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Introduction: Restraint systems (seat belts and airbags) are important tools that improve vehicle occupant safety during motor vehicle crashes (MVCs). We aimed to identify the pattern and impact of the utilization of passenger restraint systems on the outcomes of MVC victims in Qatar.

Methods: A retrospective study was conducted for all admitted patients who sustained MVC-related injuries between March 2011 and March 2014 inclusive.

Results: Out of 2,730 road traffic injury cases, 1,830 (67%) sustained MVC-related injuries, of whom 88% were young males, 70% were expatriates, and 53% were drivers. The use of seat belts and airbags was documented in 26 and 2.5% of cases, respectively. Unrestrained passengers had greater injury severity scores, longer hospital stays, and higher rates of pneumonia and mortality compared to restrained passengers (P = .001 for all). There were 311 (17%) ejected cases. Seat belt use was significantly lower and the mortality rate was 3-fold higher in the ejected group compared to the nonejected group (P = .001). The overall mortality was 8.3%. On multivariate regression analysis, predictors of not using a seat belt were being a front seat passenger, driver, or Qatari national and young age. Unrestrained males had a 3-fold increase in mortality in comparison to unrestrained females. The risk of severe injury (relative risk [RR] = 1.82, 95% confidence interval [CI], 1.49–2.26, P = .001) and death (RR = 4.13, 95% CI, 2.31–7.38, P = .001) was significantly greater among unrestrained passengers.

Conclusion: The nonuse of seat belts is associated with worse outcomes during MVCs in Qatar. Our study highlights the lower rate of seat belt compliance in young car occupants that results in more severe injuries, longer hospital stays, and higher mortality rates. Therefore, we recommend more effective seat belt awareness and education campaigns, the enforcement of current seat belt laws, their extension to all vehicle occupants, and the adoption of proven interventions that will assure sustained behavioral changes toward improvements in seat belt use in Qatar.  相似文献   

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Service quality in a construction technology laboratory can result in an improvement in construction companies’ competitiveness. This research aims to evaluate the service quality provided by a construction technology laboratory, specifically in the segment of performing testing through the rupturing of concrete samples. For this research, a survey was conducted using a structured questionnaire that was created based on a literature review regarding the surveying of laboratory customers at a university in the south of Brazil. Our research was both exploratory and quantitative, and the data were analyzed by applying multivariate data analysis. The conclusions of this study show that the dimensions of quality services are: communication, reliability, responsiveness, credibility, and tangibility. These five dimensions together provide a high explained variance standard of 79.75%. Having a suitable number of attendants available to serve customers and presenting agility in the construction laboratory is one of the managerial research contributions. Moreover, through information availability, this research generates greater traceability that can be used both by customers and by institutional management. Constantly and thoroughly monitoring the customer service cycle is another relevant factor that can improve the quality of the services provided.  相似文献   
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Sauropoda is one of the most diverse and geographically widespread clades of herbivorous dinosaurs, and until now, their remains have now been recovered from all continental landmasses except Antarctica. We report the first record of a sauropod dinosaur from Antarctica, represented by an incomplete caudal vertebra from the Late Cretaceous of James Ross Island. The size and morphology of the specimen allows its identification as a lithostrotian titanosaur. Our finding indicates that advanced titanosaurs achieved a global distribution at least by the Late Cretaceous.  相似文献   
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While climate change adaptation policy has tended to focus on planned adaptation interventions, in many vulnerable communities, adaptation will consist of autonomous, “unplanned” actions by individuals who are responding to multiple simultaneous sources of change. Their actions are likely not only to affect their own future vulnerability, but, through changes in livelihoods and resource use, the vulnerability of their community and resource base. In this paper, we document the autonomous changes to livelihood strategies adopted by smallholder coffee farmers in four Mesoamerican countries (Mexico, Guatemala, Honduras, and Costa Rica). Our aim is to gain insight into the process of autonomous adaptation by proxy: through an assessment of how farmers explain their choices in relation to distinct stressors; and an understanding of the set of choices available to farmers. We find that climatic stress is a feature in decision making, but not the dominant driver. Nevertheless, the farmers in our sample are evidently flexible, adaptive, and experimental in relation to changing circumstances. Whether their autonomous responses to diverse stressors will result in a reduction in risk over time may well depend on the extent to which policy, agricultural research, and rural investments build on the inherent logic of these strategies.  相似文献   
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A regression model is proposed for studying the relationship between trace metals concentrations and weights of individuals of Monodonta turbinata (Born), a gastropod mollusc used as a trace metal biomonitor of marine coastal areas. The model herein presented was developed including sites as reference factors and showed very good correlations. The prevision model of contamination gave good results for this kind of pollutants, and it can be used as a tool for monitoring programmes.  相似文献   
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ABSTRACT

Ozone prediction has become an important activity in many U.S. ozone nonattainment areas. In this study, we describe the ozone prediction program in the Atlanta metropolitan area and analyze the performance of this program during the 1999 ozone-forecasting season. From May to September, a team of 10 air quality regulators, meteorologists, and atmospheric scientists made a daily prediction of the next-day maximum 8-hr average ozone concentration. The daily forecast was made aided by two linear regression models, a 3-dimensional air quality model, and the no-skill ozone persistence model. The team's performance is compared with the numerical models using several numerical indicators. Our analysis indicated that (1) the team correctly predicted next-day peak ozone concentrations 84% of the time, (2) the two linear regression models had a better performance than a 3-dimensional air quality model, (3) persistence was a strong predictor of ozone concentrations with a performance of 78%, and (4) about half of the team's wrong predictions could be prevented with improved meteorological predictions.  相似文献   
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