全文获取类型
收费全文 | 33438篇 |
免费 | 2955篇 |
国内免费 | 642篇 |
专业分类
耳鼻咽喉 | 299篇 |
儿科学 | 1986篇 |
妇产科学 | 680篇 |
基础医学 | 6122篇 |
口腔科学 | 1107篇 |
临床医学 | 3195篇 |
内科学 | 2611篇 |
皮肤病学 | 94篇 |
神经病学 | 5322篇 |
特种医学 | 918篇 |
外科学 | 1511篇 |
综合类 | 3202篇 |
现状与发展 | 6篇 |
一般理论 | 5篇 |
预防医学 | 5232篇 |
眼科学 | 450篇 |
药学 | 2694篇 |
22篇 | |
中国医学 | 1052篇 |
肿瘤学 | 527篇 |
出版年
2024年 | 72篇 |
2023年 | 525篇 |
2022年 | 705篇 |
2021年 | 1288篇 |
2020年 | 1303篇 |
2019年 | 1180篇 |
2018年 | 1037篇 |
2017年 | 1178篇 |
2016年 | 1222篇 |
2015年 | 1138篇 |
2014年 | 1784篇 |
2013年 | 2565篇 |
2012年 | 1704篇 |
2011年 | 1796篇 |
2010年 | 1623篇 |
2009年 | 1561篇 |
2008年 | 1596篇 |
2007年 | 1609篇 |
2006年 | 1361篇 |
2005年 | 1211篇 |
2004年 | 1083篇 |
2003年 | 922篇 |
2002年 | 811篇 |
2001年 | 708篇 |
2000年 | 615篇 |
1999年 | 567篇 |
1998年 | 576篇 |
1997年 | 526篇 |
1996年 | 483篇 |
1995年 | 446篇 |
1994年 | 375篇 |
1993年 | 339篇 |
1992年 | 324篇 |
1991年 | 261篇 |
1990年 | 279篇 |
1989年 | 227篇 |
1988年 | 206篇 |
1987年 | 181篇 |
1986年 | 195篇 |
1985年 | 242篇 |
1984年 | 237篇 |
1983年 | 138篇 |
1982年 | 131篇 |
1981年 | 152篇 |
1980年 | 139篇 |
1979年 | 87篇 |
1978年 | 81篇 |
1977年 | 51篇 |
1976年 | 53篇 |
1974年 | 25篇 |
排序方式: 共有10000条查询结果,搜索用时 281 毫秒
991.
李明军 《中国健康心理学杂志》2015,23(5)
目的:探索学困生元刻板印象多维结构并编制测量问卷。方法:对105名中学生和10名教师进行开放式问卷调查、半结构化访谈,通过内容分析探索学困生元刻板印象的内容结构;并据此编制学困生元刻板印象两极特质形容词评定问卷,对461名学困生进行调查。结果:学困生元刻板印象两极特质形容词评定问卷由18个项目构成,包含意志品质、态度与能力、同伴交往、行为特征等4个维度;验证性因素分析表明该问卷具有良好的拟合指标(χ2=261.84,χ2/df=2.03,CFI=0.94,TLI=0.93,RMSEA=0.056,90%CI=0.047-0.066,SRMR=0.063),总问卷及各维度的内部一致性系数介于0.72~0.87之间,重测信度为0.75~0.82;总分与维度(0.35~0.78)以及各维度间(0.22~0.62)显著相关,总分和各维度与外群际接触意向显著相关(0.23~0.35)。结论:学困生元刻板印象具有四维结构,学困生元刻板印象两极特质形容词评定问卷具有良好的信度和效度。 相似文献
992.
