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We investigated the effect of endogenous bradykinin on adrenaline-induced pulmonary edema (PE) by blocking bradykinin receptors. In preliminary experiments, a bolus injection of adrenaline (ADR; 10 microg/kg) solution (10 microg/ml) was determined to be an edematogenic dose for inducing PE. The lung body weight index (LBI) and incidence of PE (IPE) were determined. The IPE and LBI of the group pretreated with Des-Arg9-[Leu8]-Bradykinin (DA-BK, 50 microg/kg, 50 microg/ml) increased significantly compared with those of the control group (p<0.05). On the other hand, there were no remarkable changes in IPE and LBI in the groups pretreated with Hoe140 (D-Arginyl-[Hyp3, Thi5, D-Tic7, Oic8]-Bradykinin (100 microg/kg, 100 microg/ml), captopril (20 mg/kg, 20 mg/ml) or L-NAME (1 mg/kg, 1 mg/ml). Moreover, the IPE and LBI of the group co-treated with L-NAME and DA-BK decreased compared with the DA-BK group (p<0.05). Thus, bradykinin aggravates adrenaline-induced PE through activation of the B2 receptor by the kallikreins as a result of the ADR administration, although the precise mechanism is not known.  相似文献   
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A molecular basis for Cl- re-absorption has not been well-characterized in salivary ductal cells. Previously, we found strong expression of a rat homologue proposed to be Ca2+-dependent Cl- channels (rCLCA) in the intralobular ducts of the rat submandibular gland. To address the question as to whether rCLCA and cystic fibrosis transmembrane conductance regulator (CFTR) are involved in Cl- re-absorption, we evaluated the electrolyte content of saliva from glands pre-treated with a small interfering RNA (siRNA). Retrograde injection into a given submandibular duct of an siRNA designed to knock down either rCLCA or CFTR reduced the expression of each of the proteins. rCLCA and CFTR siRNAs significantly increased Cl- concentration in the final saliva during pilocarpine stimulation. These results represent the first in vivo evidence for a physiological significance of rCLCA, along with CFTR, in transepithelial Cl- transport in the ductal system of the rat submandibular gland.  相似文献   
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Craniomandibular disorders are conditions encompassing various types of dysfunction of the stomatognathic system. To define the very nature of morbidity, both differential and pathological diagnosis are absolutely necessary. At present, each medical institution in this country has its own protocol for evaluating and treating craniomandibular disorders. This makes it difficult to exchange and compare data between institutions. In this paper, a protocol worked out by our department after a series of clinical tests and study is presented, and its merits and unresolved problems are discussed.  相似文献   
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Summary  The aim of this study was to determine whether measuring salivary chromogranin A (CgA) is useful in assessing individual stress levels and whether bruxism-like activity influences the salivary CgA level. From 44 adult healthy volunteers, we collected saliva samples with and without a stress condition (loud unpleasant sound). We assayed salivary samples with an ELISA to determine the content of CgA. We investigated also the effect of bruxism-like activity on salivary CgA production during stress. There were three patterns (group A, B, C) of response to the stressor on salivary CgA. They showed different responses and different effects of bruxism-like activity. This study shows the possibility of evaluating stress levels of individuals by measuring salivary CgA. Salivary CgA responds to psychosomatic stress. Bruxism-like activity prevented a stress-induced increase of salivary CgA in group A and B (75% of subjects), suggested that the reaction of the sympathetic-adrenomedullary system is regulated by the bruxism-like activity of the masticatory organ. The effect of bruxism-like activity in group C (high baseline of salivary CgA) was different from the effect in group A and B. Correspondence: S. Sato, Dept. of Craniofacial Growth Development Dentistry, Division Orthodontics, Kanagawa Dental College, 82 Inaoka-cho, Yokosuka, 238-8580 Japan  相似文献   
