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41.
42.
While the presence of lead in urban soils from residential lead paint and leaded gasoline is well documented, the relative contribution of lead from area historical industrial activities is not. This study examined the connection between historical industrial sources of lead in Portland, Maine, USA from 1860 to 1970 to current, spatial distributions of soil lead. Collecting 1859 surface and 122 sub-surface soil samples in accordance with USEPA's Lead Safe Yard Protocols, lead concentrations varied from 9 mg/kg to >100,000 mg/kg with most of the samples greater than USEPA's critical value for lead (400 mg/kg). Using historical documents, probable sources of lead were mapped. In comparing two datasets, no clear relationship emerged. Findings were hampered by inability to sample under large areas of impervious surfaces and private properties. Because of lead's immobility in soil, one would expect decreasing concentration with depth, but lead concentrations varied with depth and location. The haphazard dumping of lead-contaminated industrial waste and the relocation of contaminated fill are likely factors. These findings suggest that in urban areas where multiple historical sources of lead existed, surface sampling to determine presence of lead may not be sufficient to protect public health.  相似文献   
43.
In this paper we report the results of a field study conducted for the EU project HASTE, in which the effect of IVIS task difficulty on driving performance was assessed by three concurrent methods. These included objective vehicle-related measures, subjective ratings from drivers and expert observers’ evaluations. Results showed that all three techniques were sensitive to detecting the effect of IVIS task difficulty on driving performance. As well as demonstrating a promising technique for measuring the effect of varying levels of visual spatial IVIS task on driving performance, this study highlights the value of subjective ratings and observer evaluation in assessing the effect of IVIS on driving performance.  相似文献   
44.
The Dutch policy objective of a fully sustainable livestock sector without mutilations by 2023 is not compatible with the routine practice of tail docking to minimize the risk of tail biting. To examine farmer attitudes towards docking, a telephone survey was conducted among 487 conventional and 33 organic Dutch pig farmers. “Biting” (of tails, ears, or limbs) was identified by the farmers as a main welfare problem in pig farming. About half of the farmers reported to have no tail biting problems in their own herd. When farmers did report problems, they most often reported figures between 1 and 5 % of the animals. High incidences of tail biting were anticipated when trying to keep undocked pigs. Enrichment materials used in the conventional sector included mainly chains (52–63 % of the farms) and hanging rubber or plastic balls (22–30 %). Straw, sawdust, or wood shavings was hardly provided in conventional pig farming (2–3 %), in contrast to organic farming (88–100 % of farms). Conventional pig farmers feel a curly tail is not very important for sustainable pig farming. They consider enrichment to be less effective and tail docking to be less stressful for them and their piglets than their organic colleagues do. Pig farmers identified climate as a main risk factor for tail biting as opposed to enrichment. The objective of reducing routine tail docking requires solutions for dealing with tail biting problems at the farm level. In this process, transfer of scientific knowledge about enrichment materials and other measures to prevent and cure tail biting is critical, as is a change in farmer attitudes and awareness of the moral issues involved.  相似文献   
45.
INTRODUCTION: This study explores the differences in injury severity between male and female drivers, and across the different age groups, in single-vehicle accidents involving passenger cars. METHOD: Given the occurrence of an accident, separate male and female multinomial logit models of injury severity (with possible outcomes of no injury, injury, and fatality) were estimated for young (ages 16 to 24), middle-aged (ages 25 to 64), and older (ages 65 and older) drivers. RESULTS: The estimation results show statistically significant differences in the factors that determine injury-severity levels between male and female drivers and among the different driver age groups. CONCLUSIONS: We discuss a number of plausible explanations for the observed age/gender differences and provide suggestions for future work on the subject. IMPACT ON INDUSTRY: A better understanding of age and gender differences can lead to improvements in vehicle and highway design to minimize driver injury severity. This paper provides some new evidence to help unravel this complex problem.  相似文献   
46.
    

Objective

To evaluate the test accuracy of non-invasive prenatal testing (NIPT) for fetal trisomy 21, 18, and 13 using cell-free (cf) DNA analysis in maternal plasma with microarray quantitation.

Method

Systematic review and meta-analysis. Searches in MEDLINE, Pre-MEDLINE, EMBASE, Web of Science, and the Cochrane Library to 09.07.2018.

Results

Five studies analyzing 3074 samples, including 187 trisomy 21, 43 trisomy 18, and 19 trisomy 13 cases, were identified. Risk of bias was high in all studies, introduced particularly by exclusions from analysis and by the role of the sponsor. Sensitivity of microarray-based cfDNA testing was 99.5% (95%CI 96.3%-99.9%) for trisomy 21, 97.7% (95%CI 87.9%-99.6%) for trisomy 18, and 100% (95%CI 83.2%-100%) for trisomy 13. Specificity was 100% (95% CI 99.87%-100%) for trisomy 21, 99.97% (95%CI 99.81%-99.99%) for trisomy 18, and 99.97% (95%CI 99.81%-99.99%) for trisomy 13. Pooled test failure rate was 1.1%. A direct comparison of microarray- and sequencing-based cfDNA found equivalent test accuracy.

