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Rapidly growing knowledge about the nature and behaviour of breast cancer has led to many treatment modalities. Consequently, the possibilities of individualizing the treatment of breast cancer increase. The major tool for the determination of an optimal treatment plan is the estimation of the extent of the disease: in other words, staging. As a consequence, together with the expected result of the treatment, the stage of the disease gives information on the prognosis of the patient. Current staging systems insufficiently describe the clinically important features of breast cancer with respect to management and outcome: local and regional extent, invasiveness, aggressiveness, the state of dissemination, and the effectiveness of different treatment modalities. For staging of the local and regional extent, histology plays a prominent role and should be incorporated in future staging systems. Histological workup therefore needs standardisation. Histological parameters as tumour size, grade, nodal status, and vascular invasion are also the most important prognostic factors. Many so-called biological prognostic factors are related to the invasiveness and aggressiveness (metastatic potential) of the tumour, and therefore to the prognosis of the patient. However, these factors do not necessarily predict the effectiveness of certain systemic treatments. Only if the biological foundation of a prognostic factor is completely clarified can treatment be based on this knowledge, and the factor will become a predictor for the treatment effect. Many "biological" prognostic factors do not fulfil this main criterion and are therefore not useful for clinical decision making. A clinically useful staging system covers three primary aims: (1) to guide locoregional treatment, (2) to prognosticate the chance of survival, and (3) to indicate who needs what kind of adjuvant treatment. For the conception of a new staging system the following steps should be taken: standardization of all aspects of histology, identification of regional nodal involvement, and validation of prognostic factors with respect to their predictive value to treatment outcome.  相似文献   
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Nursery-age pigs (n=198) were used to evaluate the difference in abscess formation at needle-free jet and conventional needle-and-syringe injection sites. Needle-free jet injection was used to administer injections in the neck and ham on one side of the animal whereas needle-and-syringe was used for neck and ham injections on the opposite side. Immediately prior to injection, the injection site surfaces were contaminated with an inoculum of Arcanobacterium pyogenes. Each pig was humanely euthanized 27 or 28days after injections. Histopathological results showed that needle-free jet injection was associated with more abscesses than needle-and-syringe injection at both neck (P=0.0625) and ham (P=0.0313) injection sites. Out of 792 injection sites, only 13 abscesses were observed, with 12 of those present at needle-free jet injection sites. Needle-free jet injection may increase the occurrence of injection site abscesses that necessitate carcass trimming at pork processing plants.  相似文献   
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1-Methyl-2-pyrrolidinone has been investigated, for the first time, as an efficient electronpair donor in conjunction with tert-amyl alcohol and BCl3 in CH2Cl2 diluent at ?40°C for the living polymerization of isobutylene. The use of this new monofunctional initiator -trans fer (minifer) system has led to the synthesis of low molecular weight, living (near-monodisperse) polyisobutylenes carrying “ethyl” head group and “tert-chloro” end group (asymmetric telechelic polyisobutylenes). The nature of these groups was confirmed by 1H-NMR spectroscopy. The living nature of the α-ethyl-ω-(tert-chloro)polyisobutylenes has been demonstrated by a linear plot, passing through the origin, of number-average molecular weight (M?n) vs. the amount of polymer formed (Wp) and a horizontal N (number of polyisobutylene molecules) vs. Wp plot. These results are further substantiated by gel permeation chromatography data of these polymers, and the molecular weight distributions of these polymers are narrow (low M?w/M?n = 1.1–1.2). The initiating efficiencies (Ieff) are close to 100% with this system. Dehydrochlorination of the prepolymer has yielded an isopropylidene (exo-olefin) end group. Structure of the end group in the resulting polymer, α-ethyl-ω-(isopropenyl)polyisobutylene, was confirmed by FTIR spectroscopy.  相似文献   
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The future production of low enriched uranium nuclear fuel for test reactors requires a well-adhered diffusion barrier coating of zirconium (Zr) on the uranium/molybdenum (U-Mo) alloy fuel. In this study, the interfacial bond between plasma sprayed Zr coatings and U-Mo fuel was characterized by microcantilever beam testing. Test results revealed the effect of specific flaws such as cracks and pores on the bonding of interfaces with a sampling area of approximately 20 μm2. TEM examination showed the Zr/U-Mo interface to contain rows of very fine grains (5-30 nm) with the Zr in contact with UO2. Bond characteristics of plasma sprayed samples were measured that are similar to those of roll bonded samples showing the potential for plasma sprayed Zr coatings to have high bond strength.  相似文献   
16.
Efforts to reduce high-speed memory interface power have led to the adoption of data bus inversion or bus-invert coding. This study compares two popular algorithms, which seek to limit the number of simultaneously transitioning signals and bias the state of transmitted data toward a preferred binary level, respectively. A new algorithm, which provides a compromise between transition frequency and preferred signal level, is proposed, and the three algorithms are compared in terms of their impact on power consumption, power supply noise reduction, and general signal integrity enhancement when used in conjunction with a variety of link topologies.  相似文献   
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The ability of Phanerochaete laevis HHB-1625 to transform polycyclic aromatic hydrocarbons (PAHs) in liquid culture was studied in relation to its complement of extracellular ligninolytic enzymes. In nitrogen-limited liquid medium, P. laevis produced high levels of manganese peroxidase (MnP). MnP activity was strongly regulated by the amount of Mn2+ in the culture medium, as has been previously shown for several other white rot species. Low levels of laccase were also detected. No lignin peroxidase (LiP) was found in the culture medium, either by spectrophotometric assay or by Western blotting (immunoblotting). Despite the apparent reliance of the strain primarily on MnP, liquid cultures of P. laevis were capable of extensive transformation of anthracene, phenanthrene, benz[a]anthracene, and benzo[a]pyrene. Crude extracellular peroxidases from P. laevis transformed all of the above PAHs, either in MnP-Mn2+ reactions or in MnP-based lipid peroxidation systems. In contrast to previously published studies with Phanerochaete chrysosporium, metabolism of each of the four PAHs yielded predominantly polar products, with no significant accumulation of quinones. Further studies with benz[a]anthracene and its 7,12-dione indicated that only small amounts of quinone products were ever present in P. laevis cultures and that quinone intermediates of PAH metabolism were degraded faster and more extensively by P. laevis than by P. chrysosporium.  相似文献   
19.
Our research team is involved in ongoing research in both worksites and medical office settings. These settings offer great potential for reaching individuals who would not otherwise participate in health promotion, but they also place considerable constraints on assessment time and efforts, especially if one's goal is to attract a high and representative proportion of employees or patients. This paper reports on our experience with measures of dietary behavior in these two settings. We found it problematic to collect detailed assessments such as 4-day food records or comprehensive food frequency/history checklists in worksites or medical office settings using population-based samples. Instead, we recommend and provide data on the utility of a dietary-fat screening instrument, and on the Food Habits Questionnaire (FHQ-Kristal, Shattuck, & Henry, 1990), a brief measure of dietary behaviors associated with high-fat eating patterns. The FHQ, in particular, was found to correlate well with other more costly and time-consuming methods of assessment, to be reliable and responsive to intervention effects, and to provide behavioral targets for intervention. The strengths and limitations of these measures for tailoring intervention and assessing outcomes are discussed.  相似文献   
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