全文获取类型
收费全文 | 11948篇 |
免费 | 836篇 |
国内免费 | 70篇 |
专业分类
耳鼻咽喉 | 237篇 |
儿科学 | 276篇 |
妇产科学 | 245篇 |
基础医学 | 1601篇 |
口腔科学 | 403篇 |
临床医学 | 979篇 |
内科学 | 2457篇 |
皮肤病学 | 209篇 |
神经病学 | 759篇 |
特种医学 | 420篇 |
外国民族医学 | 6篇 |
外科学 | 1917篇 |
综合类 | 216篇 |
一般理论 | 8篇 |
预防医学 | 768篇 |
眼科学 | 465篇 |
药学 | 1071篇 |
中国医学 | 100篇 |
肿瘤学 | 717篇 |
出版年
2024年 | 8篇 |
2023年 | 126篇 |
2022年 | 127篇 |
2021年 | 524篇 |
2020年 | 359篇 |
2019年 | 462篇 |
2018年 | 583篇 |
2017年 | 387篇 |
2016年 | 460篇 |
2015年 | 474篇 |
2014年 | 675篇 |
2013年 | 815篇 |
2012年 | 1211篇 |
2011年 | 1162篇 |
2010年 | 655篇 |
2009年 | 460篇 |
2008年 | 732篇 |
2007年 | 699篇 |
2006年 | 589篇 |
2005年 | 478篇 |
2004年 | 382篇 |
2003年 | 388篇 |
2002年 | 310篇 |
2001年 | 87篇 |
2000年 | 74篇 |
1999年 | 72篇 |
1998年 | 61篇 |
1997年 | 34篇 |
1996年 | 39篇 |
1995年 | 23篇 |
1994年 | 30篇 |
1993年 | 27篇 |
1992年 | 25篇 |
1991年 | 32篇 |
1990年 | 18篇 |
1989年 | 27篇 |
1988年 | 32篇 |
1987年 | 29篇 |
1986年 | 12篇 |
1985年 | 20篇 |
1984年 | 15篇 |
1982年 | 10篇 |
1981年 | 7篇 |
1980年 | 9篇 |
1978年 | 9篇 |
1977年 | 9篇 |
1976年 | 8篇 |
1975年 | 11篇 |
1974年 | 14篇 |
1973年 | 11篇 |
排序方式: 共有10000条查询结果,搜索用时 250 毫秒
51.
Maria Shahmoradgoli Najafabadi Mina Ohadi Mohammad Taghi Joghataie Faraz Valaie Yasser Riazalhosseini Hamid Mostafavi Fariba Mohammadbeigi Hossein Najmabadi 《American journal of medical genetics. Part B, Neuropsychiatric genetics》2005,(1):39-41
Dysfunction of the central dopaminergic neurotransmission has been suggested to play an important role in the etiology of certain neuropsychiatric disorders such as drug abuse. It has been shown that the dopamine D2 receptor (DRD2) gene dysfunction is associated with multi-drug addiction. Addiction to opium is the most common form of drug abuse in Iran. We studied the allelic association between DRD2 Taq I A polymorphism in 100 opium-dependent Iranian patients and 130 unrelated controls. A 310 bp (base pair) region surrounding Taq I site at the DRD2 locus was amplified by polymerase chain reaction (PCR) and the PCR product was incubated with Taq I restriction enzyme. The A1 allele remained intact while the A2 allele was cut. Significant association was observed between A1 allele and addiction in the patients group (P < 0.0001). Moreover, the frequency of A1A1 genotype was significantly higher in opium users than controls (P < 0.0001). Our result indicates that DRD2 might be involved in the pathophysiology of opium addiction. 相似文献
52.
We describe identical twin sisters born to nonconsanguineous, healthy parents. Both twins had situs viscerum inversus and developed hypertrophic cardiomyopathy in adulthood. 相似文献
53.
Osteonecrosis in HIV: a case-control study 总被引:2,自引:0,他引:2
Scribner AN Troia-Cancio PV Cox BA Marcantonio D Hamid F Keiser P Levi M Allen B Murphy K Jones RE Skiest DJ 《Journal of acquired immune deficiency syndromes (1999)》2000,25(1):19-25
BACKGROUND: Osteonecrosis (avascular necrosis) has been infrequently reported in HIV-infected patients. It is not known whether HIV itself is an independent risk factor for osteonecrosis. METHODS: We identified 25 patients with osteonecrosis from 1984 to 1999 from a large county teaching hospital and two large practices in Dallas County that specialize in HIV-disease related therapy. A retrospective chart review was performed to evaluate potential risk factors for osteonecrosis. Each case was matched with two controls for HIV positive status and date of osteonecrosis diagnosis. RESULTS: In the study, 22 of 25 (88%) case patients had at least one osteonecrosis risk factor compared with 24 of 50 (48%) controls, p =.003. The most common osteonecrosis risk factors were hyperlipidemia (32%), alcoholism (28%), pancreatitis (16%), corticosteroids (12%), and hypercoaguability (12%). Of the cases, 12% were idiopathic. Multiple joints were involved in 72% of cases. Four of the case patients compared with none of the controls received megesterol acetate before the diagnosis of osteonecrosis, p =.01. No significant differences were found between cases and controls with respect to liver function tests, testosterone levels, triglyceride levels, cholesterol levels, or CD4 cell counts. Saquinavir was independently associated with osteonecrosis, p <.05. However, no differences in overall use of protease inhibitors among cases and controls were noted: 79% versus 76%, respectively. CONCLUSIONS: The increased incidence of osteonecrosis in HIV/AIDS may be due to an increased frequency of risk factors previously associated with osteonecrosis such as hyperlipidemia, corticosteroid use, alcohol abuse, and hypercoaguability. Use of protease inhibitors was not independently associated with osteonecrosis. 相似文献
54.
