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   1057篇
  免费   221篇
  国内免费   5篇
耳鼻咽喉   7篇
儿科学   12篇
妇产科学   72篇
基础医学   172篇
口腔科学   104篇
临床医学   119篇
内科学   201篇
皮肤病学   34篇
神经病学   59篇
特种医学   14篇
外科学   119篇
综合类   46篇
预防医学   61篇
眼科学   11篇
药学   107篇
中国医学   7篇
肿瘤学   138篇
  2024年   2篇
  2023年   8篇
  2022年   19篇
  2021年   41篇
  2020年   34篇
  2019年   57篇
  2018年   54篇
  2017年   67篇
  2016年   48篇
  2015年   72篇
  2014年   56篇
  2013年   82篇
  2012年   51篇
  2011年   64篇
  2010年   69篇
  2009年   35篇
  2008年   50篇
  2007年   51篇
  2006年   38篇
  2005年   47篇
  2004年   43篇
  2003年   54篇
  2002年   39篇
  2001年   27篇
  2000年   22篇
  1999年   20篇
  1998年   7篇
  1997年   7篇
  1996年   5篇
  1995年   3篇
  1994年   3篇
  1993年   9篇
  1992年   9篇
  1991年   14篇
  1990年   11篇
  1989年   19篇
  1988年   8篇
  1987年   9篇
  1986年   9篇
  1985年   4篇
  1984年   6篇
  1982年   1篇
  1981年   2篇
  1977年   2篇
  1976年   2篇
  1975年   1篇
  1974年   1篇
  1972年   1篇
排序方式: 共有1283条查询结果,搜索用时 15 毫秒
981.
Despite the advances in understanding the pathophysiology of acute myeloid leukaemia (AML), the cure rate for acute myeloid leukaemia patients remains low. Cytogenetic abnormalities and age are the prognostic factors that guide treatment decisions. However, many AML patients still die. The biological factors that influence treatment outcome are largely unknown. Thus, the objective of our study was to use the in vitro viability test to correlate with treatment outcome. Acute myeloid leukaemia blasts demonstrated differing ability to survive in culture. Our examination of blast phenotype at various days in culture showed two possible growth directions. First, cells underwent maturation by increased expression of CD16 and down-regulated CD34 (a haemopoietic stem cell marker). These cells also appeared to have undergone apoptosis. Alternatively, cells continued to survive in culture and maintained high expression of CD34. An MTT assay was carried out to determine viability after three days of culture. Lower optical density values were obtained for samples that underwent apoptosis and higher values were obtained for samples that survived in culture. Apoptosis was measured by Annexin V/propidium iodide staining. A comparison between results of MTT assay and duration of disease free survival revealed that a higher viability in vitro correlated significantly with shorter survival duration in the patient (R -0.761, p=0.002, n=13). Thus, this study further supports the hypothesis that AML patients with poor survival may be related to having blasts with a biologically more immature or stem cell-like nature.  相似文献   
982.
The aim of this longitudinal study was to determine salivary levels of total IgA, IgG and IgM in 84 preterm and 214 full‐term infants, from birth to 18 months of age. Unstimulated whole saliva was collected from each infant at birth, and subsequently at 3‐monthly intervals. Immunoglobulin levels were estimated using an ELISA technique. At birth, IgA was detected in 147/214 (69%) full‐term infants but only 47/84 (56%) preterm infants (P < 0.01). In the case of IgG, 61% of full‐term and 56% of preterm infants showed detectable levels, whereas IgM was found in 71% and 73%, respectively. Levels of IgA and IgG rose from birth to 18 months, whereas IgM levels did not change significantly. Increases in salivary levels of IgA were associated with introduction of solid foods (P < 0.001), as well as tooth eruption (P < 0.001). Our results indicate that the majority of full‐term and preterm infants are orally immunocompetent at birth.  相似文献   
983.

Objective

Hyperandrogenism is the hallmark of polycystic ovary syndrome (PCOS). The use of dehydroepiandrosterone (DHEA)-treated rats is thought to be a suitable animal model to study PCOS. In the present study, we assessed the severity of reproductive and metabolic abnormalities in DHEA-treated rats.

Material and methods

Immature female Sprague–Dawley rats were divided into control and DHEA-treated groups. Reproductive parameters including estrus cycle and sex hormones were measured after sexual maturity. Adiposity, insulin sensitivity, and plasma lipid profiles were analyzed to assess metabolic profiles. After sacrifice, the insulin signaling pathway and lipogenic genes were analyzed by immunoblotting and polymerase chain reaction, respectively.