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Ten penicillinase-producing Neisseria gonorrhoeae (PPNG) strains isolated from 2000 to 2008 were characterized by multilocus sequence typing, multiantigen sequence typing, and plasmid typing. Sequence analysis showed that 8 strains contained a TEM-1 β-lactamase gene. However, two other genetically distinct PPNG strains, isolated in 2004 and 2008, each contained a TEM-135 β-lactamase on different plasmids, a Toronto/Rio type R plasmid and an Asia type R plasmid, suggesting independent origins of these PPNG strains.Antibiotic-resistant Neisseria gonorrhoeae is a major public health concern (15). An essential element in gonococcal-infection control is the availability of effective antimicrobial therapy. However, N. gonorrhoeae has developed resistance to multiple classes of antimicrobials. In Japan, the prevalence of fluoroquinolone-resistant N. gonorrhoeae strains is over 80% (12), and N. gonorrhoeae strains with reduced sensitivity and with resistance to cefixime (CFM) have emerged and spread nationwide (5, 7). In contrast to the high prevalence of N. gonorrhoeae strains with chromosomal β-lactam resistance genes, the prevalence of penicillinase-producing N. gonorrhoeae (PPNG) strains with a β-lactamase gene carried on a plasmid is relatively low in Japan. However, the prevalence of PPNG strains in other countries in Asia is high (16). To study the epidemiology of N. gonorrhoeae, nucleotide sequence-based typing methods, like multilocus sequence typing (MLST) and multiantigen sequence typing (MAST), are useful tools, since the analyses yield highly reproducible and easy-to-compare data from different laboratories.Among the 719 N. gonorrhoeae strains isolated from January 2000 to December 2008 in the Nakano Sogo Hospital in Japan, 10 strains (1.4%) were found to be penicillinase-producing N. gonorrhoeae (PPNG) by the nitrocefin test (data not shown). The MICs of penicillin (PEN), cefixime (CFM), and ceftriaxone (CRO) were determined by the agar dilution method (6), suggesting that the strains were highly resistant to penicillin but not to cephalosporins (Table (Table1).1). This low prevalence was consistent with other reports (14, 16).

TABLE 1.

Penicillinase-producing Neisseria gonorrhoeae strains isolated in Tokyo from 2000 to 2008
StrainTime of isolationSex of patientaAge (yr) of patientSpecimen typebMLST typeMAST typePlasmid typebla typeMIC (μg/ml)
PENCFMCRO
NGON 00-002January 2000M26UDST-1590ST-270AfricaTEM-1160.0320.016
NGON 00-027June 2000M42UST-1921ST-1817AsiaTEM-1>640.0080.008
NGON 04-025April 2004M27UST-1597ST-1549Toronto/RioTEM-135>640.004≤0.004
NGON 05-042August 2005F30VDST-1588ST-4012AfricaTEM-1640.250.064
NGON 06-041October 2006M56UST-1588ST-4012AfricaTEM-1320.250.032
NGON 08-003January 2008F31VDST-7823ST-4013AsiaTEM-135>640.0320.032
NGON 08-041September 2008M52UST-1584ST-1478AfricaTEM-1640.0080.004
NGON 08-043September 2008M31UST-7823ST-1288AsiaTEM-1>640.0640.064
NGON 08-044September 2008F25VDST-7823ST-1288AsiaTEM-1>640.0640.064
NGON 08-046October 2008F59VDST-1584ST-1478AfricaTEM-1640.250.032
Open in a separate windowaM, male; F, female.bU, urine; VD, vaginal discharge; UD, urethral discharge.MLST and MAST (3, 4) were used to characterize these PPNG strains. As shown in Table Table1,1, both MLST and MAST divided the 10 PPNG strains into 7 types, with 4 (NGON 00-002, NGON 00-027, NGON 04-025, and NGON 08-003) of the PPNG strains having unique sequence types (ST) by both MLST and MAST. However, three pairs of strains (NGON 05-042 and NGON 06-041, NGON 08-041 and NGON08-046, and NGON 08-043 and NGON 08-044) had identical sequence types by MLST and by MAST (Table (Table1).1). Although we have no information linking the patients from whom each pair of strains was isolated, transmission of PPNG strains might be considered in these cases.Plasmids of the PPNG strains carrying the β-lactamase gene (bla) have been typed based on plasmid size, since deletion mutants have been reported previously (9). To investigate plasmid diversity in the PPNG strains in this study, plasmid DNAs were purified using QIAprep Spin miniprep kits (Qiagen). To estimate β-lactamase plasmid size, we amplified the complete DNA of each plasmid by long PCR using LA Taq polymerase (TaKaRa) and primers bla-IR, 5′-TCGTGGTGTCACGCTCGTCG, and bla-IF, 5′-CTGCAGCAATGGCAACAACGTTG, which anneal to nucleotides 7426 to 7404 and 1 to 23, respectively, of the 7,426-bp pJD4 plasmid (Fig. (Fig.1A)1A) (9). The PCR products were incubated for 2 min at 96°C followed by 30 cycles of 10 s at 96°C, 10 s at 63°C, and 8 min at 72°C. As shown in Fig. Fig.1B,1B, analysis of the amplified plasmid DNAs in a 1% agarose gel showed three plasmid sizes: 5.2, 5.6, and 7.4 kb. By use of a multiplex PCR method for plasmid typing (10), the 5.2-, 5.6-, and 7.4-kb plasmids were identified as Toronto/Rio, Africa, and Asia type R plasmids, respectively (Fig. 1A and C).Open in a separate windowFIG. 