Jonathan E. Hickman Niels Andela Kostas Tsigaridis Corinne Galy-Lacaux Money Ossohou Susanne E. Bauer 《Proceedings of the National Academy of Sciences of the United States of America》2021,118(7)
Socioeconomic development in low- and middle-income countries has been accompanied by increased emissions of air pollutants, such as nitrogen oxides [NOx: nitrogen dioxide (NO2) + nitric oxide (NO)], which affect human health. In sub-Saharan Africa, fossil fuel combustion has nearly doubled since 2000. At the same time, landscape biomass burning—another important NOx source—has declined in north equatorial Africa, attributed to changes in climate and anthropogenic fire management. Here, we use satellite observations of tropospheric NO2 vertical column densities (VCDs) and burned area to identify NO2 trends and drivers over Africa. Across the northern ecosystems where biomass burning occurs—home to hundreds of millions of people—mean annual tropospheric NO2 VCDs decreased by 4.5% from 2005 through 2017 during the dry season of November through February. Reductions in burned area explained the majority of variation in NO2 VCDs, though changes in fossil fuel emissions also explained some variation. Over Africa’s biomass burning regions, raising mean GDP density (USD⋅km−2) above its lowest levels is associated with lower NO2 VCDs during the dry season, suggesting that economic development mitigates net NO2 emissions during these highly polluted months. In contrast to the traditional notion that socioeconomic development increases air pollutant concentrations in low- and middle-income nations, our results suggest that countries in Africa’s northern biomass-burning region are following a different pathway during the fire season, resulting in potential air quality benefits. However, these benefits may be lost with increasing fossil fuel use and are absent during the rainy season.Socioeconomic development and population growth in low- and middle-income countries have been widely associated with increased environmental degradation, including rapid increases in emissions of air pollutants (1–3). In contrast, in countries with a high per capita gross domestic product (GDP), various socioeconomic, institutional, and regulatory factors often cause economic growth to be accompanied by reductions of some pollutant emissions, though these emissions may simply be outsourced to lower income countries (4). The relationship between income level and environmental pressure—known as the Environmental Kuznets Curve—has often been conceptualized as an inverted U-shaped curve, but a wide array of functional relationships is possible (3). For emissions of air pollutants, the relationship has generally been described as an inverted U-shaped curve, though carbon dioxide generally does not follow such a curve (3, 5). Some researchers argue that low- and middle-income countries can mitigate or shorten the period of rapid emissions growth that tends to accompany socioeconomic development for at least some pollutants (4). Africa, and sub-Saharan Africa in particular, is characterized by countries with low but growing per capita GDP and rapid population growth, which have been linked to increases in emissions of carbon dioxide and particulate matter (6). As these countries continue their trajectories of economic development, emissions of air pollutants from fossil fuel and biofuel combustion are expected to experience explosive growth (7).Nitrogen dioxide (NO2) is a reactive gas and air pollutant with a lifetime in the atmosphere on the order of hours (8). In the atmosphere, NO2 interconverts rapidly with nitric oxide (NO), and the two species are collectively referred to as NOx. NO2 itself is toxic, is regulated by the US Environmental Protection Agency, and has been associated with premature mortality and asthma [though its direct effects on health are not clear (9) and it may instead function as a proxy for other pollutants, such as ozone and aerosols that have direct health and mortality impacts (10)]. NOx is also a key precursor to the formation of tropospheric ozone (O3), which is damaging to both crop productivity and human health; anthropogenic O3 contributes to roughly half a million premature deaths annually, of which nearly 20,000 are in Africa (11). In addition, NOx is involved in reactions with atmospheric ammonia (NH3) to form nitrate aerosols, which contribute to particulate matter pollution (12) as well as in reactions with volatile organic compounds (VOCs), which form organic nitrates (13). Because of the short lifetime of NO2, and because it can function as an indicator for other pollutants, it can serve as an indicator of overall changes in air quality.NO and NO2 are emitted from a variety of natural and anthropogenic sources. Fossil fuel combustion and anthropogenic alterations to soils through fertilization or livestock management are the primary sources of NOx in many parts of the world. In sub-Saharan Africa (excluding South Africa), fossil fuel combustion and fertilizer use has been considerably lower than elsewhere, and natural soils and biomass burning have historically been more important sources (14). This is true even in Nigeria (15), which experiences substantial emissions of VOCs from the oil and gas industry (16). NOx emissions from Lagos have been shown to be either lower than (15) or comparable to other megacities (17), and NO2 concentrations are generally low during the rainy season, but air quality can become heavily degraded during the biomass burning season (15, 18). However, fossil fuel combustion in the region nearly doubled between 2000 and 2016 (19) and associated emissions of NOx are projected to increase sixfold by 2030 in the absence of regulation, as compared to 2005 levels (7).This increase in fossil fuel combustion is occurring against the backdrop of Africa’s unique, fire-prone savanna ecosystems, home to 70% of the global area burned each year (20). Biomass burning in Africa is estimated to be responsible for NOx emissions of roughly 4 Tg