Results

An abnormal estrus cycle was observed in the DHEA-treated rats. DHEA treatment also increased plasma testosterone levels and caused multiple cystic follicle formation, which is compatible with the definition of PCOS. There were no significant changes in fasting glucose, fasting insulin, plasma lipid profiles, and blood pressure levels. The adiposity of the DHEA-treated rats was also lower than in the control rats. Moreover, glucose tolerance and insulin sensitivity were only mildly impaired in the DHEA-treated rats after oral glucose tolerance and insulin tolerance tests, even though insulin signaling in skeletal muscles was decreased in the DHEA-treated group.

Conclusion

DHEA-treated rats had reproductive abnormalities which mimicked symptoms of human PCOS. In metabolic parameters, DHEA treatment did not show insulin resistance in the female rats, suggesting that the use of DHEA-treated rats is not a good animal model for the study of metabolic abnormalities in PCOS.  相似文献   
984.
985.
The effect of lindane (γ‐hexachlorocyclohexane), an organochlorine pesticide, on Ca2+ mobilization in Madin‐Darby canine kidney cells was examined by fluorimetry using fura‐2 as a Ca2+ indicator. Lindane (5–200 μM) increased [Ca2+]i concentration‐dependently. The [Ca2+]i signal comprised an immediate initial rise followed by a persistent phase. Ca2+ removal inhibited the [Ca2+]i signal by reducing both the initial rise and the sustained phase. This implies lindane‐triggered Ca2+ influx and Ca2+ release. In Ca2+‐free medium, 0.15 mM lindane increased [Ca2+]i after pretreatment with carbonylcyanide m‐chlorophenylhydrazone (CCCP; 2 μM), a mitochondrial uncoupler, and two endoplasmic reticulum Ca2+ pump inhibitors, thapsigargin and cyclopiazonic acid. Conversely, pretreatment with lindane abolished CCCP‐ and thapsigargin‐induced Ca2+ release. This suggests that 0.15 mM lindane released Ca2+ from the endoplasmic reticulum, mitochondria and other stores. La3+ (1 mM) partly inhibited 0.1 mM lindane‐induced [Ca2+]i increase, confirming that lindane induced Ca2+ influx. Addition of 3 mM Ca2+ increased [Ca2+]i after pretreatment with 0.15 mM lindane for 750 sec. in Ca2+‐free medium, which indicates lindane‐induced capacitative Ca2+ entry. Lindane (0.15 mM)‐induced Ca2+ release was not reduced by inhibiting phospholipase C with 2 μM U73122, but was inhibited by 70% by the phospholipase A2 inhibitor aristolochic acid (40 μM).  相似文献   
986.
目的:检测造血生长因子受体FLT3 在非造血来源的黑素瘤细胞系B16 中的表达,并研究其配基FLT3-Ligand(FL)对B16 细胞的作用。方法:通过RT-PCR检测B16 细胞中FLT3 m RNA的表达,流式细胞仪检测FLT3 蛋白在B16 细胞表面的表达,在培养液中加入不同浓度的FL对B16 细胞进行培养。结果:FLT3 在B16 细胞中有m RNA 的表达,在B16 细胞表面有蛋白质的表达。FL对B16 细胞的生长有抑制作用,并且这种抑制作用是浓度依赖性的,在一定的浓度范围内随着FL浓度的增高而增强。结论:FLT3 的分布不仅仅局限于小鼠的造血系统和神经系统,也表达于上皮性的肿瘤细胞B16 中,并在其配基FL的作用下抑制B16 细胞的生长。  相似文献   
987.
Parkinson's disease (PD) is a neurodegenerative disorder associated with the striatum. Previous studies indicated that subdivisions of the striatum with distinct functional connectivity profiles contribute to different pathogeneses in PD. Segregated structural covariance (SC) pattern between the striatum and neocortex observed in healthy subjects, however, remain unknown in PD. The purpose of this study is to map and compare the subregional striatal SC network organization between 30 healthy controls and 48 PD patients and to investigate their association with the disease severity. The striatal SC network was statistically inferred by correlating the mean gray matter (GM) volume of six striatal subdivisions (including the bilateral dorsal caudate, superior ventral striatum, inferior ventral striatum, dorsal caudal putamen, dorsal rostral putamen, and ventral rostral putamen) with the entire neocortical GM volume in voxel‐wise manner. The PD patients revealed marked atrophy in the striatum, cerebellum, and extra‐striatum neocortices. As predicted, segregated striatal SC network patterns were observed in both groups. This suggests that in PD, pathological processes occurring in the striatum affect the same striato‐cortical networks that covary with the striatum in healthy brains. The PD patients further demonstrated atypical striatal SC patterns between the caudate, parahippocampus temporal cortices, and cerebellum, which corresponded to dopaminergic associated network. The areas with significant group differences in SC were further associated with disease severity. Our findings support previous studies indicating that PD is associated with altered striato‐cortical networks, and suggest that structural changes in the striatum may result in a cascade of alterations in multiple neocortices. Hum Brain Mapp 36:1567–1584, 2015. © 2014 Wiley Periodicals, Inc .  相似文献   
988.
人工全膝置换在严重膝内翻畸形患者中的应用   总被引:6,自引:5,他引:1  
目的观察保留后交叉韧带人工全膝置换治疗严重膝内翻畸形患者的临床结果.方法回顾性分析1990年1月~1995年7月间严重膝内翻畸形骨关节炎患者(≥20°)人工全膝置换后的临床结果.假体为Miller-Galante-Ⅰ人工全膝(MG-Ⅰ,Zimmer公司).采用KSS评分对临床结果进行评估.结果38人56膝获完整随访,平均随访6(4~9)年.术前至最后一次随访,平均膝评分从33分提高到91分,其中84%优秀;平均膝关节功能评分自39增加到76分;两者的改善均有统计学意义(P<0.01).86%的患者膝关节活动度超过90°,多数病例(50/56)术后膝关节力线正常,6例残留5~10°内翻畸形.总翻修率21%(12/56),平均翻修时间为术后5.5年.其它并发症包括髌骨半脱位,膝前痛,浅表感染.无深部感染、假体松动及前后向不稳.结论保留后交叉韧带人工全膝可矫正严重膝内翻畸形,术后内、外向不稳问题常致假体早期失败.  相似文献   
989.
我国造血干细胞基础研究的新进展兼论干细胞可塑性   总被引:14,自引:4,他引:14  
1995年以来我国造血干细胞工程与相关的生物学领域的研究发展迅速。有关造血干 祖细胞基因表达的研究 ,上海国家人类基因组研究中心陈竺、陈赛娟等为正常和急性白血病人骨髓造血干祖细胞cDNA文库的基因表达建立了一套先进的工作体系。他们在许多白血病细胞系的干 祖细胞中发现了 30 0个新的相关基因。中山大学医学院李树浓、黄绍良等从人的桑葚期胚胎干细胞成功地诱导出造血细胞等。北京输血研究所裴雪涛等从成人和胎儿的骨髓分离出成年源干细胞 ,又进一步诱导分化为骨、软骨、脂肪和神经原细胞等。他们成功地构建了胎儿和成人间充质干细胞cDNA扣除文库 ,获得了胎儿和成人间充质干细胞的差异表达基因及在胎儿特异表达基因。中国医学科学院天津血液学研究所、国家血液学重点实验室赵春华等证实从胚胎胰腺、骨髓和肝脏中都可以分离出人间充质干细胞 ,又证明G CSF可以使输注的间充质干细胞在体内促造血重建。北京基础医学研究所毛宁等的实验不支持间充质干细胞可以“横向分化”。最近他们发现小鼠胚胎干细胞的体外分化重现了胚胎早期造血发生的生物学程序以及Smad5基因调控在胚胎造血发生中的必要性和多样性 ,又表明其上游配体TGF beta家族分子在胚胎发生中的作用和特点。本文针对干细胞可塑性研究作了评  相似文献   
990.

