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101.
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M Delgado C Martinez D Pozo JR Calvo J Leceta D Ganea RP Gomariz 《Canadian Metallurgical Quarterly》1999,162(2):1200-1205
The neuropeptides vasoactive intestinal peptide (VIP) and pituitary adenylate cyclase-activating polypeptide (PACAP) down-regulate cytokine production. Because human septic shock involves excessive cytokine production, the effect of VIP/PACAP was investigated in a high endotoxemia murine model. Both peptides protect against endotoxin-induced lethality and prevent septic shock-associated histopathological alterations. VIP/PACAP reduce serum and peritoneal TNF-alpha and IL-6, suggesting that the protective effect is exerted by inhibiting the production of endogenous TNF-alpha/IL-6. Consistent with this mechanism, VIP does not protect against septic shock induced by exogenous TNF-alpha. The immunomodulatory role of VIP in vivo is supported by the appearance of high levels of VIP in serum and peritoneal fluid following LPS administration. Thus, the neuropeptides VIP/PACAP protect from the lethal effect of high endotoxemia, presumably by down-regulating TNF-alpha and IL-6 production, and may offer an alternative in the treatment of human septic shock syndrome. 相似文献
103.
Neuromuscular block (NMB) at the larynx has been assessed by measuring the cuff pressure (CP) in an endotracheal tube (ETT) placed between the vocal cords. In this study, we evaluated the decrease in resting cuff pressure (RCP) after the administration of rocuronium and the effect of this decrease on the assessment of NMB, and we compared CP measurement with an alternative technique, video imaging (VI). In 20 patients, NMB was determined at the hand by mechanomyography and at the larynx initially by CP and subsequently by VI, recording images using a fiberoptic bronchoscope via a laryngeal mask. Train-of-four stimuli were applied at both sites. After baseline measurements, the ETT was replaced, and rocuronium was infused to achieve a steady-state 50% (n = 10) or 75% (n = 10) block at the hand. CP measurements were recorded before and after restoration of RCP to prerocuronium pressure, followed by further VI measurements. The mean RCP decreased from 21 +/- 4 to 12 +/- 5 mm Hg after rocuronium. At 50% block at the hand, the CP estimate of block at the larynx with reduced RCP was 62% +/- 18%, and that after restoring RCP was 29% +/- 13%; VI estimated 27% +/- 14% block. At 75% block at the hand, CP and VI estimated 52% +/- 11% and 46% +/- 9% block, respectively (RCP maintained). We conclude that RCP decreases after the administration of rocuronium, that restoring RCP significantly alters CP estimates of NMB, and that VI is in agreement with CP measurement if RCP is maintained at prerelaxant values. Implications: In this study, we show that a muscle relaxant-induced decrease in resting tension at the larynx may confound the assessment of neuromuscular block by cuff pressure measurement. The preliminary data suggest that video imaging may provide a suitable alternative to cuff pressure measurement to assess neuromuscular block at the larynx. 相似文献
104.
Amit Saxena Abha Sharma Avanish Kumar Srivastava Beer Singh Pranav Kumar Gutch Rajendra Prasad Semwal 《Journal of chemical technology and biotechnology (Oxford, Oxfordshire : 1986)》2009,84(12):1860-1872
BACKGROUND: Chemical warfare (CW) agents are highly toxic compounds and have been used in war to produce physical immobilization, so safe and effective ways to detoxify them without endangering human life or the environment is of great concern. One of the important ways to achieve protection against CW agents contaminating air is to utilize suitable adsorbent materials, e.g. activated carbon, nanoparticles, etc. In the present study nanoparticles, synthesized through sol–gel processes and loaded with reactive compounds have been used for the degradation of CW agents and to understand their adsorption kinetics using Fickian and linear driving force models. RESULTS: Nanoparticles of AP‐Al2O3 (aerogel‐produced alumina) in the size range 2–30 nm with high surface area (375 m2 g?1) were produced by an alkoxide‐based synthesis, and then characterized using N2‐Brunauer–Emmet–Teller (BET), scanning electron microscopy (SEM), transmission electron microscopy (TEM), X‐ray diffraction (XRD) and thermogravimetric analysis (TGA) techniques. Thereafter, these were impregnated, and finally tested for kinetics of adsorption of sulfur mustard (HD) under static conditions. The kinetics was studied using linear driving force and Fickian diffusion models and the kinetics parameters determined. CONCLUSION: AP‐Al2O3 with 10% impregnation of 9‐molybdo‐3‐vanadophosphoric acid (10%, w/w) showed the maximum uptake (640 mg g?1) of HD. The highest adsorption potential indicated that the adsorption was due not only to physisorption but also involved chemisorption. Values of the diffusional exponent indicated the mechanism to be Fickian and anomalous. Hydrolysis, dehydrochlorination and oxidation reactions (identified using gas chromatography‐mass spectrometry (GC/MS)) were found to be the route of degradation of HD over the prepared nanoparticle based adsorbents. Copyright © 2009 Society of Chemical Industry 相似文献
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The pattern of changes in human bone remodeling produced by raloxifene (60 mg/day) was compared to that of estrogen (given as hormone replacement therapy) in 33 early postmenopausal women randomly assigned to raloxifene, estrogen, or no treatment. Remodeling was measured using calcium tracer kinetic methods employed under a constant diet and full metabolic balance conditions. Studies were performed at baseline and, to detect both early and late remodeling changes, at 4 and 31 weeks of treatment. Both raloxifene and estrogen produced a significant positive calcium balance shift at each treatment measurement point: +74 and +60 mg/day at 4 weeks, and +60 and +91 mg/day at 31 weeks for raloxifene and estrogen, respectively. Externally, this balance change was due to a highly significant fall in the urinary calcium level and marginal improvement in calcium absorption efficiency. Internally, bone resorption was significantly reduced at both measurement points: -64 and -60 mg/day at 4 weeks, and -82 and -162 mg/day at 31 weeks for raloxifene and estrogen, respectively. Bone formation was not significantly affected by either agent at 4 weeks; at 31 weeks, formation was reduced by estrogen, but not by raloxifene. Thus, at 4 weeks, the general pattern of remodeling change was identical for the two agents. At 31 weeks, remodeling suppression was greater for estrogen than for raloxifene; however, remodeling balance was the same for the two agents. We conclude that raloxifene and estrogen affect the bone remodeling apparatus similarly, and that raloxifene, therefore, is acting on bone as an estrogen agonist. 相似文献
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