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11.
    
Microaneurysms (MAs) are the early indications of diabetic retinopathy (DR), which may result in total visual loss. MAs detection is an exciting work due to its small, darkish color and subtle nature. The automatic detection and categorization of MAs in retinal fundus images using a multi-scale approach based on Deep Neural Networks and Neighborhood Analysis is proposed in this research article. MAs segmentation, classification, and preprocessing comprise the three steps of the proposed technique. To extract the multi-scale MA features, the auto-weight dilated convolutional unit (AD) is specifically used for convolutional feature maps. To fuse convolutional feature maps in encoding layers, the AD unit used a learnable set of parameters. An efficient architecture for feature extraction during the encoding step is incorporated into the AD unit. We integrated the AD unit with the benefits of the U-Net network for deep and shallow features. Additionally, in order to improve the suggested model and produce the final derivation, we developed a novel optimization approach. After that, neighborhood analysis is performed to name the Micro-aneurysm because the lesion is actually a collection of independent little images rather than the entire image. The classification accuracy of the proposed method for the three different data sets such as MESSIDOR, online retinal fundus image database for glaucoma analysis (ORIGA), and RIM-ONE-R1, is 99.28%, 98.95%, and 98.76% respectively. The results show a good performance of the proposed model against the other analyzed procedure.  相似文献   
12.
    
Optical coherence tomography is a non-invasive imaging technique that provides micrometer-resolution images of retinal structures. These images can assist in identifying changes under the retina's surface, such as edema. This study proposes a novel deep learning model AR U-Net++ for segmenting retinal layers and fluids. The four retinal layers ILM (Internal Limiting Membrane), IPL (Inner Plexiform Layer), RPE (Retinal Pigment Epithelium), BM (Bruch Membrane), and IRF (Intra Retinal Fluid), SRF (Sub Retinal Fluid), and PED (Pigment Epithelial Detachment) are segmented using AR U-Net++. The proposed architecture AR U-Net++ achieves better accuracy (99.67%), mean IoU (0.84), and dice coefficient (0.94) than the existing models of U-Net, AR U-Net, and AR W-Net. The novelty of the suggested model AR U-Net++ is to identify the exact location and depth of the retinal fluid in between the retinal layers and generating reports that aids the clinicians in the diagnosis of Age related Macular Degeneration.  相似文献   
13.
    
The problem of robust control applied to adjust the configuration of an ankle prosthesis based on disturbance estimation has been addressed in this study. Active disturbance rejection control was the paradigm used for controlling the robotic prosthesis by means of a direct active estimation. Based on this active estimation, the robust controller implemented the disturbance cancellation providing a fast converge to the origin of the tracking error. The uncertainties affecting the prosthesis dynamics were identified by a high‐order extended state high gain observer. This identification was used to force the tracking between the actual position and force needed in the ankle prosthesis and some reference values obtained by a biomechanical gait cycle analysis. Therefore, the estimated states were used to implement a robust output feedback controller that was effective to reject actively the perturbations. This rejection implemented within the controller forced the trajectory tracking to a small vicinity of the origin. A strategy based on composite Lyapunov function served to prove that tracking problem for the prosthesis was successfully solved despite the switching nature of the gait cycle. The controller was implemented in numerical simulations for showing the convergence of the tracking error. The convergence of this tracking error to the region around the origin was obtained within the first second of simulation.  相似文献   
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15.
    
Erythropoietin (EPO) is known as a hormone for erythropoiesis in response to anemia and hypoxia. However, the effect of EPO is not only limited to hematopoietic tissue. Several studies have highlighted the neuroprotective function of EPO in extra-hematopoietic tissues, especially the retina. EPO could interact with its heterodimer receptor (EPOR/βcR) to exert its anti-apoptosis, anti-inflammation and anti-oxidation effects in preventing retinal ganglion cells death through different intracellular signaling pathways. In this review, we summarized the available pre-clinical studies of EPO in treating glaucomatous optic neuropathy, optic neuritis, non-arteritic anterior ischemic optic neuropathy and traumatic optic neuropathy. In addition, we explore the future strategies of EPO for optic nerve protection and repair, including advances in EPO derivates, and EPO deliveries. These strategies will lead to a new chapter in the treatment of optic neuropathy.  相似文献   
16.
The retinal pigmented epithelium (RPE) plays a pivotal role in retinal homeostasis. It is therefore an interesting target to fill the unmet medical need of different retinal diseases, including age-related macular degeneration and Stargardt disease. RPE replacement therapy may use different cellular sources: induced pluripotent stem cells or embryonic stem cells. Cells can be transferred as suspension on a patch with different surgical approaches. Results are promising although based on very limited samples. In this review, we summarize the current progress of RPE replacement and provide a comparative assessment of different published approaches which may become standard of care in the future.  相似文献   
17.
    
