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Exposure and infection of a Gore-Tex vascular access graft often results in removal of the graft. Salvage of the graft is possible, however, with the use of well-vascularized muscle flaps. In 1982, Hodgkinson was the first to use a sublimis muscle flap to cover an exposed vascular access graft. We used the flexor carpi ulnaris and flexor digitorum superficialis to cover exposed Gore-Tex grafts in nine patients. The sublimis was used to cover distal graft exposures, and the longer flexor carpi ulnaris muscle was used to cover more proximal sites. Multiple exposures required both flaps or combinations of muscle flaps and local rotation flaps. Eight of nine chronically exposed grafts were salvaged using these techniques; a graft was removed from one patient because of diffuse unrecognized graft bed infection. Disability is minimized by using only part of the sublimis, and loss of the flexor carpi ulnaris is compensated by local muscles with similar actions. Vascular puncture can be continued during healing.  相似文献   
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The nucleotide sequence data reported in this paper have been submitted to the GenBank nucleotide sequence database and have been assigned the accession number M90306.  相似文献   
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The commencement of the United Nations Decade on Ecosystem Restoration has highlighted the urgent need to improve restoration science and fast-track ecological outcomes. The application of remote sensing for monitoring purposes has increased over the past two decades providing a variety of image datasets and derived products suitable to map and measure ecosystem properties (e.g. vegetation species, community composition, and structural dimensions such as height and cover). However, the operational use of remote sensing data and derived products for ecosystem restoration monitoring in research, industry, and government has been relatively limited and underutilized. In this paper, we use the Society for Ecological Restoration (SER) ecological recovery wheel (ERW) to assess the current capacity of drone-airborne-satellite remote sensing datasets to measure each of the SER's recommended attributes and sub-attributes for terrestrial restoration projects. Based on our combined expertise in the areas of ecological monitoring and remote sensing, a total of 11 out of 18 sub-attributes received the highest feasibility score and show strong potential for remote sensing assessments; while sub-attributes such as gene flows, all trophic levels and chemical and physical substrates have a reduced capacity for monitoring. We argue that in the coming decade, ecologists can combine remote sensing with the ERW to monitor restoration recovery and reference ecosystems for improved restoration outcomes at the local, regional, and landscape scales. The ERW approach can be adapted as a monitoring framework for projects to utilize the benefits of remote sensing and inform management through scalable, operational, and meaningful outcomes.  相似文献   
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We address the problem of the possible significance of biological speciation to the magnitude and pattern of divergence of asexually transmitted characters in bisexual species. The empirical data for this report consist of restriction endonuclease site variability in maternally transmitted mitochondrial DNA (mtDNA) isolated from 82 samples of Peromyscus polionotus and P. leucopus collected from major portions of the respective species' ranges. Data are analyzed together with previously published information on P. maniculatus, a sibling species to polionotus. Maps of restriction sites indicate that all of the variation observed can be reasonably attributed to base substitutions leading to loss or gain of particular recognition sites. Magnitude of mtDNA sequence divergence within polionotus (maximum approximately equal to 2%) is roughly comparable to that observed within any of five previously identified mtDNA assemblages in maniculatus. Sequence divergence within leucopus (maximum approximately equal to 4%) is somewhat greater than that within polionotus. Consideration of probable evolutionary links among mtDNA restriction site maps allowed estimation of matriarchal phylogenies within polionotus and leucopus. Clustering algorithms and qualitative Wagner procedures were used to generate phenograms and parsimony networks, respectively, for the between-species comparisons. Three simple graphical models are presented to illustrate some conceivable relationships of mtDNA differentiation to speciation. In theoretical case I, each of two reproductively defined species (A and B) is monophyletic in matriarchal genealogy; the common female ancestor of either species can either predate or postdate the speciation. In case II, neither species is monophyletic in matriarchal genotype. In case III, species B is monophyletic but forms a subclade within A which is thus paraphyletic with respect to B. The empirical results for mtDNA in maniculatus and polionotus appear to conform closely to case III. These theoretical and empirical considerations raise a number of questions about the general relationship of the speciation process to the evolution of uniparentally transmitted traits. Some of these considerations are presented, and it is suggested that the distribution patterns of mtDNA sequence variation within and among extant species should be of considerable relevance to the particular demographies of speciation.   相似文献   
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Alternative stable states are nontransitory states within which communities can exist. However, even highly dynamic communities can be viewed within the framework of stable‐state theory if an appropriate “ecologically relevant” time scale is identified. The ecologically relevant time scale for dynamic systems needs to conform to the amount of time needed for a system's community to complete an entire cycle through its normal range of variation. For some systems, the ecologically relevant period can be relatively short (eg, tidal systems), for others it can be decadal (eg, prairie wetlands). We explore the concept of alternative stable states in unstable systems using the highly dynamic wetland ecosystems of North America's Prairie Pothole Region. The communities in these wetland ecosystems transition through multiple states in response to decadal‐long climate oscillations that cyclically influence ponded‐water depth, permanence, and chemistry. The perspective gained by considering dynamic systems in the context of stable‐state theory allows for an increased understanding of how these systems respond to changing drivers that can push them past tipping points into alternative states. Incorporation of concepts inherent to stable‐state theory has been suggested as a key scientific element upon which to base sustainable environmental management.  相似文献   
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