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31.
This controlled prospective study assesses the relative risks of first trimester chorionic villus sampling (CVS) versus mid-trimester gentic amniocentesis (GA). CVS subjects and amnio-centesis controls were comparable with regard to several confounding variables which might influence the risk of pregnancy loss including maternal age, smoking, alcohol consumption, gestational age at study entry, and history of vaginal bleeding or poor prior reproductive outcome. The most common indication for prenatal diagnosis was advanced maternal age (n = 511). In this subgroup, spontaneous abortion (<24 weeks) occurred in 2·9 per cent of CVS subjects versus 4−3 per cent of amniocentesis controls. The sum of spontaneous and therapeutic abortions (<24 weeks) was identical (5·3 per cent) in both groups. Therefore, intervention in the CVS group (i.e., therapeutic abortion for cytogenetic abnormalities) did not influence the observed risk of pregnancy loss. Overall perinatal mortality rates were also similar in both groups. No significant differences were identified for a number of pregnancy outcome parameters including 5 min Apgar score, birth weight, body length, head circumference, gestational age at delivery, preterm delivery, fetal growth retardation, congenital malformations, and neonatal complications. Preliminary results of this controlled prospective study suggest that chorionic villus sampling carries a low and acceptable risk. 相似文献
32.
Dr M. Buscaglia L. Ghisoni M. Bellotti A. M. Marconi P. Zamperini L. Stripparo A. Molinari M. G. Grimoldi F. Rossella 《黑龙江环境通报》1995,15(1):17-19
We present a technique to aspirate amniotic fluid from both sacs in biamniotic twin pregnancies using a single abdominal insertion with a spinal needle. It was successful in 48 out of 55 cases of biamniotic twin pregnancies referred to our perinatal unit between 1985 and 1994. The single insertion technique was used when the inter-amniotic membrane was clearly evident and two separate free amniotic fluid pools could be reached by the operator with a single puncture. An adequate amount of amniotic fluid was sampled from both sacs to make a cytogenetic diagnosis in all cases. There were four fetuses with trisomy 21 in three twin pregnancies. In two cases, only one twin was affected whilst the co-twin was normal, so that a selective feticide was performed. No miscarriages due to genetic amniocentesis were reported. After 1990, all genetic amniocenteses in biamniotic twin pregnancies (except for one case due to late booking) were performed between 14 and 15 weeks of gestation and with all cases except one, it was possible to sample both twins by a single puncture. We suggest that early amniocentesis (14–15 weeks) by a single abdominal puncture could be a reliable and safe alternative to first-trimester chorionic villus sampling in twin pregnancies. 相似文献
33.
Fifty-three patients who elected to reduce their pregnancies to a twin gestation in our centre are known to have subsequently undergone genetic amniocentesis. Five of these patients lost their entire pregnancy following the genetic amniocentesis procedure. This is equivalent to a 9·4 per cent pregnancy loss rate for reduced twin gestations in comparison with an expected loss rate of 2 per cent for non-reduced twin gestations. 相似文献
34.
Finn Stener Jørgensen MD 《黑龙江环境通报》1995,15(5):419-429
The aim of the study was to describe the opinion of pregnant women who had accepted or declined an alpha-fetoprotein (AFP) test, not only on AFP screening in general, but also on whether every pregnant woman should be offered amniocentesis (AC)/chorionic villus sampling (CVS) and an ultrasound scan for fetal malformations. An additional aim was to describe pregnant women's attitudes concerning continued research in the prenatal field. The study was performed as a questionnaire study in two regions over a 1-year period from 1 October 1988 to 30 September 1989. Results are based on answers from 3331 women who had taken an AFP test and 336 women who had declined the offer of a test. A total of 79 per cent of the women thought that an AFP test, 70 per cent that an ultrasound scan for fetal malformations, and 26 per cent that AC or CVS should be offered to all pregnant women. Fifty-nine per cent of the women were positive towards continued research in the prenatal field. Women who had had an AFP test were generally much more positive towards screening and research than women who had declined, who were generally against. Women who had left school without a high school degree were on average more positive towards the screening issues than women who had this degree. In conclusion, the results obtained in this study strongly suggest that women's attitudes are very dependent on how the prenatal screening programme is already organized in their local area. 相似文献
35.
True microcephaly can be diagnosed at an early stage of gestation by serial measurements of fetal head growth as demonstrated by this case report in which the diagnosis of genetic microcephaly was made but termination refused. True microcephaly was evident at birth. 相似文献
36.
