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171.
OBJECTIVE: The purpose of this study was to assess the feasibility of using a prototype split-specimen design to assess integrity of a portion of the total testing process in medical clinics and laboratories. DESIGN: Two or three tubes of venous blood were collected from 177 patients for analysis of one of three analytes (serum potassium, serum total cholesterol, and whole-blood hemoglobin). Patients were seen at one of the nine clinics participating in this study. In all cases, one tube of blood from each patient was sent to a commercial referral laboratory, and the other tube(s) forwarded to the laboratory that routinely tested specimens for the clinic (participating laboratory) for analysis. Each participating laboratory removed a preanalysis and sometimes a post-analysis aliquot from each specimen and forwarded these to the referral laboratory for analysis. SETTING: The study was conducted in six physician office laboratories (three serving 1 to 4 [mean, 2.7] internists and three serving 3 to 24 [mean, 12] family physicians) and three hospital laboratories (serving hospitals with 100 to more than 700 beds). PATIENTS: Study patients were voluntary participants and provided informed consent. Patient age ranged from 18 to 80 years, and for all the laboratory test was specifically ordered for clinical reasons. Patients who were unable or unwilling to provide informed consent, those for whom testing would require that they provide more than 100 mL of blood, those whose blood was being collected by fingerstick, and those with results that were part of a laboratory test profile were excluded. MAIN OUTCOME MEASURES: Two main outcome measures were assessed: (1) percent differences between split-specimen results exceeding the maximum allowable imprecision level, which was based on published biological variation data (defined as one-half of the intraindividual percent coefficient of variation), for each analyte (result discrepancies); and (2) all "problems" (defined as departures from standard operating procedures) that could be documented by retrospective review of all relevant medical and laboratory records. RESULTS: The rate of result discrepancies was 1 in 20 (5%) for patients in whom hemoglobin was analyzed, 12 in 57 (21%) for patients in whom potassium was analyzed, and 1 in 60 (2%) for patients in whom total cholesterol was analyzed. Results of samples obtained during the aliquoting and storage phases of the total testing process were subject to study-induced problems and were generally not useful in tracing problems to specific stages of the testing process. A total of 28 problems (involving 26 patients) were documented, but only 6 problems were due to routine testing processes. CONCLUSIONS: The feasibility and limitations of a split-specimen design to detect result discrepancies were demonstrated. Most documented problems (22 of 28, or 79%) were study induced. To assess integrity of the total testing process, such problems need to be avoided.  相似文献   
172.
173.
The effect of melting behaviour on upward flame spread of thermoplastic materials when subjected to small ignition sources and considered to suffer no external flux was studied using large-scale tests. For moderate fire conditions the cone calorimeter was utilized, with the sample set in a vertical orientation to study the melting behaviour of the specimens. Under these conditions the results indicate that the melting behaviour significantly affects upward flame spread behaviour. A pool of the melt which formed at the base of the vertically oriented sample tested creates a pool fire which then controls the fire growth and flame spread. In contrast, it was found that some thermoplastic materials which have higher glass transition temperatures or undergo a special pyrolysis process such as depolymerization, intumescing or charring do not experience significant melting behaviour when exposed to the same thermal insult. As a result, they behave very differently in terms of upward flame spread. The study also indicates that the melting behaviour of thermoplastic materials is an important characteristic in fires which should be taken into account in the development of modelling, in particular for upward flame spread models. © 1997 by John Wiley & Sons, Ltd.  相似文献   
174.
The results of 19 experiments in which a single pane glazing assembly was exposed to enclosure corner fires of increasing severity are presented. The glazing assembly was exposed to a two zone fire enclosure environment, with consistency and repeatability within each set of three experiments conducted at each fire severity level, evident from the enclosure gas temperature profiles. The results presented include heat release rates, enclosure and local gas temperatures, heat flux distributions, glass surface temperatures, shaded glass temperatures thermally induced stains, crack bifurcation patterns and loss of integrity of the glazing assembly. The results and observations obtained are presented in the form of a toolkit for the estimation of the occurrence of cracking and failure of single glazing in enclosure fires. Copyright © 2001 John Wiley & Sons, Ltd.  相似文献   
175.
