首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   753篇
  免费   141篇
  国内免费   41篇
耳鼻咽喉   1篇
儿科学   10篇
妇产科学   6篇
基础医学   151篇
口腔科学   4篇
临床医学   53篇
内科学   70篇
皮肤病学   10篇
神经病学   142篇
特种医学   19篇
外国民族医学   1篇
外科学   31篇
综合类   104篇
现状与发展   1篇
预防医学   100篇
眼科学   7篇
药学   94篇
中国医学   56篇
肿瘤学   75篇
  2024年   1篇
  2023年   26篇
  2022年   34篇
  2021年   75篇
  2020年   67篇
  2019年   39篇
  2018年   44篇
  2017年   46篇
  2016年   42篇
  2015年   32篇
  2014年   48篇
  2013年   67篇
  2012年   59篇
  2011年   59篇
  2010年   41篇
  2009年   33篇
  2008年   22篇
  2007年   26篇
  2006年   27篇
  2005年   19篇
  2004年   25篇
  2003年   12篇
  2002年   10篇
  2001年   8篇
  2000年   6篇
  1999年   5篇
  1998年   4篇
  1997年   4篇
  1996年   1篇
  1995年   3篇
  1994年   2篇
  1993年   5篇
  1992年   1篇
  1991年   3篇
  1990年   1篇
  1989年   4篇
  1988年   3篇
  1987年   3篇
  1986年   1篇
  1985年   1篇
  1984年   6篇
  1982年   6篇
  1981年   4篇
  1980年   1篇
  1979年   2篇
  1978年   1篇
  1975年   1篇
  1974年   1篇
  1971年   3篇
  1968年   1篇
排序方式: 共有935条查询结果,搜索用时 15 毫秒
141.
142.
目的探讨跨膜蛋白16A(TMEM16A)在乳腺癌细胞中参与信号通路的富集分析及其对乳腺癌患者预后的影响,探究其对雌激素受体(ER)和孕酮受体(PR)阳性乳腺癌促进增殖作用的机制。方法从公共数据库癌症基因组图谱在线数据库中下载乳腺癌的转录组及临床数据,根据TMEM16A表达的中位值将患者分为高表达组和低表达组,用基因集富集分析进行基因富集和通路分析。用Kaplan-Meier法进行生存分析。用Western Blot方法检测过表达及敲减TMEM16A后ER和PR阳性乳腺癌T47D细胞的TMEM16A蛋白及下游信号通路磷酸化表皮生长因子受体(p-EGFR)和EGFR蛋白的表达情况。用CCK-8细胞增殖实验检测乳腺癌T47D细胞转染过表达TMEM16A质粒及用EGFR通路抑制剂后的细胞增殖能力。结果高表达TMEM16A组乳腺癌患者的基因高度富集于EGFR通路、葡萄糖激酶调节蛋白通路和间质表皮转化因子(MET)等通路。Kaplan-Meier生存分析显示:TMEM16A高表达乳腺癌患者预后生存期显著降低,TMEM16A与EGFR共同高表达组的总生存显著低于共同低表达组。Western Blot结果显示:过表达TMEM16A能够增加p-EGFR蛋白表达,反之敲减TMEM16A后p-EGFR蛋白表达水平降低。CCK-8结果显示:转染空质粒与过表达(TMEM16A OE)的相对增殖力分别为(100.00±0)%和(121.40±5.99)%,并且这种促增殖作用可以被吉非替尼所逆转,TMEM16A OE+吉非替尼为(78.26±4.74)%。结论 TMEM16A可能通过EGFR信号通路促进ER、PR阳性乳腺癌T47D细胞的增殖。  相似文献   
143.