Matthew Freedman MD Dot Steller Hamid Jafroudi Seong Ki Mun 《Journal of digital imaging》1995,8(2):67-74
Quality control (QC) of storage phosphor devices is important in assuring that the image information entered into an Image management and communication (IMAC) system is sufficient for diagnosis. QC of storage phosphor digital radiography systems is complex because of the self-corrective nature of the image-processing software used in these machines. Currently, one must produce hard copy to perform adequate QC. Inspection of images with reject analysis and inspection of cassettes and imaging plates has helped us in our QC program. For those QC tests using control limits, the appropriate settings for these limits are unknown. Starting approximations are given. Recommended tests are described. 相似文献
55.
Hyperbaric oxygenation mitigates focal cerebral injury and reduces striatal dopamine release in a rat model of transient middle cerebral artery occlusion 总被引:16,自引:0,他引:16
Yang ZJ Camporesi C Yang X Wang J Bosco G Lok J Gorji R Schelper RL Camporesi EM 《European journal of applied physiology》2002,87(2):101-107
The usefulness of the administration of hyperbaric oxygen (HBO) in the treatment of acute focal cerebral ischemia remains
debatable. A significant association exists between focal cerebral injury and an excessive release of extracellular dopamine
(DA). In vivo microdialysis was used in the present study to examine the effect of HBO on DA release in the striatum during
ischemia and reperfusion in rats. The histological changes occurring were also evaluated. Focal cerebral ischemia was induced
by occlusion of the middle cerebral artery (MCA) using a surgically placed intraluminal filament. Control rats (n=8) were subjected to 1 h of ischemia, whilst the study rats (n=8) were in addition treated with HBO (2.8 atmospheres of absolute pressure 100% O2) during ischemia. Both groups were returned to breathing room air at normal pressure during reperfusion. Microdialysis samples
were continuously collected at 15 min intervals at 2 μl·min–1. The [mean (SE)] increase in release of striatal DA attained significance after 30 min of occlusion of MCA [170 (24)%], and
continued to increase [268 (26)% at 45 min] reaching a peak level at 60 min [672 (59)%] before returning to the baseline level
during the late reperfusion phase. There was no significant change in the level of DA in HBO treated rats during the period
of ischemia. A significant reduction in edema and neuronal shrinkage were observed by histological examination in HBO treated
rats when compared to the control rats. The results showed that HBO, when administered during ischemia, offered significant
neuroprotection in our experimental model of transient focal cerebral ischemia in the rat. The mechanism seems to imply, at
least in part, a reduced level of DA.
Electronic Publication 相似文献
56.
Pepe C Foley S Shannon J Lemiere C Olivenstein R Ernst P Ludwig MS Martin JG Hamid Q 《The Journal of allergy and clinical immunology》2005,116(3):544-549
BACKGROUND: Airway remodeling in asthma comprises a range of structural changes. Several studies have suggested an association between these changes and disease severity. The relationship between the extent of remodeling and lung function is not well defined. OBJECTIVE: We sought to contrast the structural changes in the airways of well-defined groups of subjects with severe and moderate asthma and to correlate the extent of remodeling with disease severity. METHODS: Endobronchial biopsy specimens were obtained from 15 subjects with severe and 13 subjects with moderate asthma. Epithelial integrity, cell-layer areas, subepithelial fibrosis, and the distance between epithelial and airway smooth muscle (ASM) layers were measured by means of image analysis. Collagen was identified by using Van Giesen stain, and ASM was defined by using smooth muscle alpha-actin immunostaining. Specific immunostains were performed for the evaluation of RANTES, IL-8, and eotaxin expression as markers of ASM phenotype. RESULTS: ASM area was greater in subjects with severe (0.24+/- 0.03 mm(2)) than in subjects with moderate (0.05+/- 0.01 mm(2)) asthma (P<.001). The distance between the epithelial and ASM layers was less in the severe group (0.12+/- 0.01 mm) than in the moderate group (0.24+/- 0.02, P<.001). A trend toward greater subepithelial fibrosis in subjects with severe asthma did not reach statistical significance. IL-8 and eotaxin expression, but not RANTES expression, were increased in the ASM of subjects with severe asthma compared with in subjects with moderate asthma. CONCLUSION: Smooth muscle alteration is the key structural change that distinguishes severe from moderate asthma, and phenotypic change in ASM might contribute to the difficulty in obtaining adequate control in some subjects with severe asthma. 相似文献
57.
