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81.
Defining refractory myocardial infarction-associated cardiogenic shock: an ongoing elusive challenge
Mégarbane B Voicu S Deye N Baud FJ 《Critical care medicine》2011,39(2):422; author reply 422-422; author reply 423
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Mihai G Nout YS Tovar CA Miller BA Schmalbrock P Bresnahan JC Beattie MS 《Journal of neurotrauma》2008,25(1):1-18
Magnetic resonance imaging (MRI) should be a powerful tool for characterization of spinal cord pathology in animal models. We evaluated the utility of medium-field MRI for the longitudinal assessment of progression of spinal cord injury (SCI) in a rat model. Thirteen adult rats were subjected to a 6.25 or 25 g-cm unilateral cervical SCI, and underwent MRI and behavioral tests during a 3-week study period. MRI was also performed post-mortem. Quantification of cord swelling, hypointense and hyperintense signal, and lesion length were the most valuable parameters to determine and were highly correlated to behavioral and histopathological measures. Immediately after injury, MRI showed loss of gray matter-white matter differentiation, presence of scattered hyperintense signal and local hypointense signal, and cord swelling in both groups. At 7 days after injury, the spinal cord in the 25 g-cm group was significantly larger than that of the 6.25 g-cm group (p = 0.02). Contrast enhancement of the lesion was seen at 24 h in the 6.25 g-cm group, and at 24 h and 7 days in the 25 g-cm group. The volume of hypointense signal, representing hemorrhage, throughout the lesion region was significantly larger in the 25 g-cm compared to the 6.25 g-cm group at both 14 and 21 days after SCI (p, = 0.04). The appearance of the scattered hyperintense signal, initially representing edema, at later time points changed to a rim of hyperintense signal surrounding the lesion cavity. Significant correlations were found between cord swelling at 7 days after SCI, and lesion length and gray and white matter sparing as determined by histopathology. Other parameters that were highly correlated with histopathology were quantity of hyperintense and hypointense signal, and in vivo lesion length. Hypointense signal and in vivo lesion length were highly correlated to behavior. Significant correlation was also found between parameters determined by MRI: swelling, hypointense signal, hyperintense signal, and lesion length. MRI is a valuable imaging modality to assess the temporal evolution of SCI and to distinguish different severities of cervical SCI in rats. In future, MRI could be applied as a screening tool to either administer goal-directed therapies, or enable even group distribution, prior to therapeutic intervention for example through quantification and matching of swelling and edema. 相似文献
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Aursulesei V Datcu G Datcu MD 《Revista medico-chirurgical?? a Societ????ii de Medici ??i Naturali??ti din Ia??i》2007,111(3):601-606
Assessment of endothelial dysfunction in arterial hypertension using brachial ultrasound is a common method. Because of prognostic value of flow mediated dilation, vascular ultrasound is considered the standard noninvasive method. MATERIAL AND METHOD: In our study we assessed 92 hypertensive patients (very carefully selected) in a prospective and long term follow-up manner. We used the technical indications of actual guidelines. RESULTS: We confirmed the importance of a complete and complex assessment of endothelial dysfunction, using different parameters. Our study demonstrated that endothelial dysfunction exists in hypertensives, has a large interindividual variability and can be improved using adequate treatment. We also proposed a new parameter--the velocity ratio, and tested the value of normalized diameter ratio, as a nonconventional variable. 相似文献
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Dinca EB Sarkaria JN Schroeder MA Carlson BL Voicu R Gupta N Berger MS James CD 《Journal of neurosurgery》2007,107(3):610-616
OBJECT: Bioluminescence imaging (BLI) offers a rapid and accurate means for longitudinal study of tumor cell growth and response to therapy in rodent models. Because this technology has only recently come into use in the field of small animal imaging, applications in this area have been limited. In the current study we have applied BLI to the analysis of clinically relevant issues involving use of the DNA methylating agent temozolomide (TMZ) in a mouse model. METHODS: An invasive glioblastoma multiforme xenograft was modified for BLI via transduction with a luciferase-encoding lentivirus. Supratentorial tumors were established in athymic nude mice that were subsequently assigned randomly to control and TMZ treatment groups, and the extent of intracranial tumor was monitored using BLI. RESULTS: In an experiment designed to compare the extent of antitumor effect between a single high-dose TMZ treatment and a protracted low-dose TMZ regimen, BLI revealed the protracted regimen as having superior antitumor effect, and this interpretation was consistent with results from a survival comparison between the two TMZ treatment groups. In a second experiment designed to assess the utility of BLI for testing therapies against recurrent glioblastoma multiforme, mice with intracranial tumors were retreated with TMZ at a time when BLI monitoring revealed tumor regrowth following initial TMZ treatment, and retreatment was successful in providing additional survival benefit. CONCLUSIONS: The results of these experiments indicate that BLI monitoring can be used as a surrogate for predicting survival benefit from TMZ treatment, permits early determination of relative survival benefit associated with distinct TMZ therapeutic regimens, and offers a means of investigating secondary/salvage therapy efficacy following tumor regrowth from initial therapy. 相似文献
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Privatdozent Dr. J. Voicu Dr. A. Vitályos Dr. L. Boer 《Virchows Archiv : an international journal of pathology》1932,288(2):455-490
Ohne ZusammenfassungMit 10 Abbildungen im Text. 相似文献