目的实施基于证据支持的社交技能干预训练,提高孤独谱系障碍(ASD)患儿社交能力,降低母亲的抑郁、焦虑情绪和不确定感。方法 2017年10-12月采用中文版结构式同伴互助社交训练教育和促进社交技能的项目(PEERS)手册,对ASD患儿和母亲共同进行3个半月的干预。每周一次,每次90 min,儿童以小组训练的形式,母亲以团体形式。同时调整母亲的疾病不确定感、认知、焦虑和抑郁情绪。对干预前后ASD患儿症状、社交行为以及母亲的情绪进行评估,对母亲疾病不确定感半年后随访。结果母亲抑郁情绪贝克抑郁量表(BDI)(t=-4.585,P<0.01)、儿童孤独症症状评定(CARS)(t=-3.945,P<0.01)、孤独症儿童异常行为评定(ABC)(t=-2.068,P<0.05)、儿童社交问卷(t=-2.315,P<0.05)的前后测之间差异有统计学意义,训练组优于对照组。结论中文版PEERS社交训练能帮助ASD患儿提高社交技能,同时降低母亲抑郁情绪。  相似文献   
144.
目的:研究根际促生菌——多粘类芽孢杆菌对油菜中锶富集和转移的影响。方法:实验分5组,设置4个不同锶浓度(1、2、3、4 mmol/L)处理组和1个对照组(水培养液)。利用水培方式培育油菜,水培养液中添加多粘类芽孢杆菌(0.333 g/L),于添加锶和菌后3个时间点(7、14、21 d)收获油菜,用电感耦合等离子体发射光谱仪(ICP-AES)分别测定油菜的根和茎叶中锶含量,并计算转移系数和富集率。结果:与对照组相比,多粘类芽孢杆菌存在时,油菜根部和茎叶中88Sr含量随着培养液中锶浓度增高和作用时间的延长而升高(P < 0.05,油菜根部在1 mmol/L锶+菌作用21 d时除外),且油菜茎叶中的88Sr含量大于油菜根部(P < 0.05);多粘类芽孢杆菌使88Sr的转移系数增加、富集率降低(P < 0.05),可促进88Sr从根到茎叶的转移。4个处理组对88Sr的转移系数均增加(P < 0.05),且转移系数均在21 d达到最高。结论:多粘类芽孢杆菌能够影响油菜对锶的转移和富集,可降低油菜根和茎叶部分对88Sr的富集率,促进88Sr从根到茎叶的转移。  相似文献   
145.
Endometrial Cancer is the most common female genital tract malignancy, its pathogenesis is complex, not yetfully described. To identify key genes of Endometrial Cancer we downloaded the gene chip GSE17025 from the GeneExpression Omnibus database. Differentially expressed genes (DEGs) were identified through the GEO2R analysistool. Functional and pathway enrichment analysis were performed for DEGs using DAVID database. The network ofprotein–protein-interaction (PPI) was established by STRING website and visualized by Cytoscape. Then, functionaland pathway enrichment analysis of DEGS were performed by DAVID database. A total of 1000 significant differencesgenes were obtained, contain 362 up-regulated genes and 638 down-regulated genes. PCDH10, SLC6A2, OGN,SFRP4, TRH, ANGPTL, FOSB are down-regulated genes. The gene of IGH, CCL20, ELF5, LTF, ASPM expressionlevel in tumor patients are up-regulated. Biological function of enrichment include metabolism of xenobiotics bycytochrome P450, MAPK signaling pathway, Serotonergic synapse, Protein digestion and absorption, IL-17 signalingpathway, Chemokine signaling pathway, HIF-1 signaling pathway, p53 signaling pathway. All in all, the current studyto determine endometrial differentially expressed genes and biological function, comprehensive analysis of intrauterinemembrane carcinoma pathogenesis mechanism, and might be used as molecular targets and diagnostic biomarkers forthe treatment of endometrial cancer.  相似文献   
146.
