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1.
目的:探讨CT定位下微创软通道术在高龄20~30ml幕上血肿中的应用效果。方法:选取2018年6月~2020年9月本院收治的60例高龄20~30mL幕上血肿患者,随机分为微创组及保守组,各30例。微创组采取CT定位下微创软通道手术治疗,保守组采取保守疗法。对比治疗前及出院时的美国国立卫生研究院卒中量表(NIHSS)评分及临床效果,并对比治疗前、治疗7d、治疗1个月的日常生活能力(Barthel指数评估),另比较治疗后3个月的预后情况[格拉斯哥预后量表(GOS)评价]及并发症发生情况。结果:两组出院时NIHSS评分均较治疗前降低,微创组出院时NIHSS评分低于保守组,差异均具有统计学意义(P<0.05);两组临床效果等级分布比较有统计学差异(P<0.05),微创组总有效率高于保守组,差异有统计学意义(P<0.05);Barthel指数评分在组间、时间、交互方面具有统计学差异(P<0.05),两组治疗7d、治疗后1个月Barthel指数均较治疗前升高,两组治疗1个月均高于治疗7d,微创组治疗7d、治疗后1个月均高于微创组,差异均具有统计学意义(P<0.05);两组治疗后3个月的GOS评分等级分布比较有统计学差异(P<0.05),微创组预后良好率高于保守组,差异有统计学意义(P<0.05);微创组总并发症发生率与保守组比较差异无统计学意义(P>0.05)。结论:CT定位下微创软通道手术在高龄20~30mL幕上血肿患者治疗中的临床效果、神经功能恢复、日常生活能力改善方面均优于保守疗法,且预后改善更为明显,安全性较好。  相似文献   
2.
镎的高生物毒性和长半衰期(t1/2=2.14×106 a)以及在环境中易迁移的性质,使之成为环境放射性污染普查及核设施监测过程中主要关注的核素之一。本文利用酸式消解法实现了百克量级花岗岩的全溶解。以自制的DMDODGA/CMG20树脂作为分离材料,利用其对氢氟酸中镎的吸附特性,建立了大体积溶解液中痕量镎的富集-分离流程。同时采用Dowex 1×4阴离子交换树脂进一步实现了对镎的浓缩和纯化。在此基础上,提出了百克量级花岗岩的分离流程,并对流程进行了实验验证。结果表明,花岗岩溶解液澄清、无残渣,分离流程对镎的回收率为87.6%,对岩石基体元素和铀的去污因子均大于1.0×105。  相似文献   
3.
利用分子动力学模拟的方法探究了乙酸乙酯与二溴甲烷组成的二元溶剂在298.15 K,1 atm下对ε-CL-20晶体形貌的影响。通过修正附着能模型(MAE)模型探究了溶剂-晶体相互作用,用分子动力学模拟预测了不同组成的乙酸乙酯/二溴甲烷混合溶剂中ε-CL-20的晶体形貌并与实验获得ε-CL-20的晶体形貌进行了对比。结果表明,实验获得的晶体形貌与模拟结果一致,且晶面粗糙度越大,溶剂-晶体相互作用越强。此外,还通过均方位移(MSD)分析了溶剂分子在不同晶面的扩散系数,探究了溶剂扩散速率对不同晶面的影响,并利用径向分布函数(RDF)分析了溶剂分子与晶体分子间相互作用的组成。  相似文献   
4.
Endoplasmic reticulum (ER) stress response is an adaptive program to cope with cellular stress that disturbs the function and homeostasis of ER, which commonly occurs during cancer progression to late stage. Late-stage cancers, mostly requiring chemotherapy, often develop treatment resistance. Chemoresistance has been linked to ER stress response; however, most of the evidence has come from studies that correlate the expression of stress markers with poor prognosis or demonstrate proapoptosis by the knockdown of stress-responsive genes. Since ER stress in cancers usually persists and is essentially not induced by genetic manipulations, we used low doses of ER stress inducers at levels that allowed cell adaptation to occur in order to investigate the effect of stress response on chemoresistance. We found that prolonged tolerable ER stress promotes mesenchymal–epithelial transition, slows cell-cycle progression, and delays the S-phase exit. Consequently, cisplatin-induced apoptosis was significantly decreased in stress-adapted cells, implying their acquisition of cisplatin resistance. Molecularly, we found that proliferating cell nuclear antigen (PCNA) ubiquitination and the expression of polymerase η, the main polymerase responsible for translesion synthesis across cisplatin-DNA damage, were up-regulated in ER stress-adaptive cells, and their enhanced cisplatin resistance was abrogated by the knockout of polymerase η. We also found that a fraction of p53 in stress-adapted cells was translocated to the nucleus, and that these cells exhibited a significant decline in the level of cisplatin-DNA damage. Consistently, we showed that the nuclear p53 coincided with strong positivity of glucose-related protein 78 (GRP78) on immunostaining of clinical biopsies, and the cisplatin-based chemotherapy was less effective for patients with high levels of ER stress. Taken together, this study uncovers that adaptation to ER stress enhances DNA repair and damage tolerance, with which stressed cells gain resistance to chemotherapeutics.  相似文献   
5.
6.