Conclusion

Included studies suggest that NIPT using microarray-based cfDNA testing has high sensitivity and specificity for detecting fetal trisomy 21, 18, and 13. However, the evidence base is small and at high risk of bias.  相似文献   
47.
    
Riverine floods pose a considerable risk to many communities. Improving flood hazard projections has the potential to inform the design and implementation of flood risk management strategies. Current flood hazard projections are uncertain, especially due to uncertain model parameters. Calibration methods use observations to quantify model parameter uncertainty. With limited computational resources, researchers typically calibrate models using either relatively few expensive model runs at high spatial resolutions or many cheaper runs at lower spatial resolutions. This leads to an open question: is it possible to effectively combine information from the high and low resolution model runs? We propose a Bayesian emulation–calibration approach that assimilates model outputs and observations at multiple resolutions. As a case study for a riverine community in Pennsylvania, we demonstrate our approach using the LISFLOOD-FP flood hazard model. The multiresolution approach results in improved parameter inference over the single resolution approach in multiple scenarios. Results vary based on the parameter values and the number of available models runs. Our method is general and can be used to calibrate other high dimensional computer models to improve projections.  相似文献   
48.
    
We report a case of a female fetus born to an unrelated couple with a complex fetal phenotype of a pleural effusion, a cardiac malformation, and syndactyly of the toes. Prenatal exome sequencing identified a variant of uncertain significance in the PORCN gene that was upgraded to likely pathogenic following postnatal clinical examination. The phenotype described in cases with variants in the PORCN gene is often associated with findings that cannot be prospectively diagnosed by ultrasonography. This is the first report of a prenatal phenotype involving a fetal effusion associated with variants in the PORCN gene, with skeletal findings identified later in gestation on ultrasonography. The diagnosis was confirmed on neonatal examination.  相似文献   
49.
An omphalocele is a congenital defect in the abdominal wall characterized by absent abdominal muscles, fascia, and skin. The characteristic ultrasound appearance includes a midline defect with herniation of abdominal contents into the base of the umbilical cord. Other anatomic abnormalities are seen in approximately 50% of cases, most notably cardiac defects (19%–32%). Approximately, 50% of cases are associated with genetic and multiple malformation syndromes including trisomy 13/18, pentalogy of Cantrell and Beckwith–Wiedemann syndrome. Therefore, a thorough evaluation is recommended, including detailed anatomic survey, fetal echocardiogram, genetic counseling, and prenatal diagnostic testing. Overall prognosis depends on the size of the omphalocele, genetic studies, and associated anomalies. Early prenatal diagnosis remains important in order to provide parental counseling and assist in pregnancy management. Delivery should occur at a tertiary care center. Timing and mode of delivery should be based on standard obstetric indications with cesarean delivery reserved for large omphalocele (>5 cm) or those that involve the fetal liver. Neonatal management involves either primary or staged reduction, both of which can be associated with a prolonged neonatal hospitalization.  相似文献   
50.
Abstract: Water managers in arid and semiarid regions increasingly view treated wastewater (effluent) as an important water resource. Artificial recharge basins allow effluent to seep into the ground relieving stressed aquifers, however these basins frequently clog due to physical, chemical, and biological processes. Likewise effluent is increasingly used to maintain perennial base flow for dry streambeds, however, little is known about the impact of effluent on streambed hydraulic conductivity and stream‐aquifer interactions. We address this issue by investigating: if a clogging layer forms, how the formation of a clogging layer alters stream‐aquifer connections, and what hydrologic factors control the formation and removal of clogging layers. We focused on the Upper Santa Cruz River, Arizona where effluent from the Nogales International Waste Water Treatment Plant sustains perennial flow. Monthly sampling, along a 30 km river reach, was done with two foci: physical streambed transformations and water source identification using chemical composition. Historical dataset were included to provide a larger context for the work. Results show that localized clogging occurs in the Upper Santa Cruz River. The clogging layers perch the stream and shallow streambed causing desaturation below the streambed. With these results, a conceptual model of clogging is established in the context of a semiarid hydrologic cycle: formation during the hot premonsoon months when flow is nearly constant and removal by large flood flows (>10 m3/s) during the monsoon season. However, if the intensity of flooding during the semiarid hydrologic cycle is lessened, the dependent riparian area can experience a die off. This conceptual model leads us to the conclusion that effluent dominated riparian systems are inherently unstable due to the clogging process. Further understanding of this process could lead to improved ecosystem restoration and management.  相似文献   
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