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1.
Dialysis adequacy indexed by Kt/V in hemodialysis (HD) patients is recommended as a single-pool Kt/V of at least 1.2 per session thrice weekly. But many patients cannot achieve this adequacy target. Although dialysis time is the most important as a factor influencing Kt/V, it is difficult to prolong dialysis time in practice because of its economic impact and poor patient compliance.
Objective:  The aim of this study is to investigate the effect of increasing blood flow rate on dialysis adequacy in HD patients with low Kt/V.
Methods:  This study enrolled 36 HD patients with single-pool Kt/V <1.2 per session thrice weekly, which was measured in dialyzer blood flow rate of 230 mL/min. We increased 15% of blood flow rate in patients <65 kg of body weight and 20% in patients >65 kg. And then we compared Kt/V and urea reduction ratio (URR) between before and after increasing blood flow rate.
Results:  The mean age was 48 ± 11 years (23–73 years), and the number of males was 25. Of the total patients, 24 patients had dry weight <65 kg. Mean dialysis duration was 52 ± 50 months (3–216 months). Mean Kt/V before increasing blood flow rate was 1.02 ± 0.09. It increased to 1.14 ± 0.12 after increasing blood flow rate (p < 0.001). Of the total 36 patients, 13 patients (36.1%) achieved adequacy target (Kt/V ≤ 1.2). Mean URR before increasing blood flow rate was 56.9 ± 4.0%. It also increased to 60.8 ± 4.1% (p < 0.001).
Conclusion:  Our data suggest that increasing blood flow rate by 15–20% of previous flow rate is effective in achieving dialysis adequacy in HD patients with low Kt/V.  相似文献   
2.
In current digital communication systems, channel information is typically acquired by supervised approaches that use pilot symbols included in the transmit frames. Given that pilot symbols do not convey user data, they penalize throughput spectral efficiency, and transmit energy consumption of the system. Unsupervised channel estimation algorithms could be used to mitigate the aforementioned drawbacks although they present higher computational complexity than that offered by supervised ones. This paper proposes a simple decision method suitable for slowly varying channels to determine whether the channel has suffered a significant variation, which requires to estimate the matrix of the recently changed channel. Otherwise, a previous estimate is used to recover the transmitted symbols. The main advantage of this method is that the decision criterion is only based on information acquired during the time frame synchronization, which is carried out at the receiver. We show that the proposed criterion provides a considerable improvement of computational complexity for both supervised and unsupervised methods, without incurring in a penalization in terms of symbol error ratio. Specifically, we consider systems that make use of the popular Alamouti code. Performance evaluation is accomplished by means of simulated channels as well as making use of indoor wireless channels measured using a testbed.  相似文献   
3.
This paper presents a new, simple, accurate, and inexpensive practical methodology and experimental solution for the modeling of conventional (domestic and commercial facilities) photovoltaic generators (PVG), so that they can work at their maximum power point (MPP). The PVG may be a panel, an array of panels, or a photovoltaic field. As a starting restriction (actual) it has to be assumed that it is not possible to isolate the PVG variables dependence (mainly current, voltage, and hence power) with solar radiation and temperature, because they are highly correlated. This methodology proposes the modeling facility on its MPP by its MPP resistance (RMPP = VMPP/IMPP), being VMPP and IMPP the voltage and current of the PVG, respectively, at its MPP. The analysis shows, by simulation first and then experimentally, that RMPP does not present significant temperature dependencies, at least in the usual range. This important result allows us to model the PVG only in terms of solar radiation. From a set of experimental data, different models to estimate RMPP are proposed. The obtained results are very accurate. These models allow an immediate practical application that it is also developed in the paper: MPP tracker (MPPT) design by the calculation of the DC/DC converter duty cycle which places the PVG at its MPP directly and continuously. This new methodology and experimental system has been registered in the Spanish Patent and Trademark Office with the number P201530352. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
4.
The ability of photochemical models to predict observed coastal chlorine levels and their corresponding effect on ozone formation is explored. Current sea-spray generation functions, a comprehensive gas-phase chlorine chemistry mechanism, and several heterogeneous/multiphase chemical reactions considered key processes leading to reactive chlorine formation are added to an airshed model of the South Coast Air Basin of California. Modeling results reproduce regional sea-salt particle concentrations. The heterogeneous/multiphase chemical reactions do not affect the rate of hydrochloric acid displacement, nor do they enhance aerosol nitrate formation. Chlorine levels in the model are predicted to be an order of magnitude lower than previously observed values at other coastal regions under similar conditions, albeit in much better agreement than previous studies. The results suggest that the inclusion of sea-salt-derived chlorine chemistry might increase morning ozone predictions by as much as 12 ppb in coastal regions and by 4 ppb in the peak domain ozone in the afternoon. The inclusion of anthropogenic sources of chlorine is recommended for future studies, as such sources might elevate ozone predictions even further via direct emission into polluted regions.  相似文献   
5.
One of the most important challenges that software engineers (designers, developers) still have to face in their everyday work is the evolution of working database systems. As a step for the solution of this problem in this paper we propose MeDEA, which stands for Metamodel-based Database Evolution Architecture. MeDEA is a generic evolution architecture that allows us to maintain the traceability between the different artifacts involved in any database development process. MeDEA is generic in the sense that it is independent of the particular modeling techniques being used. In order to achieve this, a metamodeling approach has been followed for the development of MeDEA. The other basic characteristic of the architecture is the inclusion of a specific component devoted to storing the translation of conceptual schemas to logical ones. This component, which is one of the most noteworthy contributions of our approach, enables any modification (evolution) realized on a conceptual schema to be traced to the corresponding logical schema, without having to regenerate this schema from scratch, and furthermore to be propagated to the physical and extensional levels.  相似文献   
6.
