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1.
OBJECTIVE: To discuss the case of an 8-yr-old boy with an aneurysmal bone cyst of the right proximal humerus, including the features imaged on plain film radiography, computed tomography (CT), magnetic resonance imaging (MRI), including spin echo and fast field echo imaging. CLINICAL FEATURES: The patient suffered for 1 yr from intermittent but progressive pain in his right upper arm and shoulder area. There was no history of trauma or known systemic disease. There was decreased range of motion in abduction of the glenohumeral joint and pain on focal pressure along the deltoid muscle. A complete imaging evaluation consisting of plain film radiography, CT and MRI was performed, which revealed the classical imaging features of an aneurysmal bone cyst. An additional cystic lesion was detected by the MRI that was not appreciated on the plain films or CT. INTERVENTION AND OUTCOME: The patient was referred for biopsy to confirm the preliminary diagnosis of aneurysmal bone cyst. No treatment was instituted. CONCLUSION: Evaluation of aneurysmal bone cyst may be completed with CT scanning and more specifically with MRI MRI coronal T2, weighted images are advantageous for visualization of the main cystic lesion and any additional cysts. Fast field echo images show a better contrast between the cyst and bone marrow with extension of the cyst into the epiphysis as evident in this case. Follow-up studies revealed complete healing of the cyst with only residual densities in the humeral metaphyseal area.  相似文献   
2.
GD Ruth  S Smith  M Bronson  AT Davis  RM Wilcox 《Canadian Metallurgical Quarterly》2003,24(5):318-21; discussion 317
Nationally, approximately 10% of child abuse cases involve burning, and up to 20% of pediatric burn admissions involve abuse or neglect. Historically, these cases have been more difficult to prosecute than nonburn cases for multiple reasons. Between 1995 and 1999, there were 285 pediatric (under 18) patients admitted to the Spectrum Health Regional Burn Center. Of these cases, 18 of the alleged perpetrators were legally investigated for suspicion of child abuse, and 7 received punitive sentences. We found that men tended to be prosecuted and convicted more often than women and that cases involving multiple instances of injury tended to be prosecuted more frequently. Similarly, we found that cases involving more severe injuries tended to be prosecuted more successfully. There are many psychological and social factors involved in handling burn abuse cases. However, by successful prosecution of these crimes, victims tend to fare better both socially and psychologically.  相似文献   
3.
Silica glass samples were given various heat treatments under stress at low temperatures and subsequently their residual stress distributions in terms of retardance were observed using a polarized light microscope, confirming previously reported fast surface stress relaxation while providing more detailed characterization. Retardance profiles of silica glass fibers heat-treated under a constant bending strain in the presence of atmospheric water vapor were measured and fit to a previously developed diffusion-based relaxation model. The retardance of a cross-section of a silica glass rod heat-treated at 650°C in lab air under applied torsional shear strain was also measured to confirm the presence of residual surface shear stress which was predicted by the decrease of torque with time for the rod. Together, these results confirm the low-temperature fast surface stress relaxation which occurs when water vapor is present for both bending and shear stresses.  相似文献   
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Condoms are one of the oldest form of contraceptive and the best recognized form of protection against sexually transmitted diseases. Their use, however, is limited by both behavioral factors and device-related factors, including complaints about decreased sensitivity and sexual enjoyment. To address these limitations, a male condom made of polyurethane was developed. Polyurethane is a strong impermeable material with good heat transfer characteristics that is less susceptible to deterioration during storage than latex. Because little information is available comparing polyurethane and latex condoms in terms of consumer preferences as well as breakage and slippage, we reviewed four pre-marketing studies of polyurethane condoms, one of which included comparison to latex. No significant differences in slippage and breakage rates between latex and polyurethane condoms were reported in the study that included a latex comparator, and other studies of polyurethane condoms alone resulted in rates in the same range as published for latex condoms. Subjectively, consumers expressed significantly greater preference for the polyurethane condom over latex in regard to appearance, lack of smell, likelihood of slippage, comfort, sensitivity, natural look, natural feel, and overall. While additional testing is needed, these preliminary results suggest that the male polyurethane condom reviewed performed at least as well as latex condoms and is preferred by consumers. If preference translates to greater use, the male polyurethane condom may address important barriers that have been linked with inadequate condom use in the past. These results, however, may not be generalizable to other brands of polyurethane condom currently under development.  相似文献   
6.
