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61.
Viola Seravalli Eric B. Jelin Jena L. Miller Aylin Tekes Luca Vricella Ahmet A. Baschat 《黑龙江环境通报》2017,37(10):1046-1049
Fetoscopic endotracheal occlusion (FETO) is a prenatal treatment that may increase survival in severe congenital diaphragmatic hernia (CDH). In the USA, FETO is offered for isolated severe left-sided CDH in the context of an FDA-approved feasibility study. FETO in non-isolated cases of severe CDH is only performed with a compassionate use exemption from US regulatory bodies. Anomalies frequently associated with CDH include congenital cystic lesions of the lung and cardiac defects. We describe two cases of non-isolated severe left-sided CDH that underwent prenatal FETO, survived after birth and underwent postnatal surgical repair. The potential benefit of FETO in this setting is discussed. © 2017 John Wiley & Sons, Ltd. 相似文献
62.
We have evaluated the role of a rapid and radical method of amniodrainage in the treatment of severe twin–twin transfusion. The outcome of 15 patients with severe twin–twin transfusion for which a amniodrainage was performed by means of a vacuum bottle system was compared with the outcome of 15 patients with a similar condition, matched for gestational age at the time of the initial procedure and drained using a standard procedure. In the study group the amniodrainage ended when no amniotic fluid could be aspirated, whereas the women in the standard group were drained with a syringe system and the fluid was removed until the deepest amniotic fluid pool was <8 cm. At the initial procedure, the mean volume of amniotic fluid drained was significantly (p<0.05) higher (3252 vs 2153 ml) and the length of the procedure significantly (p<0.001) shorter (21 vs 41 min) in the study group than in the standard group. The mean post-procedure amniotic fluid index was significantly (p<0.001) smaller (2.9 vs 7.7 cm) after radical amniodrainage than after the standard amniodrainage. The mean number of procedures was significantly (p<0.001) lower (1.5 vs 5.6) in the study group compared to the standard group. In the study group the mean placental thickness increased significantly (p<0.001) from 9 mm before the procedure to 49 mm after, and the overall perinatal survival rate was 80% and the proportion of pregnancies with at least one survivor was 93%. The present data indicate that early, rapid and radical amniodrainage is an effective and low-cost therapy for severe twin–twin transfusion syndrome. Compared to the standard amniodrainage technique it also appears to reduce the need for multiple procedures. Copyright © 2001 John Wiley & Sons, Ltd. 相似文献
63.
Martin H. David Erhard F. Joeres Eric D. Loucks Kenneth W. Potter Stuart S. Rosenthal 《Journal of the American Water Resources Association》1988,24(1):141-148
ABSTRACT: Water level fluctuations of the Great Lakes often have created regional controversies among the states and Canadian provinces that share this vast resource. Even though the 100-year range of their water levels is only four to five feet, episodes of high and low Great Lakes water levels have been a recurring problem throughout the twentieth century. The possibility of increased diversion and consumptive use has exacerbated the existing conflicts over how to manage this water resource. A research project evaluated the effects of interbasin diversion on the Great Lakes system and on the industries that depend on the maintenance of historical water levels, namely hydropower and commercial navigation. The simulation approach employed in this research and some of the important findings are presented. The approach is similar to that used in recent government studies of Great Lakes water level regulation. Several significant modifications were made specifically addressing the diversion issue. Aggregate annual impacts to hydropower and shipping resulting from a diversion of 10,000 cubic feet per second were found to vary from 60 to 100 million dollars. Increases in impacts as a function of diversion rate are nonlinear for the navigation industry. 相似文献
64.