The significant and largely unregulated presence of ultrafine particles in the atmosphere is a growing environmental concern. Understanding the formation and sources of ambient ultrafine particles represents a major goal, but analyzing such small particles is a considerable analytical challenge. This study demonstrates how real-time measurements of particle size and chemistry, coupled with gas-phase measurements, can provide unique insight into the daily and seasonal variations of the sources and chemistry of ultrafine particles. Measurements of ambient ultrafine particles are compared from three different single particle techniques which provide high temporal resolution during the 2005 summer (August) and fall (November) seasons in Riverside, CA in conjunction with the Study of Organic Aerosols at Riverside (SOAR) field campaign. During both seasons, vehicle exhaust emissions strongly contributed to the ultrafine particle concentrations during the weekday morning rush hour periods. SMPS measurements during the summer season showed high ultrafine particle concentrations during the afternoons most likely formed by photochemical events. In this study, different sources (and hence chemistry) contributed to the particles during periods of high ultrafine particle concentrations. Therefore, it is important to obtain simultaneous information on ultrafine particle sources as well as concentrations and advance beyond relying just on ultrafine particle concentrations as a proxy in future studies on health effects.  相似文献   
176.
Acyl carrier proteins are vital for the biosynthesis of fatty acids and polyketides. The mupirocin biosynthetic cluster of Pseudomonas fluorescens encodes eleven type I ACPs embedded in its multifunctional polyketide synthase (PKS) proteins plus five predicted type II ACPs (mAcpA‐E) that are known to be essential for mupirocin biosynthesis by deletion and complementation analysis. MupN is a putative Sfp‐type phosphopantetheinyl transferase. Overexpression of three type I and three type II mupirocin ACPs in Escherichia coli, with or without mupN, followed by mass spectroscopy revealed that MupN can modify both mupirocin type I and type II ACPs to their holo‐form. The endogenous phosphopantetheinyl transferase of E. coli modified mAcpA but not mAcpC or D. Overexpression of the type II ACPs in macp deletion mutants of the mupirocin producer P. fluorescens 10586 showed that they cannot substitute for each other while hybrids between mAcpA and mAcpB indicated that, at least for mAcpB, the C‐terminal domain determines functional specificity. Amino acid alignments identified mACPs A and D as having C‐terminal extensions. Mutation of these regions generated defective ACPs, the activity of which could be restored by overexpression of the macp genes on separate plasmids.  相似文献   
177.
Integrating PEM fuel cells effectively with liquid hydrocarbon reforming requires careful system analysis to assess trade-offs associated with H2 production, purification, and overall water balance. To this end, a model of a PEM fuel cell system integrated with an autothermal reformer for liquid hydrocarbon fuels (modeled as C12H23) and with H2 purification in a water–gas-shift/membrane reactor is developed to do iterative calculations for mass, species, and energy balances at a component and system level. The model evaluates system efficiency with parasitic loads (from compressors, pumps, and cooling fans), system water balance, and component operating temperatures/pressures. Model results for a 5-kW fuel cell generator show that with state-of-the-art PEM fuel cell polarization curves, thermal efficiencies >30% can be achieved when power densities are low enough for operating voltages >0.72 V per cell. Efficiency can be increased by operating the reformer at steam-to-carbon ratios as high as constraints related to stable reactor temperatures allow. Decreasing ambient temperature improves system water balance and increases efficiency through parasitic load reduction. The baseline configuration studied herein sustained water balance for ambient temperatures ≤35 °C at full power and ≤44 °C at half power with efficiencies approaching ∼27 and ∼30%, respectively.  相似文献   
178.
179.
The use of racial variables in genetic studies has become a matter of intense public debate, with implications for research design and translation into practice. Using research on smoking as a springboard, the authors examine the history of racial categories, current research practices, and arguments for and against using race variables in genetic analyses. The authors argue that the sociopolitical constructs appropriate for monitoring health disparities are not appropriate for use in genetic studies investigating the etiology of complex diseases. More powerful methods for addressing population structure exist, and race variables are unacceptable as gross proxies for numerous social/environmental factors that disproportionately affect minority populations. The authors conclude with recommendations for genetic researchers and policymakers, aimed at facilitating better science and producing new knowledge useful for reducing health disparities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
180.
This paper is the third in a series of four that collectively provide a substantial body of knowledge on the egress capabilities of people with disabilities. It presents the results of an experimental program to determine the ability of disabled people to negotiate doors with closing forces that range from 20 N to 70 N. The results indicate that many disabled people find it impossible to negotiate doors, even at relatively low closing forces, and that the time it takes disabled people to negotiate doors can vary considerably. The results of this study are presented for the use of those involved in the difficult task of characterizing building occupancies with respect to their egress capabilities.  相似文献   
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