The cortical forepaw area of young adult rats was mapped by recording the response properties of small clusters of neurons in layer IV of the primary somatosensory (SI) cortex. First we quantitatively analyzed the somatotopic organizational features of the cortical forepaw representation in terms of areal extent and topography, receptive field (RF) sensory modality, size, and location. We also assessed the influence of environmental enrichment, known to induce structural alterations in cortical connectivity, on the representational characteristics of the forepaw maps. Long-Evans rats were housed in environments (standard, SE; enriched, EE) promoting differential tactile experience for 71–113 days from weaning. Within the SI, we found a single and complete topographic map of the cutaneous surfaces of the forepaw consisting of a rostrolateral-caudomedial sequence of digit and pad representational zones. Small islets of noncutaneous responses (NCR; high-threshold, deep-receptor input) within the boundaries of the cutaneous maps were a conspicuous feature of the forepaw map for SE rats. These islets created discontinuities in the representation of contiguous skin territories. In the SE rats, about 79% of the cortical sites activated by light tactile stimulation had a single cutaneous RF, whereas about 21% exhibited multiple RFs. Most single-digit RFs we delineated in the SE rats extended across two or three phalanges. As a result, the representations of the phalangeal skin surfaces were not segregated but formed an overlapping continuum. Moreover, within these regions, as the electrode was displaced in regular steps across the mediolateral axis, RFs did not shift across the digit skin surface in an orderly manner, suggesting a lack of internal topography in the finger representation zones. Tactile experience promoted by environmental enrichment induced alterations in the representational features of the SI cutaneous map of the forepaw. In EE rats, the areal extent of the forepaw cutaneous representation was 1.5 times larger than in SE rats. Indeed, the cutaneous map extended into NCR cortical sectors along its external margins and also into NCR islets found in the forepaw area. Consequently, in EE rats there were fewer representational discontinuities. The areal enlargement was due to a selective increase in the areal extent of the glabrous but not the hairy skin surface representations. Furthermore, protuberant glabrous skin (digit tips, palmar pads) was represented over larger cortical regions than were other glabrous skin territories less likely to be stimulated during object palpation and manipulation. Maps from EE rats were also characterized by a larger proportion of sites with single RFs (88% compared with 79%). In addition, glabrous RFs from EE rats were smaller and more clustered on the digit tips and palmar pads than were RFs in SE rat maps. RF size on hairy skin surfaces remained unchanged. Because the RFs were smaller, the cutaneous maps of EE rats contained distinct representations of digit phalangeal glabrous skin. RFs tended to exhibit more orderliness in their progression across the digit glabrous skin of EE rats than they did in SE rats. The phalanges of EE rats were represented in distinct patches. Neurons in EE rats were more sensitive to light tactile stimulation than were neurons in SE rats. These alterations were presumably mediated by the selective potentiation of cutaneous over deep-receptor activation. More generally, the present study corroborates the view that cortical cutaneous maps are maintained in a permanent state of use-dependent fluctuation. Received: 3 June 1997 / Accepted: 11 November 1997  相似文献   
147.
This study examined whether meaningful work may improve one's quality of life outside of the workplace (i.e., work‐to‐life enrichment). More importantly, we proposed and tested competing hypotheses regarding the role of work engagement in the relationship between meaningful work and work‐to‐life enrichment. Specifically, we investigated whether work engagement served as a mediator of this relationship, as suggested by the job demands‐resources model, or instead a moderator, as suggested by conservation of resources theory. Two‐wave survey data were collected from 194 respondents recruited via Amazon Mechanical Turk. Analyses showed that meaningful work was positively related to work‐to‐life enrichment over time (i.e., 3 months later). Additionally, work engagement mediated but did not moderate the relationship between meaningful work at Time 1 and work‐to‐life enrichment at Time 2. We suggest that organizations foster a sense of meaningfulness in employees to facilitate engagement and in turn enrich employees' lives beyond the workplace. Therefore, not only organizations, but individuals as well may reap the benefits of meaningful work.  相似文献   
148.