Carbon sequestration in the global carbon cycle is almost always attributed to organic carbon storage alone, while soil mineral carbon is generally neglected. However, due to the longer residence time of mineral carbon in soils (102–106 years), if stored in large quantities it represents a potentially more efficient sink. The aim of this study is to estimate the mineral carbon accumulation due to the tropical iroko tree (Milicia excelsa) in Ivory Coast. The iroko tree has the ability to accumulate mineral carbon as calcium carbonate (CaCO3) in ferralitic soils, where CaCO3 is not expected to precipitate. An estimate of this accumulation was made by titrating carbonate from two characteristic soil profiles in the iroko environment and by identifying calcium (Ca) sources. The system is considered as a net carbon sink because carbonate accumulation involves only atmospheric CO2 and Ca from Ca-carbonate-free sources. Around one ton of mineral carbon was found in and around an 80-year-old iroko stump, proving the existence of a mineral carbon sink related to the iroko ecosystem. Conservation of iroko trees and the many other biomineralizing plant species is crucial to the maintenance of this mineral carbon sink. 相似文献
65.
A new mass estimate for the dodo (Raphus cucullatus), based on the lengths of the femur, tibiotarsus and tarsometatarsus, is attempted. The obtained mean mass is 10.2 kg, which
is less than previous estimates based on other methods, which ranged from 10.6 to 21.1 kg, and much lower than the 50 lbs
reported by a seventeenth-century eyewitness. The new estimated mass, which is similar to that of a large wild turkey, seems
more realistic than previous ones and supports the hypothesis that contemporary illustrations of extremely fat dodos were
either exaggerations, or based on overfed specimens. Pictures of “fat” dodos may also have been based on individuals exhibiting
a display behaviour with puffed out feathers. 相似文献
66.
Kevin Shirley Eric Marland Jenna Cantrell Gregg Marland 《Mitigation and Adaptation Strategies for Global Change》2011,16(3):325-346
We recognize that carbon-containing products do not decay and release CO2 to the atmosphere instantaneously, but release that carbon over extended periods of time. For an initial production of a
stock of carbon-containing product, we can treat the release as a probability distribution covering the time over which that
release occurs. The probability distribution that models the carbon release predicts the amount of carbon that is released
as a function of time. The use of a probability distribution in accounting for the release of carbon to the atmosphere realizes
a fundamental shift from the idea that all carbon-containing products contribute to a single pool that decays in proportion
to the size of the stock. Viewing the release of carbon as a continuous probabilistic process introduces some theoretical
opportunities not available in the former paradigm by taking advantage of other fields where the use of probability distributions
has been prevalent for many decades. In particular, theories developed in the life insurance industry can guide the development
of pricing and payment structures for dealing with the costs associated with the oxidation and release of carbon. These costs
can arise from a number of proposed policies (cap and trade, carbon tax, social cost of carbon, etc), but in the end they
all result in there being a cost to releasing carbon to the atmosphere. If there is a cost to the emitter for CO2 emissions, payment for that cost will depend on both when the emissions actually occur and how payment is made. Here we outline
some of the pricing and payment structures that are possible which result from analogous theories in the life insurance industry.
This development not only provides useful constructs for valuing sequestered carbon, but highlights additional motivations
for employing a probability distribution approach to unify accounting methodologies for stocks of carbon containing products. 相似文献
67.
The 2001 National Land Cover Database (NLCD) provides 30-m resolution estimates of percentage tree canopy and percentage impervious
cover for the conterminous United States. Previous estimates that compared NLCD tree canopy and impervious cover estimates
with photo-interpreted cover estimates within selected counties and places revealed that NLCD underestimates tree and impervious
cover. Based on these previous results, a wall-to-wall comprehensive national analysis was conducted to determine if and how
NLCD derived estimates of tree and impervious cover varies from photo-interpreted values across the conterminous United States.
Results of this analysis reveal that NLCD significantly underestimates tree cover in 64 of the 65 zones used to create the
NCLD cover maps, with a national average underestimation of 9.7% (standard error (SE) = 1.0%) and a maximum underestimation
of 28.4% in mapping zone 3. Impervious cover was also underestimated in 44 zones with an average underestimation of 1.4% (SE = 0.4%)
and a maximum underestimation of 5.7% in mapping zone 56. Understanding the degree of underestimation by mapping zone can
lead to better estimates of tree and impervious cover and a better understanding of the potential limitations associated with
NLCD cover estimates. 相似文献
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