全文获取类型
收费全文 | 766篇 |
免费 | 38篇 |
国内免费 | 1篇 |
专业分类
耳鼻咽喉 | 18篇 |
儿科学 | 35篇 |
妇产科学 | 33篇 |
基础医学 | 110篇 |
口腔科学 | 22篇 |
临床医学 | 63篇 |
内科学 | 146篇 |
皮肤病学 | 4篇 |
神经病学 | 48篇 |
特种医学 | 15篇 |
外科学 | 65篇 |
综合类 | 11篇 |
一般理论 | 2篇 |
预防医学 | 42篇 |
眼科学 | 25篇 |
药学 | 65篇 |
中国医学 | 2篇 |
肿瘤学 | 99篇 |
出版年
2023年 | 5篇 |
2022年 | 6篇 |
2021年 | 21篇 |
2020年 | 14篇 |
2019年 | 18篇 |
2018年 | 28篇 |
2017年 | 45篇 |
2016年 | 25篇 |
2015年 | 22篇 |
2014年 | 28篇 |
2013年 | 36篇 |
2012年 | 59篇 |
2011年 | 46篇 |
2010年 | 35篇 |
2009年 | 26篇 |
2008年 | 56篇 |
2007年 | 55篇 |
2006年 | 63篇 |
2005年 | 48篇 |
2004年 | 34篇 |
2003年 | 33篇 |
2002年 | 29篇 |
2001年 | 16篇 |
2000年 | 17篇 |
1999年 | 9篇 |
1998年 | 4篇 |
1997年 | 4篇 |
1996年 | 1篇 |
1995年 | 1篇 |
1994年 | 3篇 |
1993年 | 2篇 |
1992年 | 2篇 |
1991年 | 4篇 |
1990年 | 1篇 |
1988年 | 2篇 |
1984年 | 1篇 |
1982年 | 1篇 |
1977年 | 1篇 |
1976年 | 1篇 |
1975年 | 2篇 |
1935年 | 1篇 |
排序方式: 共有805条查询结果,搜索用时 15 毫秒
1.
Prasanth Ganesan Manikandan Dhanushkodi Trivadi S. Ganesan Venkatraman Radhakrishnan Krishnarathinam Kannan Shirley Sundersingh Tenali Gnana Sagar 《Clinical Lymphoma, Myeloma & Leukemia》2019,19(2):116-122
Background
The International Prognostic Scoring System (IPSS) consisting of 7 parameters (IPS7) has been the standard prognostic model used in advanced Hodgkin lymphoma (aHL). However, recent studies have questioned its discriminatory power. For retrospective analyses, its utility might be limited by missing parameters. A recent study has shown that the IPSS consisting of only 3 high-risk features (IPS3; stage IV, age 45 years or older, and hemoglobin <105 g/L) is a simple predictor of survival in aHL. However, there are limited data validating the IPS3.Patients and Methods
Outcomes of adults with aHL treated between 2001 and 2015 at a single center were retrospectively analyzed with data from medical records. The prognostic validity of various baseline parameters was assessed individually as well as in combination (IPS7 and IPS3 scores). The Kaplan–Meier method was used to describe the event-free survival (EFS) and overall survival (OS) and univariate (log rank) and multivariate (Cox regression) tests were performed to identify prognostic factors.Results
We identified 314 patients (median age, 32 [range, 18-60] years; male sex [n = 215; 68%]) treated during this period. IPS7 was available in 231 of 314 (73%) and IPS3 in all (100%) patients. Most (71%) were treated with 6 to 8 cycles of ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) and others received hybrid or cyclophosphamide, vincristine, procarbazine, prednisolone regimens, and 72 (23%) underwent interim positron emission tomography imaging with escalation to bleomycin, etoposide, adriamycin, cyclophosphamide, vincristine, procarbazine, prednisolone in 8 patients. After a median follow-up of 57 months (range, 1.3-167), the 5-year EFS and OS were 72% and 82%, respectively. IPS3 produced a wider separation of survival curves than IPS7 in univariate analysis. In multivariate analysis for EFS, IPS3 (scores of 2 or 3 vs. scores of 0 and 1; hazard ratio, 2.1; P = .004) was the only significant predictor. For OS, no factor emerged as significant.Conclusion
The IPS3 is a simple 3-point system that is very useful for prediction of outcomes in aHL and might be particularly suited for retrospective data analysis where all components of the IPS7 might not be available. 相似文献2.
3.
4.