The development of small molecules that can selectively target G-quadruplex (G4) DNAs has drawn considerable attention due to their unique physiological and pathological functions. However, only a few molecules have been found to selectively bind a particular G4 DNA structure. We have developed a fluorescence ligand Q1 , a molecular scaffold with a carbazole–pyridine core bridged by a phenylboronic acid side chain, that acts as a selective ascaris telomere antiparallel G4 DNA ASC20 ligand with about 18 nm blue-shifted and enhanced fluorescence intensity. Photophysical properties revealed that Q1 was sensitive to the microenvironment and gave the best selectivity to ASC20 with an equilibrium binding constant Ka=6.04×105 M−1. Time-resolved fluorescence studies also demonstrated that Q1 showed a longer fluorescence lifetime in the presence of ASC20. The binding characteristics of Q1 with ASC20 were shown in detail in a fluorescent intercalator displacement (FID) assay, a 2-Ap titration experiment and by molecular docking. Ligand Q1 could adopt an appropriate pose at terminal G-quartets of ASC20 through multiple interactions including π–π stacking between aromatic rings; this led to strong fluorescence enhancement. In addition, a co-staining image showed that Q1 is mainly distributed in the cytoplasm. Accordingly, this work provides insights for the development of ligands that selectively targeting a specific G4 DNA structure.  相似文献   
7.
Biomaterials with dynamically tunable properties are critical for a range of applications in regenerative medicine and basic biology. In this work, we show the reversible control of gelatin methacrylate (GelMA) hydrogel stiffness through the use of DNA crosslinkers. We replaced some of the inter-GelMA crosslinks with double-stranded DNA, allowing for their removal through toehold-mediated strand displacement. The crosslinks could be restored by adding fresh dsDNA with complementary handles to those on the hydrogel. The elastic modulus (G’) of the hydrogels could be tuned between 500 and 1000 Pa, reversibly, over two cycles without degradation of performance. By functionalizing the gels with a second DNA strand, it was possible to control the crosslink density and a model ligand in an orthogonal fashion with two different displacement strands. Our results demonstrate the potential for DNA to reversibly control both stiffness and ligand presentation in a protein-based hydrogel, and will be useful for teasing apart the spatiotemporal behavior of encapsulated cells.  相似文献   
8.
With increasing temperature, nucleobases in DNA become increasingly damaged by hydrolysis of exocyclic amines. The most prominent damage includes the conversion of cytosine to uracil and adenine to hypoxanthine. These damages are mutagenic and put the integrity of the genome at risk if not repaired appropriately. Several archaea live at elevated temperatures and thus, are exposed to a higher risk of deamination. Earlier studies have shown that DNA polymerases of archaea have the property of sensing deaminated nucleobases in the DNA template and thereby stalling the DNA synthesis during DNA replication providing another layer of DNA damage recognition and repair. However, the structural basis of uracil and hypoxanthine sensing by archaeal B-family DNA polymerases is sparse. Here we report on three new crystal structures of the archaeal B-family DNA polymerase from Thermococcus kodakarensis (KOD) DNA polymerase in complex with primer and template strands that have extended single stranded DNA template 5’-overhangs. These overhangs contain either the canonical nucleobases as well as uracil or hypoxanthine, respectively, and provide unprecedented structural insights into their recognition by archaeal B-family DNA polymerases.  相似文献   
9.
李康康  张静 《计算机应用》2021,41(9):2504-2509
图像描述任务是图像理解的一个重要分支,它不仅要求能够正确识别图像的内容,还要求能够生成在语法和语义上正确的句子。传统的基于编码器-解码器的模型不能充分利用图像特征并且解码方式单一。针对这些问题,提出一种基于注意力机制的多层次编码和解码的图像描述模型。首先使用Faster R-CNN(Faster Region-based Convolutional Neural Network)提取图像特征,然后采用Transformer提取图像的3种高层次特征,并利用金字塔型的融合方式对特征进行有效融合,最后构建3个长短期记忆(LSTM)网络对不同层次特征进行层次化解码。在解码部分,利用软注意力机制使得模型能够关注当前步骤所需要的重要信息。在MSCOCO大型数据集上进行实验,利用多种指标(BLEU、METEOR、ROUGE-L、CIDEr)对模型进行评价,该模型在指标BLEU-4、METEOR和CIDEr上相较于Recall(Recall what you see)模型分别提升了2.5个百分点、2.6个百分点和8.8个百分点;相较于HAF(Hierarchical Attention-based Fusion)模型分别提升了1.2个百分点、0.5个百分点和3.5个百分点。此外,通过可视化生成的描述语句可以看出,所提出模型所生成的描述语句能够准确反映图像内容。  相似文献   
10.
Plasmonic gold nanocrystal represents plasmonic metal nanomaterials, and has a variety of unique and beneficial properties, such as optical signal enhancement, catalytic activity, and photothermal properties tuned by local temperature, which are useful in physical, chemical, and biological applications. In addition, the inherent properties of predictable programmability, sequence specificity, and structural plasticity provide DNA nanostructures with precise controllability, spatial addressability, and targeting recognition, serving as ideal ligands to link or position building blocks during the self-assembly process. Self-assembly is a common technique for the organization of prefabricated and discrete nanoparticle blocks for the construction of extremely sophisticated nanocomposites. To this end, the integration of DNA nanotechnology with Au nanomaterials, followed by assembly of DNA-functionalized Au nanomaterials can form novel functional Au nanomaterials that are difficult to obtain through conventional methods. Here, recent progress in DNA-assembled Au nanostructures of various shapes is summarized, and their functions are discussed. The fabrication strategies that employ DNA for the self-assembly of Au nanostructures, including dimers, tetramers, satellites, nanochains, and other nanostructures with more complex geometric configurations are first described. Then, the characteristic optical properties and applications of biosensing, bioimaging, drug delivery, and therapy are discussed. Finally, the remaining challenges and prospects are elucidated.  相似文献   
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