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161.
Objective: The objective of this study was to conduct a comprehensive analysis of demographics, injury characteristics and hospital resource utilization of significant pediatric electric bicycle (e-bike) injuries leading to hospitalization following an emergency department visit in comparison to pediatric injuries caused by other traffic related mechanisms.

Methods: A retrospective review of all pediatric traffic injury hospitalizations following an emergency department visit to a level I trauma center between October 2014 and September 2016 was conducted. Data regarding age, sex, number of computed tomography (CT) scans obtained, number of major procedures, length of hospital stay (LOS), Injury Severity Score (ISS), and number of injuries per patient were collected and compared between e-bike injuries and other traffic injuries.

Results: Three hundred thirty-seven admissions were analyzed: 46 (14%) were due to e-bike injuries (29% of patients >12 years). Age, proportion of brain injuries, and use of CT were significantly increased compared to mechanical bicycle injuries (13.1?±?3.4 vs. 10.6?±?3.6, 13% vs. 3%, 1 [0–3] vs. 1 [0–1], P < .01, P = .03, P = .05). Age, LOS, and use of CT were significantly increased compared to injuries caused to automobile passengers (13.1?±?3.4 vs. 7.4?±?5.3, 1 [1–3] vs. 1 [1–2], 1 [0–3] vs. 0 [0–1], P < .01, P = .03, P = .01), as well as ISS and number of injuries per patient (P = .04, P < .01). Injuries caused by e-bikes were similar to injuries caused to pedestrians, except for age (13.1?±?3.4 vs. 8.5?±?3.7, P < .01). Multivariable analysis revealed a significant association between mechanism of injury and ISS, with increased ISS among e-bike injuries compared to mecahnical bike injuries (OR 2.56, CI 1.1–5.88, P = 0.03) and automobile injuries (OR 4.16, CI 1.49–12.5, (P < .01).