New insights into the pathogenesis of dilated cardiomyopathy: possible underlying autoimmune mechanisms and therapy 总被引:7,自引:0,他引:7
In the present study, autoimmune processes involved in the pathogenesis of dilated cardiomyopathy (DCM) are discussed. Genetic predisposition, persistent viral infection, and molecular mimicry have previously been described as the underlying mechanisms of the disease, and prevalence of autoantibodies (AABs) against several intra- and extracellular cardiotropic targets has been confirmed. These autoantibodies are able to disturb the normal physiological activity of the cardiomyocytes. They also could function as mediators in an activated immune system and direct a great deal of attention to injured tissue via (1) complement activation and (2) genesis of circulatory immunocomplexes (CICs) in association with self-antigens. The number as well as duration of accessible autoantigens or CICs seem to play an important role in activation of the antigen-presenting cells (APCs) and, consequently, promotion of autoimmunity. Since AABs play such a decisive role, their exclusion by immunoadsorption (IA) therapy has been discussed as a new approach in DCM treatment. Hitherto, all performed pilot studies using this approach have shown improvement in cardiac function and quality of life in the vast majority of treated DCM patients. The removal of circulating AABs may downregulate the autoimmune system, moderate the inflammatory signals, and hasten the recovery of the affected tissue. 相似文献
58.
The Cbl family of ubiquitin ligases: critical negative regulators of tyrosine kinase signaling in the immune system 总被引:9,自引:0,他引:9
The Cbl family of proteins are evolutionarily conserved negative regulators of activated tyrosine kinase-coupled receptors. Antigen receptors are prominent targets of negative regulation by the Cbl family members, Cbl and Cbl-b, which proteins function as ubiquitin ligases. Cbl and Cbl-b contain substrate recognition domains that interact specifically with activated protein tyrosine kinases of the Src and Syk/ZAP-70 families. Cbl-mediated ubiquitination of these kinases leads to their degradation, resulting in attenuation of receptor signals. Cbl may also control activation-induced monoubiquitination of antigen receptors, thus facilitating their delivery to lysosomes for subsequent degradation. Finally, the interactions of Cbl proteins with downstream targets of tyrosine kinases, such as PI-3-kinase and Vav, could provide an additional mechanism to attenuate receptor signaling. By targeting multiple components of antigen receptor signaling for degradation, the Cbl protein family provides a critical mechanism to ensure an appropriate immune response. The hyperresponsiveness of Cbl(-/-) and Cbl-b(-/-) lymphocytes and the autoimmune phenotype of Cbl-b(-/-) mice lend strong support for this proposal. The ability to control early receptor signals through regulated protein degradation provides a novel paradigm of immunoregulation. 相似文献
59.
Moallem HJ Taningo G Jiang CK Hirschhorn R Fikrig S 《Clinical immunology (Orlando, Fla.)》2002,105(1):75-80
Purine nucleoside phosphorylase (PNP) deficiency results in an autosomal recessive immunodeficiency disease characterized by initial involvement of cellular immunity and neurological manifestations with subsequent abnormalities of humoral immunity. The initial presentation and clinical course has varied widely in the relatively few published cases. The molecular basis has been reported in only 10 patients, precluding evaluation of phenotype-genotype relationships. We now report clinical, immunologic, and molecular findings in a new case of relatively early onset that emphasizes hypotonia and developmental delay as early manifestations. The patient carried two novel missense mutations (Gly56A1a and Val217Ile) on the same allele in apparent homozygosity. Expression of each of the mutant enzymes in vitro demonstrated that the Gly156A1a mutation abolished enzyme activity while the Val217Ile mutation was without obvious effect and is therefore a normal variant. Such "normal" polymorphisms might be associated with a variable response to the immunosuppressive PNP inhibitors currently in clinical trials. 相似文献
60.
Bagher Larijani Mir Reza Bekheirnia Akbar Soltani Alireza Khalili‐Far Hossein Adibi Reza Baradar Jalili 《American journal of human biology》2004,16(2):168-171
The aim of this study was to determine the relationships between bone mineral density (BMD) and blood pressure in 214 men, age 20–76. BMD measurements were done by dual X‐ray absorptiometry using a Lunar DPXMD densitometer at the lumbar spine (L2–L4) and different femoral regions. Systolic (SBP) and diastolic (DBP) blood pressure were measured using an MPC‐350 sphygmomanometer. Physicians gathered demographic data and participants' dietary intake of calcium were determined by using food frequency questionnaires. After adjusting for age, body mass index, dietary calcium, and exercise history, multiple linear regression models showed that DBP was negatively related to femoral neck BMD (β = ?0.145, P = 0.032) and just shy of significant association with femoral neck BMC (β = ?0.114, P = 0.079). SBP was correlated with femoral neck (r = ?0.171, P = 0.012) and Ward's (r = ?0.186, P = 0.006) BMD but not after adjusting for possible confounders. Further studies are needed to determine whether elevated blood pressure is causally related to the development of low bone mass. Am. J. Hum. Biol. 16:168–171, 2004. © 2004 Wiley‐Liss, Inc. 相似文献