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1.
The mass childhood immunization programme has traditionally been viewed as a safe and effective preventative measure by health promoters, primary health care professionals and governments. This consensus has meant that immunization has rarely been viewed as ethically problematic. A number of recent changes in the context of the delivery of health care, particularly the emphasis on consumerism and the effect of the marketization of services, makes timely an examination of ethical, social and political issues. This article examines four main grounds for problematizing the mass childhood immunization programme. These are: clinical research evidence about the safety and efficacy of vaccines; the masking of wider social and political determinants of ill health; the contradictory strictures about collective and individual rights in relation to immunization; and the uniqueness of childhood immunization as a physical intrusion into a healthy body. The implications of these ethical issues are discussed in relation to informed consent and the need for a 'greenfield' review that includes the views of dissenting parents, lawyers and moral philosophers, as well as health professionals. 相似文献
2.
LT Seery DR Schoenberg ME Canning AS Whitehead 《Canadian Metallurgical Quarterly》1994,150(2):331-333
LY171883, a peroxisome proliferator and leukotriene D4-antagonist, induced a statistically significant increase in the number of hepatic lesions in B6C3F1 female mice in a 2 year oncogenicity study at dietary doses of 0.0225% and 0.075%. The mutation frequency and spectrum of the 61st codon of H-ras was determined for 64 independent, archived lesions from the LY171883 2 year oncogenicity study using the polymerase chain reaction (PCR), allele specific oligo hybridization (ASO) and DNA sequencing. Results showed 41 (64%) of these lesions had mutations at the 61st codon (16/21 hepatocellular carcinomas, 4/10 hepatocellular adenomas, 19/26 focal hepatocellular hyperplasias and 2/7 focal hepatocellular atypia). These mutations consisted of 18 C-A transversions, 16 A-G transitions and seven A-T transversions. Compared to the mutation frequency for spontaneously occurring archival B6C3F1 hepatic lesions (41%), the frequency of LY171883 lesions (64%) was significantly higher (P < 0.01). The frequencies of H-ras 61st codon mutations among the LY171883 lesion types (hepatocellular carcinomas 76%, hepatocellular adenomas 40%, focal hepatocellular hyperplasias 73% and hepatocellular atypia 29%) were also significantly different (P = 0.035). In contrast, spontaneous lesions showed no statistical difference in the frequencies of mutation among lesion types (P > 0.5). The mutation spectrum of the LY171883 lesions was not significantly different from the spontaneous spectra. It may be concluded that based on the similarity in mutation spectrum and the increase in mutation frequency, LY171883 may selectively promote spontaneous hepatic lesions containing H-ras 61st codon mutations. In addition, the difference in mutation frequency among lesion types does not support a linear progression of all LY171883 lesions through focal atypia, focal hepatocellular hyperplasias, hepatocellular adenomas and hepatocellular carcinomas. 相似文献
3.
Cheng Chen Zheng Guo Li Yeng Chai Soh 《Networking, IEEE/ACM Transactions on》2007,15(3):697-708
In this paper, we shall generalize the concepts of fairness, TCP-friendliness and TCP-compatibility such that more source adaptation schemes can be designed to support diverse applications over the Internet. A simple but efficient framework, in the form of a monotonic response function (MRF), is proposed for the analysis and the design of memoryless window-based source adaptation protocols by using these concepts. We first derive a necessary and sufficient condition for step-wise convergence to the weighted fairness. It is then used to construct increase-decrease policies. The requirements of our increase-decrease policy are less conservative than those of the CYRF (Choose Your Response Function) that was proposed in . Our MRF is suitable for transmission control protocol (TCP) and user datagram protocol (UDP), and can be used to design TCP-friendly and multimedia-friendly source adaptation schemes. Meanwhile, our MRF can be applied to provide bandwidth differentiation service without any change to the router of the existing Internet. 相似文献
4.
5.
In cellular networks, QoS degradation or forced termination may occur when there are insufficient resources to accommodate handoff requests. One solution is to predict the trajectory of mobile terminals so as to perform resource reservations in advance. With the vision that future mobile devices are likely to be equipped with reasonably accurate positioning capability, we investigate how this new feature may be used for mobility predictions. We propose a mobility prediction technique that incorporates road topology information, and describe its use for dynamic resource reservation. Simulation results are presented to demonstrate the improvement in reservation efficiency compared with several other schemes. 相似文献
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7.
Our previous receiver operating characteristic (ROC) study indicated that the detection accuracy of microcalcifications by radiologists is significantly reduced if mammograms are digitized at 0.1 mm x 0.1 mm. Our recent study also showed that detection accuracy by computer decreases as the pixel size increases from 0.035 mm x 0.035 mm. It is evident that very large matrix sizes have to be used for digitizing mammograms in order to preserve the information in the image. Efficient compression techniques will be needed to facilitate communication and archiving of digital mammograms. In this study, we evaluated two compression techniques: full frame discrete cosine transform (DCT) with entropy coding and Laplacian pyramid hierarchical coding (LPHC). The dependence of their efficiency on the compression parameters was investigated. The techniques were compared in terms of the trade-off between the bit rate and the detection accuracy of subtle microcalcifications by an automated detection algorithm. The mean-square errors in the reconstructed images were determined and the visual quality of the error images was examined. It was found that with the LPHC method, the highest compression ratio achieved without a significant degradation in the detectability was 3.6:1. The full frame DCT method with entropy coding provided a higher compression efficiency of 9.6:1 at comparable detection accuracy. The mean-square errors did not correlate with the detection accuracy of the microcalcifications. This study demonstrated the importance of determining the quality of the decompressed images by the specific requirements of the task for which the decompressed images are to be used. Further investigation is needed for selection of optimal compression technique for digital mammograms. 相似文献
8.
Given a stability region of a polytope of polynomials, the edge theorem can be used to verify certain root-clustering properties of the polytope. The authors consider the inverse problem; starting with a polytope of real polynomials, they present a result that allows the construction of the smallest set of regions in the complex plane which characterizes its zero location 相似文献
9.
Closed laboratories are becoming an increasingly popular approach to teaching introductory computer science courses. Unlike open laboratories that tend to be an informal environment provided for students to practice their skills with attendance optional, closed laboratories are structured meeting times that support the lecture component of the course, and attendance is required. This paper reports on an integrated approach to designing, implementing, and assessing laboratories with an embedded instructional research design. The activities reported here are parts of a departmentwide effort not only to improve student learning in computer science and computer engineering (CE) but also to improve the agility of the Computer Science and Engineering Department in adapting the curriculum to changing technologies, incorporate research, and validate the instructional strategies used. This paper presents the design and implementation of the laboratories and the results and analysis of student performance. Also described in this paper is cooperative learning in the laboratories and its impact on student learning. 相似文献
10.
TL Tomusiak FI Mamchur NV Zeliak LT Kisilevich ZR Matsun IN Gurvits 《Canadian Metallurgical Quarterly》1993,(3):11-13
Long-term (1-10 years) results of wandering kidney surgery were followed-up for 118 patients. The outcomes were found dependent on the duration of the disease, variety and severity of the lesion, age of the patients. The response appeared better in younger patients, in those with shorter duration of the disease and with unessential changes in the kidney. Recommendations are provided on the regimens, jobs, outpatient and inpatient follow-up for the subjects treated surgically for wandering kidney to reinforce the correction results achieved. 相似文献