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Julin Preciado-Lpez Carmen Prez-Fernndez Miguel Calzada-Uriondo Pilar Preciado-Ruiz 《Journal of voice》2008,22(4):489-508
The purpose of the present study was to calculate the prevalence and incidence of voice disorders among teaching staff and find out the associated occupational risk factors. A case-control study was performed with 905 teachers, 579 cases and 326 controls; 492 were randomly selected and 413 volunteered. All teachers were asked to fill out a standard questionnaire. Next, a complete laryngeal exam was performed including a general ear, nose, and throat evaluation and videolaryngostroboscopy. The prevalence of voice disorders among teaching staff was 57%. The most prevalent lesions were vocal overstrain (18%), nodular lesions (14%), and hyperfunctional dysphonia (8%). The incidence rate was 3.87 new cases per year per 1000 teachers. Women had organic lesions three times more than men (odds ratio [OR]: 3.52, confidence interval [CI]: 2.04-6.09). However, men had chronic laryngitis three times more than women (OR: 2.93, CI: 1.50-5.71) and functional dysphonia nearly twice more than women (OR: 1.81, CI: 1.21-2.69). We find a significant risk of suffering voice disorders in teachers who smoke daily (OR: 2.31, CI: 1.58-3.37) and who drink several cups of coffee or tea (OR: 1.87, CI: 1.36-2.56). It is advisable to carry out an annual evaluation of all teaching staff on account of the high prevalence of voice disorders among them. 相似文献
3.
一类带干扰风险模型的推广 总被引:6,自引:0,他引:6
In this paper, the cLassicaL risk process perturbed by diffusion is genera]ized by alLowing for “size fluctuation“ and the rtl[n probabiLity for this new model is dlscussed. 相似文献
4.
L. Malherbe 《Accreditation and quality assurance》2002,7(5):189-194
Human health risk assessment is a site-based approach used to identify the potential health hazards which are induced by an
old site contamination. For a proper evaluation of the daily doses of contaminants to which people will be exposed given the
future occupation of the site, both a characterization and a quantification of soil pollution are needed. Such information
can be provided by soil sampling. Thus the choice of the location, the number, depth and type of soil samples is very important
and ought to follow a well-defined strategy. A review of contaminated site sampling practices in Europe and North America
could not identify any completely formalized sampling strategy for human health risk assessment. On the contrary there are
several approaches which can be roughly classified into two categories: a systematic sampling scheme over the whole site,
on the one hand, and a sampling design driven by an initial knowledge of the contamination sources and fitted to the suspected
pollution pattern, on the other. The first approach provides a complete coverage of the site but it may be rather expensive
and entail useless sampling. The performance of the second depends on the quality of prior information. Actually both methods
can be combined as explained hereafter. In view of the specificity of each site, the requirements of health risk assessment
and the time and cost constraints, it seems difficult to work out a typical soil sampling strategy suitable for all sites.
However, some recommendations can be made according to the site dimensions, the nature, degree and heterogeneity of contamination,
and the (future) use of the site. The scientist should thus rely on a thorough examination of all available information (site
history, geology and hydrogeology, soil properties, contaminants behaviour , etc.) to delimit contaminated areas as homogeneous
as possible and then distribute the sampling points (e.g.using a sampling grid). They should also take the potential exposure
paths into account in order to define the areas and soil strata to be sampled as a priority. Statistical and geostatistical
tools can be helpful for formulating a sampling strategy as well as for interpreting the collected data.
Received: 7 December 2001 Accepted: 24 February 2002 相似文献
5.
We develop and implement linear formulations of general Nth order stochastic dominance criteria for discrete probability distributions. Our approach is based on a piece-wise polynomial representation of utility and its derivatives and can be implemented by solving a relatively small system of linear inequalities. This approach allows for comparing a given prospect with a discrete set of alternative prospects as well as for comparison with a polyhedral set of linear combinations of prospects. We also derive a linear dual formulation in terms of lower partial moments and co-lower partial moments. An empirical application to historical stock market data suggests that the passive stock market portfolio is highly inefficient relative to actively managed portfolios for all investment horizons and for nearly all investors. The results also illustrate that the mean–variance rule and second-order stochastic dominance rule may not detect market portfolio inefficiency because of non-trivial violations of non-satiation and prudence. 相似文献
6.
We show that in a contest with a single prize, the expected effort made by the kth highest valuation participant bounds the sum of the expected efforts made by all of the participants with valuations less than the kth highest valuations. We also show that in the limit case of a contest with m prizes, the expected effort made by the kth highest valuation participant when the bidders are risk-neutral is greater than the expected effort in the risk-averse case. 相似文献
7.
We investigate a newsvendor-type retailer sourcing problem under demand uncertainty who has the option to source from multiple suppliers. The suppliers’ manufacturing costs are private information. A widely used mechanism to find the least costly supplier under asymmetric information is to use a sealed-bid reverse auction. We compare the combinations of different simple auction formats (first- and second-price) and risk sharing supply contracts (push and pull) under full contract compliance, both for risk-neutral and risk-averse retailer and suppliers. We show the superiority of a first-price push auction for a risk-neutral retailer. However, only the pull contracts lead to supply chain coordination. If the retailer is sufficiently risk-averse, the pull is preferred over the push contract. If suppliers are risk-averse, the first-price push auction remains the choice for the retailer. Numerical examples illustrate the allocation of benefits between the retailer and the (winning) supplier for different number of bidders, demand uncertainty, cost uncertainty, and degree of risk-aversion. 相似文献
8.
The emergence of B2B spot markets has greatly facilitated spot trading and impacted supply chain structures as well as the way commercial transactions take place between firms in many industries. While providing new opportunities, the B2B spot market also exposes participants to a price risk. This new business landscape raises some important questions on how the supplier and manufacturer should change their sales channel and procurement strategies and tailor their decisions to this changing environment. In this paper, we study the channel-choice, pricing and ordering/production decisions of the risk-averse supplier and manufacturer in a two-tier supply chain with a B2B spot market. Our analysis shows that, to benefit from the B2B spot market and control the risk exposure, the upstream supplier should develop an integrated channel-choice and pricing strategy. When the supplier adopts a dual-channel strategy, the equilibrium contract price decreases in the supplier’s risk attitude, but increases in the demand uncertainty. However, it first decreases and then increases in the manufacturer’s risk attitude and spot price volatility. We conclude that rather than simply being a second channel, the B2B spot market provides a strategic tool to supply chain members to achieve an advantageous position in their contract trading. 相似文献
9.
10.
Yonghui Huang 《Journal of Mathematical Analysis and Applications》2009,359(1):404-140
This paper studies the risk minimization problem in semi-Markov decision processes with denumerable states. The criterion to be optimized is the risk probability (or risk function) that a first passage time to some target set doesn't exceed a threshold value. We first characterize such risk functions and the corresponding optimal value function, and prove that the optimal value function satisfies the optimality equation by using a successive approximation technique. Then, we present some properties of optimal policies, and further give conditions for the existence of optimal policies. In addition, a value iteration algorithm and a policy improvement method for obtaining respectively the optimal value function and optimal policies are developed. Finally, two examples are given to illustrate the value iteration procedure and essential characterization of the risk function. 相似文献