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1.
The objective of this study is to describe usual medical management and costs associated with recurrent respiratory infections in subjects with chronic obstructive bronchitis in France. A prospective survey was performed in Autumn 1994 on a national sample of private practice pulmonologists (N = 71). Two hundred forty-four patients, presenting at least one infection of the lower respiratory tract, were included. Bronchitis was the most frequent acute exacerbation observed (94%). Pneumonia concerned 9% of the patients. Biological tests, X-rays and pulmonary function tests were prescribed for, respectively, 59, 65 and 45% of the patients. Following the visit, 15 patients were hospitalized (6%). The direct medical cost per acute exacerbation was estimated 3,289 francs (1994 value) of which 60% were hospital-related. An average 10.4 day sick-leave was prescribed to 21% of patients in employment. For those patients, this sick-leave was associated to an extra-cost of 1,264-1,876 francs for Social Security and of 0-2,553 francs out of pocket per episode varying according to their Benefit Regimen.  相似文献   
2.
A non-intrusive technique to follow single particles in the fountain region of a spouted bed with draft tube, the Wurster coater, is developed and tested. Compared to other techniques found in literature, the measurement technique presented here is easy to handle, inexpensive and suitable for particles with a diameter down to 500 μm. The measurements are performed in a laboratory scale Wurster bed constructed of Plexiglas to allow optical access to the flow. A small quantity of the particles in the bed are marked with fluorescence. A UV lamp is used to excite the fluorescence and the marked particles are followed with a high-speed video camera equipped with an optical filter. A single marked particle in the fountain can be followed in 5-30 images in sequence at a frame rate of 125 fps. The particle position and velocity are calculated. The distribution of the particle trajectories maximum height is studied for different particle loading, jet air velocity and position of the Wurster tube. The technique can be used for the characterization of differences in process dynamics due to different operating conditions.  相似文献   
3.
Ammoxidation of toluene over the perovskites YBa2Cu3O6.1, YBa2Cu2CoO6.7 and YBaCuCoO4.9 was investigated at 400 °C. At low partial pressures of O2 benzonitrile was selectively formed, while CO2 was the main product at high pressures of O2. Systematic differences in activity were observed for the three phases and are related to the crystal contents of Cu and Co. At low O2 pressures, Cu-sites are active for nitrile formation, while Co-sites give CO2. At high O2 pressures, the activity for CO2 of Cu-sites increases more than that of Co-sites due to filling of near-surface oxygen vacancies.  相似文献   
4.
A new device for coating a single levitated particle in a controllable environment is designed and tested. This enables fluidized bed processing to be simulated experimentally on a single-particle level. The device consists of a coating chamber, which contains a capillary tube for levitating the particle, a micro-dispenser for producing discrete drops of controlled size and velocity and a device for supplying gas with specified temperature and humidity. The coating chamber consists of two parts, a confined space where the particle is levitated and a droplet insertion cone where the coating solution is injected into the particle suspending gas flow. A capillary with a well-defined diameter connects the droplet insertion cone and the area where the particle is levitated. The device is equipped with a piezo-actuated flow-through micro-dispenser that has the ability to produce discrete droplets with high reproducibility in terms of droplet size and velocity. The gas required for the coating process is taken from a gas container where the water content is analysed and kept at a minimum. A liquid flow is then introduced into the gas flow at a well-defined flow rate, mixed and evaporated in a three-way mixing vault. The humidified gas flow is then split into two separate flows; a suspending gas flow and a protecting gas flow for the inside of the coating chamber. The device is equipped with a high-speed video camera for monitoring both droplet production and droplet impact. Temperatures and flow rates throughout the device are measured and logged. Preliminary results show the influence of solvent, gas quality and coating procedure on the quality of the coating.  相似文献   
5.