For temperatures >1973 K, the thermodynamic and kinetic analyses of the major gaseous species for a liquid titanate layer would vaporize significantly less than a silicate layer, when considering these layers as a protective barrier for ultrahigh temperature ceramic composites. At 2500 K, the major species is TiO( g ) with p TiO( g )=0.1 kPa compared with SiO( g ) with p SiO( g )=1.3 × 103 kPa at the Ti/TiO2 and Si/SiO2 equilibrium, respectively. The SiO( g ) attains a partial pressure greater than ambient pressure at 2500 K even with a thermodynamic activity of 0.01 considering equilibration with a silicide (e.g., TiSi x ). In addition, at 2500 K the TiO2 layer would vaporize at a rate of 0.23 mm/s compared with the SiO2 layer's loss rate of 207 mm/s. Although the oxygen diffusivity and permeability through titanate solutions must be further analyzed, the thermodynamic and kinetic analyses for vaporization indicate a longer duration for a liquid titanate than for a liquid silicate layer at ultrahigh temperatures.  相似文献   
7.
An activity network with returning loop activities has a wide variety of applications, but can cause a heavy computational burden for large networks. Moreover, if an activity processing time and/or the probability of taking a particular activity changes when the number of activity visits is added, the computation is very complicated and difficult. We propose a simulation approach to deal with stochastic activity networks consisting of multiple terminal nodes, no limit on looping activities, non-constant activity selection probabilities, and non-deterministic activity times following arbitrary distributions. Probability and time control functions are introduced to reflect the acceleration, or learning effect, of repeated activities. Performance measures such as system success/failure probabilities, time to completion/success/failure times, time between success/failure, and the pth percentile times of a project are obtained. A series of sensitivity analysis was performed to understand the trend and behavior of system performance. A cost function is developed to find an optimal strategy by manipulating control factors. To illustrate the efficacy of this simulation approach a new drug discovery and development project was analyzed. The Promodel simulation language was used for performance evaluations, and the SimRunner optimization tool for obtaining the optimal solution.  相似文献   
8.
Previous work showed that enriched 6Li halide scintillation crystal is a good candidate for portable neutron-sensitive detectors. Photodiode readout is a good alternative to PMT in compact devices. These detectors are often required to work in presence of a strong gamma background. Therefore, great discrimination against gamma rays is crucial. Because of the high Q-value of the 6Li(n,α)3H reaction, the light yield of a neutron capture signal corresponds to 3-4 MeV gamma equivalent in spite of the quenching effect of heavily charged particles. As a result, energy discrimination is quite effective against gamma signals generated in thin crystals. However, direct gamma interactions inside the photodiode can create pulses whose amplitude is large enough to interfere with thermal neutron peak. This study shows an innovative design based on coincident readout to solve this problem. In this design, two photodiodes are attached on both sides of the LiI crystal. The output signal is only accepted when both photodiodes give out coincident output. The method is proved to effectively suppress background in the neutron window in a 420 mR/h 137Cs field down to the level of natural background.  相似文献   
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Conducted behavioral assessments of 38 toddlers during their 2nd yr of life during 10 small-group play sessions and during administration of developmental tests (the Bayley Scales of Infant Development). 34 of the Ss were also observed at age 3.5 yrs in a nursery school setting at follow-up. Results show that there was a significant increase in the consistency and range of reactions in the play groups over the year. There was a trend toward more lawful end-of-year association among responses elicited in the play sessions and the testing sessions. There was a marked end-of-year increase in the ability to predict later functioning in nursery school. It is concluded that although the phenomenon of the emergence of stable individual differences in functioning is real, it has yet to be explained. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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