis.  相似文献   
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