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91.
The purpose of this study was to compare local recurrence, distant metastases, and survival rate in 350 patients with cancer of the middle and low rectum who underwent a radical abdominoperineal resection (APER) or a sphincter-saving resection (SSR) in our Institute. There were 257 APER patients and 93 SSR patients, with a median follow-up of 77 months. At 5 years, the estimates in APER and SSR patients were respectively 11% and 30% for the incidence of pelvic recurrence, 18% and 8% for the incidence of distant metastases, and 64% and 73% for overall survival. In the multivariate analysis it was found that Dukes' stage significantly affected pelvic recurrences, distant metastases rate and overall survival; histologic type affected only the pelvic recurrence rate. However, the final outcome of patients following APER or SSR was similar, suggesting that local failure per se does not affect long-term survival.  相似文献   
92.
93.
In response to a need to match drug users to the most appropriate and cost-effective level of care, it was hypothesized that socially anxious methadone-maintained patients would attain greater benefit from coping skills training provided in the context of a low-intensity enhanced standard methadone maintenance intervention (E-STD) than in the context of a high-intensity, socially demanding day treatment program (DTP). Social anxiety was assessed in 307 methadone-maintained patients using the Social Anxiety and Distress Scale prior to randomization to either E-STD or DTP. The hypothesis was supported: Socially anxious patients were drug free longer during treatment, were more likely to be abstinent at treatment completion, and had greater reductions in HIV risk behaviors if assigned to the lower intensity intervention, which was provided at ? the cost of the DTP. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
94.
Three studies investigated conditions in which perceivers view dispositions and situations as interactive, rather than independent, causal forces when making judgments about another's personality. Study 1 showed that perceivers associated 5 common trait terms (e.g., friendly and shy) with characteristic if...then... (if situation a, then the person does x, but if situation b, then the person does y) personality signatures. Study 2 demonstrated that perceivers used information about a target's stable if...then... signature to infer the target's motives and traits; dispositional judgments were mediated by inferences about the target's motivations. Study 3 tested whether perceivers draw on if...then... signatures when making judgments about Big Five trait dimensions. Together, the findings indicate that perceivers take account of person-situation interactions (reflected in if...then... signatures) in everyday explanations of social behavior and personality dispositions. Boundary conditions are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
95.
A set-based program analysis establishes constraints between sets of abstract values for all expressions in a program. Solving the system of constraints produces a conservative approximation to the program's runtime flow of values. Some practical set-based analyses use explicit selectors to extract the relevant values from an approximation set. For example, if the analysis needs to determine the possible return values of a procedure, it uses the appropriate selector to extract the relevant component from the abstract representation of the procedure. In this paper, we show that this selector-based approach complicates the constraint solving phase of the analysis too much and thus fails to scale up to realistic programming languages. We demonstrate this claim with a full-fledged value flow analysis for case-lambda, a multi-branched version of lambda. We show how both the theoretical underpinnings and the practical implementation become too complex. In response, we present a variant of set-based closure analysis that computes equivalent results in a much more efficient manner.  相似文献   
96.
Gastric ulceration of rats stressed by restraint in 19°C water for 75 min was markedly increased by allowing a 75-min postrestraint room-temperature rest period during which the rat was exposed to cues that had previously been associated with the delivery of 80 5-s uncontrollable electric shocks distributed over four sessions. This effect obtained equally without regard to whether "danger cues" were punctate signals or constant contextual cues or whether contextual ones were interrupted by punctate safety signals. The experimental treatments used were unusual in that they equated the groups on their total conditioning history and thus allowed a more pure look at the poststress effect than heretofore. Other groups provided controls for prior shocks, rest, and their interaction as well as handling. Analyses of corticosterone after the stress or stress-rest cycle revealed only a general decline in corticosterone levels with rest undifferentiated across groups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
97.
There have been extensive attempts in recent years to perform spatial equilibrium analysis of commodity markets, particularly that of energy. Most of these attempts have been based on linear programming transportation models, and more recently quadratic programming models. Unfortunately, neither of these modelling approaches can deal with the case of multi-commodity analysis with non-symmetric regression coefficients. In this paper, we overcome this problem by employing the linear complementarity programming model. In addition, we show how the model can be applied to coal and gas energy flows within a single region. Future potential applications of the model are also implied.  相似文献   
98.
99.
Discusses the impact of asthma on children's educational experiences. Respiratory arrest or hypoxia may lead to neuropsychological changes in a few cases, and some medications may produce mild, temporary changes, affecting learning and classroom performance. For most asthmatic children, their illness does not result in permanent brain function changes that compromise their educational adaptation and performance. Increased school absence, stress of chronic illness, isolation from peers, diminished physical activities, reduced adult expectations and self esteem, and depression can compromise children's academic adaptation and progress. Co-occurrence of factors like severe illness, poverty, and family dysfunction may increase the risk for educational and psychosocial impairment. Systematic and comprehensive education of asthmatic patients, their parents, and school personnel is crucial to improving the control of asthma and activity level. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
100.
We demonstrate that physiological concentrations of HDL3 inhibit the thrombin-induced platelet fibrinogen binding and aggregation in a time- and concentration-dependent fashion. The underlying mechanism includes HDL3-mediated inhibition of phosphatidylinositol 4,5-bis-phosphate turnover, 1,2-diacylglycerol and inositol 1,4,5-tris-phosphate formation, and intracellular calcium mobilization. The inhibitory effects of HDL3 on inositol 1,4,5-tris-phosphate formation and intracellular calcium mobilization were abolished after covalent modification of HDL3 with dimethylsuberimidate. Furthermore, they could be blocked by calphostin C and bis-indolylmaleimide, 2 highly selective and structurally unrelated protein kinase C inhibitors. However, the inhibitory effects of HDL3 were not blocked by H89, a protein kinase A inhibitor. In addition, HDL3 failed to induce cAMP formation but stimulated the phosphorylation of the protein kinase C 40- to 47-kD major protein substrate. We observed a close temporal relationship between the HDL3-mediated inhibition of thrombin-induced inositol 1,4,5-tris-phosphate formation, intracellular calcium mobilization, and fibrinogen binding and the phosphorylation of the protein kinase C 40- to 47-kD major protein substrate. Taken together, these findings indicate that the HDL3-mediated inhibition of thrombin-induced fibrinogen binding and aggregation occurs via inhibition of phosphatidylinositol 4,5-bis-phosphate turnover and formation of 1,2-diacylglycerol and inositol 1,4,5-tris-phosphate. Protein kinase C may be involved in this process.  相似文献   
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