Prolonged computer work with an extended neck is commonly believed to be associated with an increased risk of neck-shoulder disorders. The aim of this study was to compare neck postures during computer work between female cases with neck-shoulder disorders, and healthy referents. Based on physical examinations, 13 cases and 11 referents were selected among 70 female air traffic controllers with the same computer-based work tasks and identical workstations. Postures and movements were measured by inclinometers, placed on the forehead and upper back (C7/Th1) during authentic air traffic control. A recently developed method was applied to assess flexion/extension in the neck, calculated as the difference between head and upper back flexion/extension. Results: cases and referents did not differ significantly in neck posture (median neck flexion/extension: -10 degrees vs. -9 degrees ; p=0.9). Hence, the belief that neck extension posture is associated with neck-shoulder disorders in computer work is not supported by the present data.  相似文献   
6.
The purpose of this study was to investigate whether training in a microworld had an effect on the decision-making process in a command-and-control training facility. Fourteen battalion commanders participated in the study. Prior to performing the main task in the command-and-control facility, seven participants (the experimental group) received training in the microworld. Seven participants (the control group) received no training before the main task. The results show that the experimental group performed better than the control group, measured by self-ratings and by fulfilling the instructors’ criteria. The experimental group displayed a different decision-making behaviour in the main task than the control group did. The results indicate that the experimental group used some behaviour characteristics they learnt during training, namely “working systematically” and “causal relationship”. Thus, the study shows that favourable behaviour was learnt in the microworld, and that behaviour was subsequently used in the command-and-control training facility.  相似文献   
7.
Several different polysaccharides have been added to pluronic F127 (poloxamer 407) gels to test their ability to stabilize the gels against dissolution in aqueous media over time. The studied polysaccharides include κ‐carrageenan, chitosan, hyaluronic acid, pectin, alginate, hydroxyethylcellulose, and ethyl(hydroxyethyl)cellulose. Although all the considered polysaccharides slowed down the dissolution time of the pluronic gels, unmodified polysaccharides only had a modest stabilization effect. However, hydrophobic modification of polysaccharides with a sufficiently long hydrocarbon chain (C16) was found to partly prevent the gels from dissolving for more than 6 months. Shorter hydrocarbon chains did not have the same effect, even at high degrees of hydrophobicity. © 2014 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40465.  相似文献   
8.
The standard shear lag theory for elastic aligned short-fibre composites is extended to allow for a gradient of overall strain. The result is a one-dimensional strain gradient theory of the Toupin–Mindlin type. All parameters are the same as in the standard theory, and in the limits of weak strain gradients, large fibre aspect ratios or low elastic modulus ratios, the standard theory is recovered. The gradient effect is illustrated by a simple one-dimensional boundary value problem: a vertical composite rod fixed at both ends and loaded by gravity. The fibre length significantly affects the solution when the fibres are rigid and their length is near the rod length; but otherwise the effect is weak.  相似文献   
9.
This article presents numerical simulations of the laminar flow of lubricating greases in a channel with rectangular cross section. Three greases with different consistencies (NLGI grades 00, 1, and 2) have been considered in three different configurations composed of a rectangular channel without restrictions, one rectangular step restriction, and one double-lip restriction. The driving pressure drop over the channel spans from 30 to 250 kPa. The grease rheology is described by the Herschel-Bulkley rheology model, and both the numerical code and rheology model have been validated with analytical solutions and flow measurements using micro-particle image velocimetry.  相似文献   
10.
In this work, a hydrophobically modified (HM) chitosan derivative was prepared by covalent linkage of C12 groups to the chitosan backbone. HM‐chitosan microparticles were prepared according to an emulsification‐solvent evaporation method and naltrexone (NTX) was used as a model drug. For comparison, unmodified chitosan and poly lactic‐co‐glycolic acid (PLGA) microparticles were also tested as carriers for NTX. HM‐chitosan formed viscous semi‐dilute solutions, suggesting a high level of chain entanglements and hydrophobic associations. HM‐chitosan microparticles generally showed higher production yield and encapsulation efficiency, as compared with chitosan and PLGA. The burst release shown by chitosan microparticles was significantly reduced when using the HM‐chitosan derivative. An enhanced control of drug release was observed over at least 50 days. PLGA particles demonstrated inferior controlled release properties as compared to HM‐chitosan subsequent to the initial release stage. These results revealed the potential of hydrophobic modification of chitosan as a means to improve the stability and sustained delivery properties of the polymer. © 2013 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2014 , 131, 40055.  相似文献   
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