Ajay Tijore Jean-Marc Behr Scott Alexander Irvine Vrushali Baisane Subbu Venkatraman 《Biomedical microdevices》2018,20(2):32
Three dimensional (3D) bioprinting has been proposed as a method for fabricating tissue engineered small diameter vascular prostheses. This technique not only involves constructing the structural features to obtain a desired pattern but the morphology of the pattern may also be used to influence the behavior of seeded cells. Herein, we 3D bioprinted a gelatin hydrogel microchannel construct to promote and preserve the contractile phenotype of vascular smooth muscle cells (vSMCs), which is crucial for vasoresponsiveness. The microchanneled surface of a gelatin hydrogel facilitated vSMC attachment and an elongated alignment along the microchannel direction. The cells displayed distinct F-actin anisotropy in the direction of the channel. The vSMC contractile phenotype was confirmed by the positive detection of contractile marker gene proteins (α-smooth muscle actin (α-SMA) and smooth muscle-myosin heavy chain (SM-MHC)). Having demonstrated the effectiveness of the hydrogel channels bioprinted on a film, the bioprinting was applied radially to the surface of a 3D tubular construct by integrating a rotating mandrel into the 3D bioprinter. The hydrogel microchannels printed on the 3D tubular vascular construct also orientated the vSMCs and strongly promoted the contractile phenotype. Together, our study demonstrated that microchannels bioprinted using a transglutaminase crosslinked gelatin hydrogel, could successfully promote and preserve vSMC contractile phenotype. Furthermore, the hydrogel bioink could be retained on the surface of a rotating polymer tube to print radial cell guiding channels onto a vascular graft construct. 相似文献
5.
Autosomal recessive otofaciocervical syndrome type 2 with novel homozygous small insertion in PAX1 gene 下载免费PDF全文
Siddaramappa Jagdish Patil Aneek Das Bhowmik Venkatraman Bhat Venugopal Satidevi Vineeth Rashmi Vasudevamurthy Ashwin Dalal 《American journal of medical genetics. Part A》2018,176(5):1200-1206
Otofaciocervical syndrome (OTFCS) is described as a single gene disorder of both autosomal dominant and autosomal recessive inheritance. The major clinical features of OTFCS include ear malformations (external/middle/inner ear), facial dysmorphism, shoulder girdle abnormalities, vertebral anomalies, and mild intellectual disability. The autosomal recessive form of OTFCS syndrome (OTFCS2) has been recently reported to be caused due to homozygous mutations in PAX1 gene. Here we report a third family of OTFCS2 phenotype wherein whole exome sequencing identified a novel homozygous small insertion in PAX1 as the underlying genetic cause. 相似文献
6.
Developmental regulation of SP-A receptor in fetal rat lung 总被引:4,自引:0,他引:4
We studied the ontogeny and developmental regulation of the recently isolated SP-A receptor in fetal and postnatal rat lung. Our results show that SP-A receptor protein levels are first detectable at 16-18 days' gestation in fetal rat lung. There is a biphasic change in its levels with an initial marked increase during late gestation, a decrease in the early postnatal period (4-7 days of age), followed by another rise in levels during the second postnatal week. The results of binding isotherms show that maximal binding of monoclonal antibody to the receptor increases with differentiation of the type II cell, indicating that the increase during fetal lung development is due in part to increased numbers of receptors per cell. Bombesin (10 nM-1 microM) enhanced SP-A receptor protein levels threefold in fetal lung explants as early as 6 hours in culture. This effect of bombesin was associated with increased proliferation of type II cells as measured by levels of proliferating cell nuclear antigen (PCNA). We conclude that the increase in SP-A receptor protein level in late gestation fetal rat lung is due to increased numbers of receptors per cell and increased numbers of type II cells. Bombesin may have an important role during lung development by paracrine mechanisms that result in proliferation of lung cells. 相似文献
7.
Babu GJ Bhupathy P Carnes CA Billman GE Periasamy M 《Journal of molecular and cellular cardiology》2007,43(2):215-222
Sarcolipin (SLN) is a small molecular weight sarcoplasmic reticulum (SR) membrane protein expressed both in cardiac and skeletal muscle tissues. Recent studies using transgenic mouse models have demonstrated that SLN is an important regulator of cardiac SR Ca2+ ATPase 2a (SERCA2a). However, there is a paucity of information regarding the SLN protein expression in small versus larger mammals and its regulation during development and cardiac pathophysiology. Therefore, the major goal of this study was to generate an SLN specific antibody and perform detailed analyses of SLN protein expression during muscle development and in the diseased myocardium. The important findings of the present study are: (i) in small mammals, SLN expression is predominant in the atria but low in the ventricle and in skeletal muscle tissues, whereas in large mammals, SLN is quite abundant in skeletal muscle tissues than the atria, (ii) SLN and SERCA2a are co-expressed in all striated muscle tissues studied except ventricle and co-ordinately regulated during muscle development and (iii) SLN protein levels are approximately 3 fold upregulated in the atria of heart failure dogs and approximately 30% decreased in the atria of hearts prone to myocardial ischemia. In addition we found that in the phospholamban null atria, SLN protein levels are upregulated. 相似文献
8.