Background

Domestic fuel combustion from cooking and heating is an important public health issue because roughly 3 billion people are exposed worldwide. Recently, the International Agency for Research on Cancer classified indoor emissions from household coal combustion as a human carcinogen (group 1) and from biomass fuel (primarily wood) as a probable human carcinogen (group 2A).

Objectives

We pooled seven studies from the International Lung Cancer Consortium (5,105 cases and 6,535 controls) to provide further epidemiological evaluation of the association between in-home solid-fuel use, particularly wood, and lung cancer risk.

Methods

Using questionnaire data, we classified subjects as predominant solid-fuel users (e.g., coal, wood) or nonsolid-fuel users (e.g., oil, gas, electricity). Unconditional logistic regression was used to estimate the odds ratios (ORs) and to compute 95% confidence intervals (CIs), adjusting for age, sex, education, smoking status, race/ethnicity, and study center.

Results

Compared with nonsolid-fuel users, predominant coal users (OR = 1.64; 95% CI, 1.49–1.81), particularly coal users in Asia (OR = 4.93; 95% CI, 3.73–6.52), and predominant wood users in North American and European countries (OR = 1.21; 95% CI, 1.06–1.38) experienced higher risk of lung cancer. The results were similar in never-smoking women and other subgroups.

Conclusions

Our results are consistent with previous observations pertaining to in-home coal use and lung cancer risk, support the hypothesis of a carcinogenic potential of in-home wood use, and point to the need for more detailed study of factors affecting these associations.  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