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1.
The Department of Veterans Affairs, Social Work Service has designed, developed and implemented the Social Work Information Management System (SWIMS) which provides for the collection and reporting of both administrative and clinical information. This paper describes the implementation of one component of SWIMS, the automated Social Work Data Base/Assessment. The discussion details the implementation process and discusses issues encountered in the implementation of a computerized documentation system.  相似文献   
2.
The benefits of using a comprehensive annotation strategy (employing underlining/circling, making connections, asking questions, and making comments) with knowledge maps (spatial/verbal arrays) and traditional, linear text to improve free recall scores for learners with individual differences in vocabulary and comprehension ability were examined. Types and frequencies of annotations generated were also examined for each stimulus format condition. Multiple regression analyses indicate that the frequency of use of two component annotation strategies, asking questions and making connections, were significant predictors of recall scores, while frequency of underlining/circling and generating elaborations failed to predict recall scores. Text users generated more underlining/circling, while knowledge map users generated more connections between ideas, suggesting that knowledge maps may facilitate the application of more productive annotation strategies. Also examined were the interrelationships between vocabulary ability, comprehension ability, and free recall scores. Copyright 1997Academic Press  相似文献   
3.
Myoblast-mediated gene transfer to the joint   总被引:1,自引:0,他引:1  
Several genetic and acquired pathologic conditions of the musculoskeletal system, such as arthritis and damage to ligament, cartilage, and meniscus, may be amenable to gene therapy. Even though ex vivo gene transfer with synovial cells has been shown to deliver genes encoding for anti-arthritic proteins into the rabbit knee joint, its success has been limited by a transient transgene expression. In this study, data were investigated regarding the use of muscle cells as an alternative gene-delivery vehicle to the joint in newborn rabbit and adult severe combined immunodeficiency mice. We demonstrated that myoblasts were transduced more efficiently than synovial cells with use of the same adenoviral preparation in vitro. After intra-articular injection, the engineered muscle cells adhered to several structures in the joint, including the ligament, capsule, and synovium. In addition, myoblasts fused to form many post-mitotic myotubes and myofibers at different locations of the joint of the newborn rabbit 5 days after the injection. In the knee of the adult mouse, myoblasts fused and expressed the reporter gene for at least 35 days after the injection. The presence of post-mitotic myofibers in the knee joint raises the possibility of long-term expression of the secreted protein. Currently, numerous tissues in the joint (ligament, meniscus, and cartilage) have poor intrinsic healing capacity and frequently need surgical corrections. A stable gene-delivery vehicle to the joint producing proteins that ameliorate these different musculoskeletal conditions may change the clinical implications of these pathologies.  相似文献   
4.
The compression creep behavior was monitored at constant temperature and/or relative humidity for two slabstock foams with different hard-segment content. The tests were performed by applying a constant load (free falling weight) and then monitoring the strain as a function of time over a 3-h time period. A near linear relationship is obtained for linear strain versus log time after a short induction period for both foams and at most conditions studied (except at temperatures near and above 125°C). The slope of this relationship or the initial creep rate is dependent on the initial strain level, espcially in the range of 10–60% deformation. This dependence is believed to be related to the cellular structs buckling within this range of strain. At deformations greater than 60% and less than 10%, the solid portion of the foam is thought to control the compressive creep behavior in contrast to the cellular texture. Increasing relative humidity does cause a greater amount of creep to occur and is believed to be a result of water acting as a plasticizer. For low humidities increasing the temperature from 30 to 85°C, a decrease in the rate of creep is observed at a 65% initial deformation. At 125°C, an increase in the creep rate is seen and is believed to be related to chemical as well as additional structural changes taking place in the solid portion of the foams. The creep rate is higher for the higher hard-segment foam (34 wt %) than that of the lower (21 wt %) at all of the conditions studied and for the same initial deformation level. This difference is principally attributed to the greater amount of hydrogen bonds available for disruption in the higher hard-segment foam. © 1994 John Wiley & Sons, Inc.  相似文献   
5.
A group's staffing level can play an important role in its socialization practices. For example, a group that is understaffed should be more open than an overstaffed group to both prospective and new members. To test this prediction, the leaders of nearly 100 student groups on a college campus were interviewed. These interviews yielded qualitative and quantitative data about the staffing levels in the groups and the methods that they used for recruiting prospective members and assimilating new ones. Analyses of the qualitative data clarified issues such as when understaffing and overstaffing are likely to occur, what kinds of problems they produce in groups, and how groups try to solve those problems. Analyses of the quantitative data revealed that our prediction was correct: As their staffing levels decrease, most groups become more open to prospective and new members. Implications of the results are discussed, and some suggestions for future research are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
6.