Sarcolipin and phospholamban as regulators of cardiac sarcoplasmic reticulum Ca2+ ATPase 总被引:2,自引:1,他引:2
The cardiac sarcoplasmic reticulum calcium ATPase (SERCA2a) plays a critical role in maintaining the intracellular calcium homeostasis during cardiac contraction and relaxation. It has been well documented over the years that altered expression and activity of SERCA2a can lead to systolic and diastolic dysfunction. The activity of SERCA2a is regulated by two structurally similar proteins, phospholamban (PLB) and sarcolipin (SLN). Although, the relevance of PLB has been extensively studied over the years, the role SLN in cardiac physiology is an emerging field of study. This review focuses on the advances in the understanding of the regulation of SERCA2a by SLN and PLB. In particular, it highlights the similarities and differences between the two proteins and their roles in cardiac patho-physiology. 相似文献
9.
Shankar Rao Naveen Venkatraman Bhat Gadabanahalli Ashok Karthik 《Annals of Indian Academy of Neurology》2015,18(4):391-397
Background:
Anatomy of circle of Willis (CW) shows wide variation in different individuals, population groups, and has vital clinical significance in causation and presentation of clinical disease. This study evaluates the anatomical variations, incidence of various common anomalies of CW in south Indian tertiary hospital set up, using three-dimensional time-of-flight (3D-TOF) magnetic resonance angiography (MRA).Materials and Methods:
A total of 300 patients referred for neuroimaging study over a period of 2-year were included in the analysis. In this prospective and retrospective study, 198 men and 102 women; mean age, 55 years) underwent 3D-TOF MR angiograms of the CW using a 1.5-tesla MR scanner. Images were reviewed for anatomical configuration of the CW using maximum intensity projection (MIP) and 3D volume rendered images.Results:
On analysis, a complete CW was seen in 50 (16.6%) of 300 subjects. An incomplete anterior and posterior CW was found in 66 (22%) The remaining 184 (61.3%) subjects had partially complete CW configuration. The most common type of CW in a single subject was anterior variant type A and posterior type variant E.Conclusion:
We observed wide variation in CW configuration in our patients. The prevalence of complete configuration of the circle is 16.6%; slightly higher in females and younger subjects. Complete anterior circle was present in 77.3%. Most common anterior variant is type A (normal anterior configuration) with a prevalence of 66%. The most common posterior circle variant is type E (hypoplasia or absence of both PcomA) with 32.6%. Overall, CW variants are slightly more common among the women in comparison to men. Incidence of associated anomalies like aneurysm or arteriovenous malformation (AVM) was comparable to that described in literature. 相似文献10.
Madhu Poornima Mamidala Anupama Polinedi Praveen Kumar P.T.V. N. Rajesh OmSai Ramesh Vallamkonda Vrajesh Udani Nidhi Singhal Vidya Rajesh 《Research in developmental disabilities》2013,34(9):3004-3013
Incidence of Autism Spectrum Disorder (ASD) is increasing across the globe and no data is available from India regarding the risk factors of ASD. In this regard a questionnaire based epidemiological assessment was carried out on prenatal, perinatal and neonatal risk factors of ASD across 8 cities in India. A retrospective cohort of 942 children was enrolled for the study. 471 children with ASD, under age of 10, were analyzed for pre-, peri-, and neonatal factors and were compared with the observations from equal number of controls. The quality control of the questionnaire and data collection was done thoroughly and the observations were computed statistically. A total of 25 factors were evaluated by unadjusted and adjusted analysis in this study. Among the prenatal factors considered, advanced maternal age, fetal distress and gestational respiratory infections were found to be associated with ASD and had an odds ratio of 1.8. Evaluation of perinatal and neonatal risk factors showed labor complications, pre-term birth, neonatal jaundice, delayed birth cry and birth asphyxia to be associated with ASD with an odds ratio greater than 1.5. This important study, first of its kind in Indian population gives a firsthand account of the relation of pre-, peri- and neonatal risk factors on ASD from an ethnically and socially diverse country like India, the impact of which was unknown earlier. This advocates additional focused investigations on physiological and genetic changes contributed by these risk factor inducing environments. 相似文献