With growing awareness of the problems associated with prenatal cytogenetic diagnoses after CVS, attempts have been made to provide early amniocentesis as an alternative to CVS. Since 1990, at our clinic the gestational age limit for routine diagnostic amniocentesis has been successively lowered, first to 14 and then to 13 weeks of gestation. Thus, 811 prenatal diagnoses were performed after early amniocentesis at 13 weeks (n = 217) and at 14 weeks of gestation (n = 594). No problems were encountered. Culture failure was never observed in the early samples. Using the criteria ‘number of colonies’ and ‘culture duration until harvest’, early samples taken at 14 weeks did not differ significantly from the controls after standard amniocentesis performed at 15 and 16 weeks, respectively, whereas a minority of samples taken at 13 weeks experienced some delay in culturing. However, in each group at least 85 per cent of samples led to a diagnosis fulfilling our standard criteria of a safe diagnosis (at least 20 metaphases of at least five colonies from at least one primary culture after trypsinization) within 15 days. Some differences between the different groups can be recognized: culture duration of less than 11 days tends to be increasing after standard amniocentesis, whereas long culture duration (more than 20 days) is more often associated with early amniocentesis. However, this trend is only minimal and did not result in an increased risk of missing a diagnosis. 相似文献
37.
水质模型参数的确定是构建水质模型的基础。相对于传统优化方法,现代优化算法的优势日趋明显。本文在基于现代优化算法的水质模型参数确定研究背景下,介绍了具有代表性的遗传算法和模拟退火算法,并对该两种算法的应用现状进行综述,旨在推进该领域的进一步探索。 相似文献
38.
Recent theory and empirical work suggests that there may be variation among females in mate preferences that is adaptive.
One of the possible mechanisms maintaining variability in preferences and preferred traits is that the benefits of mate choice
may depend on compatibility with potential mating partners. We examined fitness consequences of mate choice in a species of
fish, the sand goby, Pomatoschistus minutus with a special focus on mate compatibility. Females were given the opportunity to establish their mate preferences in a dichotomous
mate choice experiment. This information was then applied by mating the focal or control female with either the preferred
or the non-preferred male. The parental performance of the males of these four mating combinations was then measured. In a
separate experiment, we assessed the female differential allocation by determining the residual gonad weight of spawned females
as a measure of the proportion of eggs spawned. We also estimated the amount of filial cannibalism separately for both sexes.
Our results show that preferred males provided benefits in the form of an increased number of hatching eggs. This benefit
was the same when the male was mated with a focal or a control female. Hence, we found no support for benefits that depend
on mate compatibility. Neither did we find support for the hypothesis that females would lay a different number of eggs depending
on the male status. The results also indicate that male filial cannibalism has a strong role in determining hatching success
in this species. 相似文献
39.
Assuming that a male’s genetic characteristics affect those of his offspring, extra-pair copulation has been hypothesized
to increase heterozygosity of the progeny—the “genetic compatibility” hypothesis—and the genetic diversity within litters—the
“genetic diversity” hypothesis. We tested these two hypotheses in the alpine marmot (Marmota marmota), a socially monogamous mammal showing a high rate of extra-pair paternity (EPP). In a first step, we tested the assumption
that a male’s genetic characteristics (heterozygosity and genetic similarity to the female) affect those of his offspring.
Genetic similarity between parents influenced offspring heterozygosity, offspring genetic similarity to their mother, and
litter genetic diversity. The father’s heterozygosity also influenced litter genetic diversity but did not affect offspring
heterozygosity. Hence, heterozygosity seems not to be heritable in the alpine marmot. In a second step, we compared genetic
characteristics of extra-pair young (EPY) and within-pair young (WPY). EPY were less genetically similar to their mother but
not more heterozygous than WPY. EPY siblings were also less genetically similar than their WPY half siblings. Finally, the
presence of EPY promoted genetic diversity within the litter. Thus, our data support both the “genetic compatibility” and
the “genetic diversity” hypotheses. We discuss further investigations needed to determine the primary causes of EPP in this
species. 相似文献
40.
Conventional mathematical programming methods, such as linear programming, non linear programming, dynamic programming and
integer programming have been used to solve the cost optimization problem for regional wastewater treatment systems. In this
study, a river water quality management model was developed through the integration of a genetic algorithm (GA). This model
was applied to a river system contaminated by three determined discharge sources to achieve the water quality goals and wastewater
treatment cost optimization in the river basin. The genetic algorithm solution, described the treatment plant efficiency,
such that the cost of wastewater treatment for the entire river basin is minimized while the water quality constraints in
each reach are satisfied. This study showed that genetic algorithm can be applied for river water quality modeling studies
as an alternative to the present methods. 相似文献