N⋅yr−1, equivalent to about half of all NOx emissions for the continent (21), and one third to half of NOx emissions from biomass burning globally (21–23). The majority of biomass burning in Africa occurs in northern and southern bands of savanna, savanna-forest mosaic, and woodland ecoregions, with a seasonality that follows the migration of the intertropical convergence zone.The early part of the 21st century has been accompanied by a global decline in burned area, with some of the largest declines occurring in Africa’s northern fire band (24). Some of the burned area decline in the northern fire band can be attributed to changes in precipitation that, in turn, affect the quantity and moisture content of available fuels (24–26). However, active anthropogenic suppression of fire has also played an important role (24, 25). Burning is thought to be used as a management strategy—among other uses, humans ignite fires to mineralize nutrients, improve grazing, and reduce fuel loads and the potential for large, uncontrolled fires (27). Increased population density and the introduction of agricultural land into African savanna landscapes—reflecting socioeconomic transitions from traditional nomadic pastoralist lifestyles (28)—have been associated with a sharp decrease in burned area as people either reduce ignition or suppress fires to protect villages and farms, with a reduction in the amount of pasture area to be maintained (25).Unfortunately, sub-Saharan Africa remains a severely understudied region—for example, agricultural soil NO fluxes have only been measured directly for two sites (29, 30), and surface air quality monitoring is extremely limited compared to other parts of the world (31). Remote sensing products provide an important tool for filling some of these data gaps. The short NO2 lifetime in the planetary boundary layer makes it possible to use satellite observations to directly evaluate emissions sources, especially in regions with high temperatures, which tend to shorten the NO2 lifetime, and in relatively polluted regions, where total column densities and surface emissions are highly correlated (ref. 8 and references therein). Although recent remote sensing work has evaluated long-term trends in NO2 concentrations around the world, recent trends in the biomass burning region of northern Africa have not been explicitly evaluated, and the relative impacts of socioeconomic development—the possibility of reduced NOx emissions because of anthropogenic fire suppression and of increasing NOx emissions from growing fossil fuel use—remain unknown. In general, studies on global trends in NO2 tend not to focus on Africa, likely because the regions with the highest NO2 concentrations are in China, Europe, and the United States (e.g., refs. 1, 21). Some earlier studies observed a decline in NO2 VCDs over north equatorial Africa (32, 33), but others did not (34). These and other large-scale studies (e.g., refs. 8, 34, 35) did not identify mechanisms for the observed NO2 dynamics, but rather focused on understanding anthropogenic influences on trends in other regions.Indoor air pollution from biomass combustion for fuel is an important health concern (36). We do not focus on this source. Biofuel combustion is responsible for emissions of 0.6 Tg NO annually across all of Africa (37), which is less than 10% of the magnitude of landscape biomass burning emissions estimated by the Global Fire Emissions Database version 4s [GFED4s (38)] and represents a much smaller proportion of NOx emissions from landscape biomass burning regions during the dry season.Here, we use observations of NO2 by the Ozone Monitoring Instrument [OMI (39)] and burned area from the Moderate Resolution Imaging Spectroradiometer [MODIS (40)] to demonstrate that the recent decline in burned area in the productive savannas of north equatorial Africa—home to over 275 million people—is associated with large declines in tropospheric NO2 VCDs during the biomass burning season from 2005 through 2017, though positive trends explained in part by increasing fossil fuel combustion were observed in other seasons, especially over Nigeria. 相似文献
993.
994.
Tissue-specific overexpression of lipoprotein lipase causes tissue-specific insulin resistance 总被引:29,自引:0,他引:29 下载免费PDF全文
Kim JK Fillmore JJ Chen Y Yu C Moore IK Pypaert M Lutz EP Kako Y Velez-Carrasco W Goldberg IJ Breslow JL Shulman GI 《Proceedings of the National Academy of Sciences of the United States of America》2001,98(13):7522-7527
Insulin resistance in skeletal muscle and liver may play a primary role in the development of type 2 diabetes mellitus, and the mechanism by which insulin resistance occurs may be related to alterations in fat metabolism. Transgenic mice with muscle- and liver-specific overexpression of lipoprotein lipase were studied during a 2-h hyperinsulinemic-euglycemic clamp to determine the effect of tissue-specific increase in fat on insulin action and signaling. Muscle-lipoprotein lipase mice had a 3-fold increase in muscle triglyceride content and were insulin resistant because of decreases in insulin-stimulated glucose uptake in skeletal muscle and insulin activation of insulin receptor substrate-1-associated phosphatidylinositol 3-kinase activity. In contrast, liver-lipoprotein lipase mice had a 2-fold increase in liver triglyceride content and were insulin resistant because of impaired ability of insulin to suppress endogenous glucose production associated with defects in insulin activation of insulin receptor substrate-2-associated phosphatidylinositol 3-kinase activity. These defects in insulin action and signaling were associated with increases in intracellular fatty acid-derived metabolites (i.e., diacylglycerol, fatty acyl CoA, ceramides). Our findings suggest a direct and causative relationship between the accumulation of intracellular fatty acid-derived metabolites and insulin resistance mediated via alterations in the insulin signaling pathway, independent of circulating adipocyte-derived hormones. 相似文献
995.