This study aimed to estimate the association of cyclists’ age and sex with the risk of being involved in a crash with and without adjustment for their amount of exposure. We used the distribution of the entire population and cyclists (total and non-responsible) involved in road crashes in Spain between 1993 and 2009 held by the Spanish National Institute of Statistics and the Spanish General Traffic Directorate to calculate rates of exposure and involvement in a crash. Males aged 45–49 years were used as the reference category to obtain exposure rate ratios (ERR) and unadjusted crash rate ratios (URR). We then used these values in decomposition analysis to calculate crash rate ratios adjusted for exposure (ARR). The pattern of ARR was substantially different from URR. In both sexes the highest values were observed in the youngest age groups, and the values decreased as age increased except for a slight increase in the oldest age groups. In males, a slight increase in the lowest and highest age categories was observed for crashes resulting in severe injury or death, and a decrease was observed for the youngest cyclists who were wearing a helmet. The large differences between age and sex groups in the risk of involvement in a cycling crash are strongly dependent on differences in their exposure rates. Taking exposure rates into account, cyclists younger than 30 years and older than 65 years of age had the highest risk of being involved in a crash.  相似文献   
7.
Anaerobic Ammonia Oxidising (Anammox) biomass was enriched from sludge collected at a municipal wastewater treatment plant, employing a Sequential Batch Reactor (SBR). After 60 days Anammox activity started to be detected, by consumption of stoichiometric amounts of NO2? and NH4+ in the system. Fluorescence In Situ Hybridisation analysis confirmed the increase of Anammox bacteria concentration with time. A final concentration of enriched biomass of 3–3.5 gVSS dm?3 was obtained, showing a Specific Anammox Activity of 0.18 gNH4+‐N gVSS?1 d?1 The reactor was able to treat nitrogen loading rates of up to 1.4 kgN m?3 d?1, achieving a removal efficiency of 82 %. On the other hand, the start‐up and operation of the Anammox SBR reactor were consequentially modelled with the Activated Sludge Model nr 1, extended for Anammox. The simulations predicted quite well the experimental data in relation to the concentrations of nitrogenous compounds and can be used to estimate the evolution of Anammox and heterotrophic biomass in the reactor. These simulations reveal that heterotrophs still remain in the system after the start‐up of the reactor and can protect the Anammox microorganisms from a negative effect of the oxygen. Copyright © 2004 Society of Chemical Industry  相似文献   
8.
Along the fermentation process yeasts are affected by a succession of stress conditions that affect their viability and fermentation efficiency. Among the stress conditions the most relevant are high sugar concentration and low pH in musts, temperature and, as fermentation progresses, ethanol accumulation. Nowadays, due to the demanding nature of modern winemaking practices and sophisticated wine markets, there is an ever-growing search for particular wine yeast strains possessing a wide range of optimized, improved or novel enological characteristics. Traditionally, the species S. cerevisiae and S. bayanus within the Saccharomyces sensu stricto species are considered some of the most important yeast species involved in fermentation processes. However, in the last years, hybrid strains between the species S. cerevisiae, S. bayanus and S. kudriavzevii have been described as yeasts conducting the alcoholic fermentations and some of them are commercially available. Our results indicate that yeasts in the Saccharomyces sensu stricto complex were not affected by low pH or high glucose content in the media; however temperature and ethanol concentration variables appreciably affected their growth. The strains pertaining to S. cerevisiae were able to tolerate high temperature stress, whereas strains within S. bayanus and S. kudriavzevii were better adapted to growth at lower temperatures. Regarding to alcohol tolerance, S. cerevisiae is tolerating alcohol better than S. bayanus or S. kudriavzevii. Surprisingly, the natural hybrids between these species have adapted to growth under ethanol and temperature stress by inheriting competitive traits from one or another parental species. These results open new perspectives in the construction of new hybrid strains with biotechnological interest, as the characteristics of the parents may result in interesting combinations in the hybrids.  相似文献   
9.
10.
The encapsulation of nitroxide radicals within ultrashort (ca. 50 nm) single‐walled carbon nanotubes (US‐tubes) is achieved. Tempo‐ and Iodo‐Tempo@US‐tubes are characterized by thermogravimetric analysis (TGA), X‐ray photoelectron spectroscopy (XPS), and Raman spectroscopy. Electron paramagnetic resonance (EPR) spectra display characteristic signals due to the detection of the spin probes within the US‐tubes. Longitudinal proton relaxivities (r1) of both nitroxide@US‐tubes samples are 7 to 13 times greater than the free nitroxide radicals in solution, giving relaxivities comparable to the clinical contrast agent (CA) Magnevist. In addition, transverse proton relaxivities (r2) show unprecedented proton relaxation enhancement in comparison to any other reported nitroxide radical‐based system or the clinically approved T2 CA, Resovist, under the same conditions. T2‐weighted magnetic resonance imaging (MRI) phantom images show that the encapsulation of nitroxide radicals within the US‐tubes produces good contrast enhancement due to their high r2 relaxivities. The nitroxide radicals@US‐tube agents are a new promising class of spin probes for MRI and electronic paramagnetic resonance imaging (EPRI) labeling, tracking, and diagnosis.  相似文献   
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