The effects of visible light, from short to long wavelengths, on the retina were investigated functionally and histologically. The left eyes of Sprague–Dawley albino rats (6-weeks old, n = 6 for each wavelength) were exposed to seven narrow-band wavelengths (central wavelengths, 421, 441, 459, 501, 541, 581, and 615 nm) with bandwidths of 16 to 29 nm (half bandwidth, ±8–14.5 nm) using a xenon lamp source with bandpass filters at the retinal radiant exposures of 340 and 680 J/cm2. The right unexposed eyes served as controls. Seven days after exposure, flash electroretinograms (ERGs) were recorded, and the outer nuclear layer (ONL) thickness was measured. Compared to the unexposed eyes, significant reductions in the a- and b-wave ERG amplitudes were seen in eyes exposed to 460-nm or shorter wavelengths of light. The ONL thickness near the optic nerve head also tended to decrease with exposure to shorter wavelengths. The decreased ERG amplitudes and ONL thicknesses were most prominent in eyes exposed to 420-nm light at both radiant exposures. When the wavelengths were the same, the higher the amount of radiant exposure and the stronger the damage. Compared to the unexposed eyes, the a- and b-waves did not decrease significantly in eyes exposed to 500-nm or longer wavelength light. The results indicate that the retinal damage induced by visible light observed in albino rats depends on the wavelength and energy level of the exposed light.  相似文献   
18.
    
Stargardt disease is the commonest juvenile macular dystrophy. It is caused by genetic mutations in the ABCA4 gene. Diagnosis is not always straightforward, and various phenocopies exist. Late-onset disease can be misdiagnosed with age-related macular disease. A correct diagnosis is particularly critical because of emergent gene therapies. Stargardt disease is known to affect retinal pigment epithelium and photoreceptors. Many studies have also highlighted the importance of the choroid in the diagnosis, pathophysiology, and progression of the disease. The choroid is in an integral relationship with the retinal pigment epithelium and photoreceptors, and its possible involvement during the disease should be considered. The purpose of this review is to analyze the current diagnostic tools for choroidal evaluation and the extrapolation of useful data for ophthalmologists and researchers studying the disease.  相似文献   
19.
    
Erythropoietin (EPO) is a circulating hormone conventionally considered to be responsible for erythropoiesis. In addition to facilitating red blood cell production, EPO has pluripotent potential, such as for cognition improvement, neurogenesis, and anti-fibrotic, anti-apoptotic, anti-oxidative, and anti-inflammatory effects. In human retinal tissues, EPO receptors (EPORs) are expressed in the photoreceptor cells, retinal pigment epithelium, and retinal ganglion cell layer. Studies have suggested its potential therapeutic effects in many neurodegenerative diseases, including glaucoma. In this review, we discuss the correlation between glaucoma and EPO, physiology and potential neuroprotective function of the EPO/EPOR system, and latest evidence for the treatment of glaucoma with EPO.  相似文献   
20.
    
Cardiovascular abnormality-mediated retinal ischemia causes severe visual impairment. Retinal ischemia is involved in enormous pathological processes including oxidative stress, reactive gliosis, and retinal functional deficits. Thus, maintaining retinal function by modulating those pathological processes may prevent or protect against vision loss. Over the decades, nicotinamide mononucleotide (NMN), a crucial nicotinamide adenine dinucleotide (NAD+) intermediate, has been nominated as a promising therapeutic target in retinal diseases. Nonetheless, a protective effect of NMN has not been examined in cardiovascular diseases-induced retinal ischemia. In our study, we aimed to investigate its promising effect of NMN in the ischemic retina of a murine model of carotid artery occlusion. After surgical unilateral common carotid artery occlusion (UCCAO) in adult male C57BL/6 mice, NMN (500 mg/kg/day) was intraperitoneally injected to mice every day until the end of experiments. Electroretinography and biomolecular assays were utilized to measure ocular functional and further molecular alterations in the retina. We found that UCCAO-induced retinal dysfunction was suppressed, pathological gliosis was reduced, retinal NAD+ levels were preserved, and the expression of an antioxidant molecule (nuclear factor erythroid-2-related factor 2; Nrf2) was upregulated by consecutive administration of NMN. Our present outcomes first suggest a promising NMN therapy for the suppression of cardiovascular diseases-mediated retinal ischemic dysfunction.  相似文献   
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