The beta-cell mass in the adult pancreas possesses the ability to undergo limited regeneration following injury. Identifying the progenitor cells involved in this process and understanding the mechanisms leading to their maturation will open new avenues for the treatment of type 1 diabetes. However, despite steady advances in determining the molecular basis of early pancreatic development, the identification of pancreatic stem cells or beta-cell progenitors and the molecular mechanisms underlying beta-cell regeneration remain unclear. Recent advances in the directed differentiation of embryonic and adult stem cells has heightened interest in the possible application of stem cell therapy in the treatment of type 1 diabetes. Drawing on the expanding knowledge of pancreas development, beta-cell regeneration and stem cell research, this review focuses on progenitor cells in the adult pancreas as a potential source of beta-cells. 相似文献
996.
997.
Summary Recently, we demonstrated that approximately 60 % of GLUT 1 in a crude membrane fraction of rat skeletal muscle originates
from perineurial sheaths. To study the in vivo regulation of GLUT 1 expression in different tissues in muscles, we measured
the level of GLUT 1 in crude muscle membranes and in perineurial sheaths in diabetic (fa/fa) Zucker rats and lean controls,
with and without metformin treatment. The GLUT 1 concentration in perineurial sheaths was identical in all four groups of
rats, both when measured by quantitative immunofluorescence and by immunoblotting and densitometry. In a fraction of crude
membranes of soleus muscles GLUT 1 expression was more than two-fold higher in (fa/fa) rats than in lean controls (p<0.005). Metformin treatment significantly elevated GLUT 1 in control rats (p<0.05) and tended to decrease GLUT 1 in diabetic rats (p<0.075). The expressions of GLUT 1 and GLUT 4 in crude muscle membranes were inversely correlated (p<0.01), and GLUT 1 expression correlated positively with fasting glucose (p<0.05). In conclusion, GLUT 1 expression in perineurial sheaths is unaffected by alterations in glucose homeostasis and by
the genes responsible for obesity and diabetes in the Zucker rat. GLUT 1 expression in a crude membrane fraction of soleus
muscle is increased in the diabetic animals, likely due to an increased expression in muscle cells proper. [Diabetologia (1994)
37: 443–448]
Received: 17 June 1993 and in revised form: 19 November 1993 相似文献
998.
Adamos Hadjipanayis Elisavet Efstathiou David Neubauer 《Journal of paediatrics and child health》2015,51(7):674-678
Benign paroxysmal torticollis is probably an under‐diagnosed condition of infancy. It is a self‐limiting disorder characterised by periods of unusual, sustained posture of the head and neck, during which the head tilts to one side. Episodes are often accompanied by marked autonomic features, irritability, ataxia, apathy and drowsiness. They last several hours to a few days and are often recurring every few weeks. They subside within the pre‐school years; however, during later childhood, there is a tendency to develop migraine. Three cases of benign paroxysmal torticollis are presented and are compared with cases in the literature. A telephone survey has been conducted to determine what is the general awareness of paediatricians of this condition in Cyprus. Eighty‐two paediatricians were randomly selected out of 235 paediatricians. All of them agreed to participate. Our cases revealed that benign paroxysmal torticollis may coexist with other problems during infancy. The telephone survey showed that only two out of eighty‐two (2.4%) of the paediatricians are aware of the condition, and none of them was confident regarding the management. Our telephone survey clearly shows that Cypriot paediatricians are not familiar with benign paroxysmal torticollis in infancy which is a benign, self‐limiting disorder. It is essential to recognise the condition and to reassure parents of its benign course and not to be misdiagnosed for other disorders, such as epileptic seizures. We have shown again that benign paroxysmal torticollis in infancy may coexist with motor delay and hearing problems. 相似文献
999.
Daryl Efron 《Journal of paediatrics and child health》2015,51(1):69-73
Attention‐deficit/hyperactivity disorder (ADHD) is a common neurodevelopmental disorder and one of the main diagnoses seen by general paediatricians today. Despite the impression often portrayed in the media, it is not a new condition; in fact it has been described for over 200 years. The past 50 years has seen a progressive increase in our understanding of the underlying neurocognitive deficits in ADHD, and over the past 20 years behavioural genetics and neuroimaging studies have shed light on the complex causal factors and neurobiological processes operating. The plethora of ADHD research has advanced our knowledge of the condition, but so far has had little impact on improving clinical practice. Stimulant medication has been the mainstay of symptomatic treatment for over 30 years; however, it is still unclear how developmental trajectories can be modified to achieve best outcomes. It is hoped that novel therapies and more individualised management will evolve over the coming decades. 相似文献
1000.
Radiologic resolution of malignant infantile osteopetrosis skeletal changes following hematopoietic stem cell transplantation 下载免费PDF全文