Conclusion: E-bikes are a significant cause of severe injury in children compared to most other traffic injuries, particularly in older children.  相似文献   
162.
高处坠落是建筑工程事故统计中发生频率最高的一类事故,会造成极大的人员伤害和经济损失。通过分析123例典型高处坠落事故调查报告,采用关键词检索抽取出19种导致该类事故发生的致因要素;针对一般事故和较大事故分别对致因要素发生频率进行了统计,得出一般事故中人的因素更关键,较大事故中物的因素更关键。采用ISM模型进一步分析致因要素间的作用关系,构建了7个层级的高处坠落致因要素解释结构模型;对不同层级要素进行分析,发现其与频率度量有良好的一致性,最后得出行政监管和违法承发包两个致因要素是事故发生的深层原因。  相似文献   
163.
为保障信号交叉口的正常交通秩序,充分遏制机动车未按规定导向车道行驶行为,亟需探究该行为的影响因素及干预方法。以北京市内4个信号交叉口处共35 h的1 666条监控视频数据为基础,对未按规定导向车道行驶行为进行定义并将其分为9类,分别对频率较高的5类未按规定导向车道行驶行为构建二元Logit模型,以确定其关键影响因素,并据此提出干预方法。结果表明,排队车辆数、大车比例、时段、车流量、照明条件等因素会不同程度地影响5类未按规定导向车道行驶行为的发生概率,其中排队车辆数及时间因素影响最为显著。在此基础上,从交通工程设施及驾驶人安全意识角度,提出优化交叉口渠化设计及信号配时、采用智能标线、强化监管力度及完善交通管控设施、加强驾驶人安全教育4种未按规定导向车道行驶行为干预方法。  相似文献   
164.
利用EXODUS建立隧道的仿真场景,确定疏散人群仿真参数,并将出口工效OPS作为评价疏散效率的指标,分析不同火灾发生位置对疏散时间的影响。采用K-means算法分别对火灾发生位置和人群疏散通道位置进行聚类,并建立基于两者影响下的出口工效模型,通过对该模型求偏导,得出隧道火灾发生位置和人群疏散通道选择之间的关系。研究结果表明:火灾发生位置越接近人行横通道,疏散时间波动越大,人行横通道和隧道入口的疏散时间随人群疏散区域分界线变化,当火灾发生距人行横通道20~110 m时,变化明显,当距140~350 m时,变化平稳;出口工效OPS总体呈现不稳定的阶梯状变化趋势;火灾发生位置和人群疏散通道的最优位置呈线性递减关系。研究结果可应用于隧道应急指挥中心管理人员制定有效疏散路径和采取诱导分流人群措施。  相似文献   
165.
Urbanization typically involves a continuous increase in motor vehicle use, resulting in congestion known as traffic jams. Idling emissions due to traffic jams combine with the complex terrain created by buildings to concentrate atmospheric pollutants in localized areas. This research simulates emissions concentrations and distributions for a congested street in Minsk, Belarus. Ground-level (up to 50-meters above the street's surface) pollutant concentrations were calculated using STAR (version 3.10) with emission factors obtained from the U.S. Environmental Protection Agency, wind speed and direction, and building location and size. Relative emissions concentrations and distributions were simulated at 1-meter and 10-meters above street level. The findings demonstrate the importance of wind speed and direction, and building size and location on emissions concentrations and distributions, with the leeward sides of buildings retaining up to 99 percent of the emitted pollutants within 1-meter of street level, and up to 77 percent 10-meters above the street.  相似文献   
166.
合肥市典型交通干道大气苯系物的特征分析   总被引:1,自引:1,他引:0  
为研究合肥市交通干道大气苯系物污染状况,采用自主研制的差分吸收光谱(DOAS)系统,于2016年3月期间对合肥市交通主干道大气苯系物(苯、甲苯、间二甲苯和邻二甲苯)以及常规污染物NO_2、SO_2等进行了连续观测.观测结果显示,观测期间苯、甲苯、间二甲苯和邻二甲苯的平均浓度分别为:21.7、63.6、33.9和98.7μg·m~(-3).与国内外其它城市比较显示,合肥市交通干道大气苯和甲苯的污染处于中等水平,二甲苯的污染较为严重.结合观测期的间风速风向、T/B特征比值以及与CO等污染物的相关性,对上述苯系物来源进行了分析,结果显示观测期间T/B值为0.8~4.5,苯、甲苯与CO的相关性系数R分别为0.55和0.34.表明机动车尾气排放是观测区域苯和甲苯的主要排放源之一,同时也受到周边工业园区排放的影响,二甲苯的主要排放源为观测地点北偏东方向的涂料行业工业园区.苯和甲苯的夜间高浓度峰值分析结果表明,夜间的高浓度苯和甲苯可能主要来源于观测地点周边工业园区的排放.观测区域苯系物的臭氧生成潜势(OFP)表现为邻二甲苯间二甲苯甲苯苯,其中二甲苯的OFP占总OFP的85%,表明周边工业园区的排放对该地区臭氧生成的贡献较大.  相似文献   
167.
构建了一个包含交通转盘、隧道、高架桥和下沉式公交站的立体交通几何模型,建立了该系统中流体流动与污染物传播的耦合数学模型,数值分析了环境风变化时,该系统中流体流动与气态污染物的传播规律.结果表明,环境风向的变化直接改变了公交站区域流体的流向途径,在公交站区域;北风时的平均污染物浓度是西风时的3.5倍,而在转盘中央区域,北风时平均污染物浓度是西风时的5倍.西风时,环境风速从0.5m/s增加到3.5m/s,东侧公交站区域的平均污染物浓度减少95.21%;交通隧道内,环境风速的增加使空气流通速度增加,污染物浓度迅速降低.  相似文献   
168.
为了研究我国煤矿重特大事故的一般规律,分析了2002-2014年我国煤矿发生的421起重特大事故,得到我国煤矿重特大事故的基本特征.利用统计分析法从地域、类型、所有制3个维度综合分析了421起煤矿重特大事故.结果表明:山西、贵州、河南、黑龙江和湖南5个省份的重特大事故起数和死亡人数分别占全国总数的56.1%和56.8%,是我国需重点监管和治理的省份,并对山西、河南和黑龙江3省重特大事故频发的原因进行了分析;瓦斯事故和水害事故的发生起数及死亡人数占比分别为83.3%和86.3%,是需要重点防治的事故类型;国有重点煤矿重特大事故平均每起死亡人数为29.87,且近两年重特大事故起数和死亡人数均大幅度上升,是需要重点防范的对象;乡镇煤矿重特大事故起数及死亡人数下降速度均较快,但事故起数和死亡人数仍较多,是国家重点监控、治理的对象.  相似文献   
169.
170.
Objectives: The objective of this study was to assess the incidence rate as well as direct and indirect costs of nonfatal road traffic injuries (RTIs) in Iran in 2011.

Methods: Data from the 2011 national household survey were used. In this survey, data on demographics, history, and costs of injury were obtained in 2 steps: first, direct face-to-face interview and second, telephone calls. We estimated the incidence rate of nonfatal RTIs in this year. The direct costs included medical care as well as nonmedical costs paid by the patient or insurance services. The indirect costs were estimated by considering the cost of absence from work or education. We also used logistic regression analyses to investigate risk factors of nonfatal RTIs.

Results: We found 76 nonfatal RTI cases (0.96%) out of 7,886 whole reference study cases. These 76 injured patients had a history of RTI in the preceding 3 months. The annual incidence of RTIs was estimated at 3.84%. The mean age of RTI cases was 28.5 ± 10.6 and 88.16% of them were male. Male gender was a major risk factor (odds ratio [OR] = 9.64, 95% confidence interval [CI], 4.79–19.41) and marriage was a protective factor (OR = 0.44, 95% CI, 0.28–0.70) for RTI. The medians of direct, indirect, and total costs were US$214, US$163, and US$387, respectively. The total cost of nonfatal RTIs in Iran was estimated at 1.29% of the gross domestic product (GDP) in 2011.

Conclusions: In Iran, nonfatal RTIs imposed a total cost of almost US$7 billion to the country for one year. Extension and more serious implementation of preventive measurements seem necessary to decrease this notable burden of RTIs.  相似文献   

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