1.Typing of plasmids carrying β-lactamases from Neisseria gonorrhoeae strains. (A) Schematics of Asia, Africa, and Toronto/Rio type plasmids. Each β-lactamase gene is shown by an arrowhead. The annealing sites of the primers used in this study for plasmid size determination (white arrowheads) and for plasmid type determination (black arrowheads) are shown. (B) Products of whole-plasmid PCR amplification, separated on a 1% agarose gel. (C) Products of multiplex PCR, separated on a 2% agarose gel. The size marker lanes contain StyI-digested lambda DNA (Toyobo) (B) or a 100-bp DNA ladder (Bioneer) (C). Lane 1, NGON 04-025; lane 2, NGON 00-002; lane 3, NGON 05-042; lane 4, NGON 06-041; lane 5, NGON 08-041; lane 6, NGON 08-046; lane 7, NGON 00-027; lane 8, NGON 08-003; lane 9, NGON 08-043; lane 10, NGON 08-044.Although the molecular sizes of N. gonorrhoeae R plasmids are diverse, plasmids carrying β-lactamases are genetically related and carry a TEM-1 type bla gene, blaTEM-1 (12). To confirm the conservation of blaTEM-1, the bla genes of the 10 PPNG isolates were analyzed by DNA sequencing (8). The primers used for amplification and sequencing were bla-F, 5′-CGCTCATGAGACAATAACCCTGG, and bla-R, 5′-GGGTCTGACGCTCAGTGGAACG. The PCR products were incubated for 2 min at 96°C followed by 30 cycles of 10 s at 96°C, 10 s at 60°C, and 1 min at 72°C. Nucleotide sequencing was carried out as described previously (8). As shown in Table Table1,1, two distinct blaTEM alleles were found: 8 PPNG strains contained blaTEM-1, and the other 2 strains (NGON 04-025 and NGON 08-003) contained blaTEM-135, a TEM allele originally identified in Salmonella enterica serovar Typhimurium (11). These alleles, blaTEM-1 and blaTEM-135, had one base difference, which resulted in a single amino acid substitution, M182T (residue numbering follows that of Ambler et al. [1]).Interestingly, the two PPNG strains with blaTEM-135 were genetically different: the sequence types of strain NGON 04-025 were MLST ST-1597 and MAST ST-1549, and those of strain NGON 08-003 were MLST ST-7823 and MAST ST-4013 (Table (Table1).1). The plasmids carried by strains NGON 04-025 and NGON 08-003 were also distinct: the plasmid for the former was a Toronto/Rio type, and that for the latter was an Asia type. Taken together, these findings suggest that blaTEM-135 may have been introduced independently into these two N. gonorrhoeae strains or may have emerged by a point mutation in each. Recently, Srifeungfung et al. (13) reported that a PPNG strain isolated in Thailand contained a blaTEM-135 allele. PPNG strains containing blaTEM-135 might be widespread in Asian countries, although further study is needed to determine the prevalence.The TEM type β-lactamase genes, which are widely distributed in Gram-negative bacteria, are diverse in sequence and in substrate spectrum. Some types of TEM β-lactamases can hydrolyze extended-spectrum cephalosporins with an oxyimino side chain, including ceftriaxone, which is still an effective antibiotic for N. gonorrhoeae. The diverse substrate spectra of TEM β-lactamases are due to mutations in the blaTEM gene that alter the amino acid configuration around the β-lactamase active site. Since bacteria with blaTEM-135 have a restricted β-lactamase substrate spectrum, as reported in a previous study (10) and also in this study (Table (Table1),1), the selective pressure for emergence of N. gonorrhoeae blaTEM-135 is not known. It is noteworthy that there are other TEM β-lactamases with extended substrate spectra that may have arisen as a single point mutation in blaTEM-1 or blaTEM-135, e.g., blaTEM-29 and blaTEM-20 (2). Since point mutations in blaTEM-1 and blaTEM-135 could lead to emergence of N. gonorrhoeae β-lactamases with extended substrate spectra, the antibiotic resistance profiles of PPNG strains should be monitored, especially in areas of high PPNG prevalence.  相似文献   
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