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51.
    
BACKGROUND: Sleepiness related car accidents are common in obstructive sleep apnoea syndrome (OSAS) patients. The objective measurements of sleepiness used in clinical setting quantify the tendency to fall asleep in quiet situations that are completely different from driving. METHODS: We studied 30 OSAS patients with subjective (subjective sleepiness scales) and objective (multiple sleep latency test, MSLT) sleepiness measurements, associated with driving simulation test (DST), previously validated in young healthy subjects. The results of subjective and objective sleepiness tests were compared with simulated driving performance in order to evaluate the suitability of our DST for measuring alertness. RESULTS: Subjective and objective sleepiness measurements were significantly correlated with driving performance on the simulator. The most significant correlates of sleepiness were the measures of the primary vehicle control task on the simulator: lane position variability and crash data. The comparison of DST and MSLT results suggested our driving simulated approach could be used to evaluate daytime sleepiness in the clinical setting of OSAS patients. CONCLUSIONS: Our DST is a suitable objective tool to detect sleepiness in OSAS patients, and could be useful in the clinical setting of sleep medicine and research.  相似文献   
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A series viscous-elastic-plastic (VEP) indentation model was expanded to include analysis of the common trapezoidal testing condition, consisting of constant loading—and unloading—rates with an intervening creep hold period. This full VEP model was applied to analyze nanoindentation test of three polymers and five different types of bone. The full VEP solution allows for direct determination of the viscous term as calculated from the creep hold, while the elastic and plastic material parameters were determined from a non-linear curve-fit of the unloading displacement-time data. Additionally, the use of the trapezoidal loading procedure permitted analysis of the unloading load-displacement data with traditional Oliver-Pharr analysis; the material properties from this analysis compared well with those obtained with VEP analysis. Using the full VEP solution and fitted material constants the loading and creep hold displacement-time curves were simulated and matched well to both polymer and bone experimental data. The full VEP solution shows great promise in for obtaining material parameters for many viscoelastic materials such as hydrated bone, polymers, and other biological tissues.  相似文献   
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Quality control charts have proven to be very effective in detecting out‐of‐control states. When a signal is detected a search begins to identify and eliminate the source(s) of the signal. A critical issue that keeps the mind of the process engineer busy at this point is determining the time when the process first changed. Knowing when the process first changed can assist process engineers to focus efforts effectively on eliminating the source(s) of the signal. The time when a change in the process takes place is referred to as the change point. This paper provides an estimator for a period of time in which a step change in the process non‐conformity proportion in high‐yield processes occurs. In such processes, the number of items until the occurrence of the first non‐conforming item can be modeled by a geometric distribution. The performance of the proposed model is investigated through several numerical examples. The results indicate that the proposed estimator provides a reasonable estimate for the period when the step change occurred at the process non‐conformity level. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   
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This article examines the psychological impact of participating in sigmoidoscopy screening for colorectal cancer prevention. The 1st study examined psychological well-being at 3 months, in relation to screening outcome, in 4,153 individuals. The 2nd study used longitudinal data to examine changes in psychological functioning from before to after screening in relation both to screening outcome and baseline indicators of vulnerability. There were few psychological differences between those who had received negative results or had polyps detected. These findings were confirmed in the longitudinal study, which also found no evidence for vulnerability to adverse effects among those who were initially most anxious or who perceived their risk of cancer to be higher. The longitudinal data suggested that screening might produce transient positive effects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Abstract

Despite positive reports about lean approaches to spearhead quality and patient safety improvement efforts, it is still difficult to determine if healthcare employees have transformed into effective lean thinkers. Lean thinking refers to individuals who operate with thoughtful reflection on organizational issues, are committed to continuous improvement efforts, and demonstrate the willingness to lead change. The objective of this theory building research is to contribute a survey instrument and conceptual model to measure individual transformation to lean thinking. Our learnings from the case study suggest that healthcare a professional’s transition to lean thinking via a complex combination of awareness issues at both the unit and individual levels, and both levels should be considered when moving individuals toward readiness and through a personal transformation to lean thinking.  相似文献   
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Three isomers of chondroitin sulfate (CS), i.e., CS-A, CS-B, and CS-C, are investigated as nanotube dispersants and are found to have vastly different abilities to disperse single-walled carbon nanotubes (SWNTs) in water due to their different intramolecular interactions. Only CS-A and CS-C effectively disperse SWNTs into small bundles or individual tubes while CS-B disperses SWNTs poorly. Computer simulation and circular dichrosim show that neat CS-A and CS-C have weak intramolecular hydrogen bonding and extended conformations in solution resulting in energetically more favorable interactions with nanotubes. CS-B has relatively strong intramolecular Coulombic interaction and more alpha-helical secondary structure in solution resulting in energetically less favorable interaction with the nanotubes. Atomic force microscopy images show helical wrappings of CS-A and CS-C around the SWNTs. Transmission electron microscopy corroborates the helical wrapping of CS-A. Different isomeric forms of a polymer can have vastly different dispersing power because of their different intramolecular interactions and conformations. The easy removability of CS-A from nanotubes is confirmed with X-ray photoelectron spectroscopy showing almost no detectable sulphur content after washing with water and by application of washed CS-A dispersed SWNTs in field-effect transistors.  相似文献   
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A GIS-based procedure for predicting pesticide exposure in surface waters has been applied on a pilot river basin characterized by intensive agricultural activity. The predictive approach has been validated through experimental monitoring, performed by collecting manual and automatic water samples during the productive season. Five active ingredients (terbuthylazine, metolachlor, alachlor, linuron, fenitrothion) were selected for analysis to validate the predictive approach. Comparison between predicted and experimental values showed good agreement for terbuthylazine and metolachlor (used in large volumes within the basin), demonstrating the reliability of the approach. However, some anomalous results were obtained for some of the other chemicals, which serve to highlight the difficulties in getting reliable input data, in particular on application patterns (rate and time). Furthermore, the value of mapping pesticide exposure on the medium-large scale is described, and the limitations of the reported predictive approach are discussed.  相似文献   
60.
Reports an error in "Snatching Defeat From the Jaws of Victory: Self-Esteem Differences in the Experience and Anticipation of Success" by Joanne V. Wood, Sara A. Heimpel, Ian R. Newby-Clark and Michael Ross (Journal of Personality and Social Psychology, 2005[Nov], Vol 89[5], 764-780). There are typographical errors in Table 2 (certain values should not have been in bold face). The corrected table is provided in the erratum. (The following abstract of the original article appeared in record 2005-15658-009.) Successes--defined broadly as meeting important standards or receiving positive evaluations--are widely assumed to be enjoyed equally by people with high self-esteem (HSEs) and low self-esteem (LSEs). Three studies examined the contradictory hypothesis that HSEs react more favorably to success than do LSEs and that success brings about certain unfavorable consequences for LSEs. Undergraduate participants reacted to a laboratory-manipulated success (Studies 1 and 2) or imagined highly positive events in the future (Study 3). Self-esteem differences emerged in anxiety, thoughts about the self, and (in Study 3) thoughts about non-self-related aspects of the event. LSEs were more anxious than HSEs after succeeding, success improved HSEs' self-relevant thoughts but not LSEs', and LSEs focused more on success's negative aspects. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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