OBJECTIVE: To investigate the effect of diphtheria toxin interleukin 2 recombinant fusion protein (DAB 486IL-2) on in vitro synthesis of immunoglobulin and rheumatoid factor (RF) in patients with severe refractory rheumatoid arthritis (RA) enrolled in a phase II, double blind, placebo controlled study. METHODS: Anticoagulated venous blood samples were obtained before (Day 1) and after (Day 28) intravenous infusion of either DAB 486IL-2 at 0.075 mg/kg/day (12 patients) or saline placebo (10 patients) on Days 1-5. Peripheral blood leukocytes (PBL) were prepared by density gradient centrifugation, cultured in the presence and absence of pokeweed mitogen (PWM) for one week, and culture supernatants assayed for immunoglobulins and IgM RF by ELISA. RESULTS: Compared to placebo treated patients, PWM induced IgM RF synthesis by PBL decreased after treatment with DAB 486IL-2 (p = 0.043). However, there was no apparent correlation with clinical improvement. PWM induced IgM, IgA, and IgG synthesis also tended to decrease, although the changes did not attain statistical significance. In contrast, PWM induced IgM RF, IgM, IgA, and IgG synthesis by PBL from patients treated with placebo tended to increase during the observation period. Spontaneous immunoglobulin and IgM RF production by PBL from either the DAB 486IL-2 or placebo patients remained stable. CONCLUSION: These observations raise the possibility that DAB 486IL-2 may diminish B cell function either directly or indirectly through effects on T cell function, but the change may not correspond to clinical response.  相似文献   
7.
Samples of flexible water-blown slabstock polyurethane foams were compressed under constant load to study the effects of cycling moisture content on creep behavior and compare this behavior with the creep response where either a constant high or low moisture environment existed at the same temperature. Three sets of foams were tested: (1) 4 pph water content slabstock foam; (2) 5 pph water content slabstock foam; and (3) 2 pph water content molded foam. As the moisture conditions were cycled from low to high humidity while maintaining constant temperature in an environmental chamber, the compressive strain increased in subsequent steps with larger increases observed during the desorption portion of the humidity cycling. All three sets of foams showed similar behavior at a given temperature. At a temperature of 40°C, the strain levels under cyclic moisture conditions surpassed those levels observed at the highest constant relative humidity. During the first absorption step, the creep level increased. During any subsequent absorption step, the creep level either increased very little or none at all. Finally, during any desorption step, the creep level increased. This overall phenomenon of enhanced creep under cyclic moisture levels is attributed to water interacting with the hydrogen bonded structure within the foam. These hydrophillic interactions, principally promoted within the hard segment regions due to high hydrogen bonding, are disrupted causing slippage and increased in strain. As the foam is rapidly dired, regions of free volume are induced by the loss of water thus causing further increases in strain Prior to the reestablishment of well ordered hydrogen bonding. Further support to this proposition was given by the results obtained at a temperature of 90° C where it is well known that hydrogen bonds are much more mobile. Here, the strain levels under cyclic moisture conditions were nearly the same as those under constant high relative humidity. Weakening of the hydrogen bonds by means such as increased temperature resulted in similar strain levels to those under cyclic moisture levels. © 1993 John Wiley & Sons, Inc.  相似文献   
8.
High-resolution solid-state 13C-NMR has been used to study the phase separation and molecular motion in two series of polyurethane foams. These two series differ by one possessing the additive of lithium chloride, LiCl. NMR relaxation times can map the motion throughout the polymer molecule and detect changes in that motion arising from either microseparation or phase mixing between the different segments. There are only slight changes in the soft segment T1p(13C) values as well as an increase in the hard segment T1p(1H) values with increase in the hard segment content for the foams studied. The T1p(1H) and T1p(13C) values do indicate that the phase separation of the hard and soft segments is similar for all foams. A decrease in the T1p(1H) and T1p(13C) values with increasing LiCl content indicates that the motion of the soft segments is restricted more by the hard segments. This is explained by more phase mixing in the foams containing the LiCl additive. © 1994 John Wiley & Sons, Inc.  相似文献   
9.
Sandia National Laboratories use PC clusters and commodity graphics cards to achieve higher rendering performance on extreme data sets. The main obstacle in using cluster-based graphics systems is the difficulty in realizing the full aggregate performance of all the individual graphics accelerators, particularly for very large data sets that exceed the capacity and performance characteristics of any one single node. Based on our efforts to achieve higher performance, we present results from a parallel sort-last implementation that the scalable rendering project at Sandia National Laboratories generated. Our sort-last library (libpglc) can be linked to an existing parallel application to achieve high rendering rates. We ran performance tests on a 64-node PC cluster populated with commodity graphics cards. Applications using libpglc have demonstrated rendering performance of 300 million polygons per second $approximately two orders of magnitude greater than the performance on an SGI Infinite Reality system for similar applications  相似文献   
10.
Pipeline architectures provide a versatile and efficient mechanism for constructing visualizations, and they have been implemented in numerous libraries and applications over the past two decades. In addition to allowing developers and users to freely combine algorithms, visualization pipelines have proven to work well when streaming data and scale well on parallel distributed-memory computers. However, current pipeline visualization frameworks have a critical flaw: they are unable to manage time varying data. As data flows through the pipeline, each algorithm has access to only a single snapshot in time of the data. This prevents the implementation of algorithms that do any temporal processing such as particle tracing; plotting over time; or interpolation, fitting, or smoothing of time series data. As data acquisition technology improves, as simulation time-integration techniques become more complex, and as simulations save less frequently and regularly, the ability to analyze the time-behavior of data becomes more important. This paper describes a modification to the traditional pipeline architecture that allows it to accommodate temporal algorithms. Furthermore, the architecture allows temporal algorithms to be used in conjunction with algorithms expecting a single time snapshot, thus simplifying software design and allowing adoption into existing pipeline frameworks. Our architecture also continues to work well in parallel distributed-memory environments. We demonstrate our architecture by modifying the popular VTK framework and exposing the functionality to the ParaView application. We use this framework to apply time-dependent algorithms on large data with a parallel cluster computer and thereby exercise a functionality that previously did not exist.  相似文献   
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