Adaptive enrichment designs are an attractive option for clinical trials that aim at demonstrating efficacy of therapies, which may show different benefit for the full patient population and a prespecified subgroup. In these designs, based on interim data, either the subgroup or the full population is selected for further exploration. When selection is based on efficacy data, this introduces bias to the commonly used maximum likelihood estimator. For the situation of two‐stage designs with a single prespecified subgroup, we present six alternative estimators and investigate their performance in a simulation study. The most consistent reduction of bias over the range of scenarios considered was achieved by a method combining the uniformly minimum variance conditionally unbiased estimator with a conditional moment estimator. Application of the methods is illustrated by a clinical trial example.  相似文献   
149.
目的对我国动物环境丰富研究文献进行计量分析,以期为我国环境丰富研究和应用提供一定参考。方法基于中国知网和万方数据库,检索环境丰富相关文献,分别对论文发表年代、期刊、作者、机构及学科分布和应用环境丰富的动物等进行统计分析。结果 2016年之前共检索出环境丰富相关文献422篇,其中期刊273篇,分布于126种期刊。总体发文量稳步上升,特别是在2006年之后呈快速增长。载文量前3的期刊为《野生动物学报》、《中国康复医学杂志》、《中华行为医学与脑科学杂志》。发文量最多的机构是第三军医大学新桥医院(18篇)和福建医科大学附属协和医院(14篇),而来自此2家单位的陈燕惠、赵聪敏是此方向的高产作者。涉及17个学科,其中神经病学、精神病学、生物学和儿科学是主要学科。应用环境丰富的动物可分3类,最多的是实验动物(占69.6%),其次是动物园动物(22.9%),最后是农场经济动物(7.5%)。结论目前环境丰富的研究相对集中于神经学、精神病学等方面,对于改善动物福利的研究主要在动物园动物上,实验动物此方向的研究还较少,需要加强此方面的工作。  相似文献   
150.
《Vaccine》2017,35(21):2794-2800
BackgroundIn 2010, the 10-valent pneumococcal conjugate vaccine (PCV10) was introduced free of charge in Brazil as part of the public immunization program. Here we investigated the carriage prevalence, colonization risk factors, capsular types, and antimicrobial resistance among pneumococcal isolates obtained from children in Brazil four years after routine PCV10 use.MethodsBetween September and December 2014, we conducted a cross-sectional study among children < 6 years old who attended one public and two private clinics in Niterói, RJ, Brazil to evaluate pneumococcal nasopharyngeal carriage. Antimicrobial susceptibility and capsular types were determined for all isolates.ResultsOf 522 children, 118 (22.6%) were pneumococcal carriers. Being  2 years old, attending childcare center, presenting with any symptoms, having acute or chronic respiratory disease, and residing in a slum were associated with pneumococcal carriage. The most prevalent capsular types were 6C (14.5%), 15B/C (11.5%), 11A/D (9.2%), and 6A (7.6%). PCV10 serotypes represented 2.5%. All isolates were susceptible to levofloxacin, rifampicin, and vancomycin. Penicillin non-susceptible pneumococci (PNSP) comprised 39%, with penicillin and ceftriaxone MICs ranging from 0.12–8.0 μg/ml and 0.012–1.0 μg/ml, respectively. The 33 (28%) erythromycin-resistant isolates (MICs of 1.5 to >256 μg/ml) displayed the cMLSB (72.7%) or M (27.3%) phenotypes, harboring the erm(B) and/or mef(A/E) genes. High non-susceptibility rates (>20%) to clindamycin, erythromycin, penicillin, and tetracycline were largely explained by the prevalence of multidrug resistant (MDR) serotype 6C isolates.ConclusionsEffects of universal childhood PCV10 use on carriage were evident, with the near elimination of PCV10 serotypes. The emergence of MDR serotype 6C isolates, however, is a concern. Ongoing surveillance to monitor serotype 6C increase in invasive diseases is warranted.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号