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   3222篇
  免费   229篇
  国内免费   17篇
耳鼻咽喉   41篇
儿科学   96篇
妇产科学   86篇
基础医学   445篇
口腔科学   103篇
临床医学   369篇
内科学   765篇
皮肤病学   52篇
神经病学   258篇
特种医学   64篇
外科学   303篇
综合类   11篇
预防医学   401篇
眼科学   64篇
药学   216篇
中国医学   7篇
肿瘤学   187篇
  2024年   3篇
  2023年   36篇
  2022年   65篇
  2021年   120篇
  2020年   81篇
  2019年   109篇
  2018年   129篇
  2017年   80篇
  2016年   113篇
  2015年   125篇
  2014年   152篇
  2013年   195篇
  2012年   293篇
  2011年   280篇
  2010年   148篇
  2009年   136篇
  2008年   208篇
  2007年   220篇
  2006年   189篇
  2005年   183篇
  2004年   187篇
  2003年   149篇
  2002年   124篇
  2001年   16篇
  2000年   10篇
  1999年   13篇
  1998年   15篇
  1997年   13篇
  1996年   7篇
  1995年   9篇
  1994年   9篇
  1993年   6篇
  1992年   5篇
  1991年   2篇
  1990年   4篇
  1989年   2篇
  1988年   3篇
  1987年   6篇
  1986年   2篇
  1985年   2篇
  1984年   1篇
  1983年   3篇
  1982年   2篇
  1981年   3篇
  1980年   4篇
  1979年   1篇
  1978年   3篇
  1976年   1篇
  1973年   1篇
排序方式: 共有3468条查询结果,搜索用时 0 毫秒
81.
82.
83.
The highly selective oxidation of alcohols to aldehydes has been achieved due to the synergic effect of Pt and CeO2 supported on hierarchical zeolites. The combination of Pt and CeO2 strongly enhances the catalytic performance of the oxidation of benzyl alcohol to benzaldehyde with respect to the isolated materials. In addition, the hierarchical zeolite not only increases the fraction of exposed active sites because of its high surface area that can prevent the aggregation of Pt and CeO2 nanoparticles, but also affects the oxidation state of cerium. The presence of a high content of trivalent Ce species (Ce3+) on the hierarchical zeolite benefits the oxidation reaction, eventually leading to almost 100% yield of an aldehyde product. Moreover, the catalytic performance can be further improved by the easily tunable Si to Al ratio of zeolite catalysts.

Illustration of Pt/CeO2 supported on hierarchical zeolites promoting the highly selective oxidation of benzyl alcohol to benzaldehyde.  相似文献   
84.
Coating-free TiO2@β-SiC photocatalytic composite foams gathered within a ready-to-use shell/core alveolar medium the photocatalytically active TiO2 phase and the β-SiC foam structure were prepared via a multi-step shape memory synthesis (SMS) replica method. They were fabricated following a sequential two-step carburization approach, in which an external TiC skin was synthesized at the surface of a β-SiC skeleton foam obtained from a pre-shaped polyurethane foam during a first carburization step. The adsorption behaviour of the shell/core TiO2@β-SiC composite foams towards the Diuron pollutant in water was tuned by submitting the carbide foams to a final calcination treatment within the 550–700 °C temperature range. The controlled calcination step allowed (i) the selective oxidation of the TiC shell into a TiO2 crystallite shell owing to the β-SiC resistance to oxidation and (ii) the amount of residual unreacted carbon in the foams to be tuned. The lower the calcination temperature, the more pronounced the adsorption profiles of the composites and the higher the Diuron amount removed by adsorption on the residual unreacted carbon. The ready-to-use TiO2@β-SiC composite foams were active in the degradation of the Diuron pesticide, without any further post-synthesis immobilization or synthesis process at the foam surface. They displayed good reusability with test cycles and benefitted from an enhanced stability in terms of the titania release to water.

Coating-free TiO2@β-SiC photocatalytic composite foams gathering within a ready-to-use shell/core alveolar medium the TiO2 photocatalyst and the β-SiC foam structure were prepared via a multi-step shape memory synthesis (SMS) replica method.  相似文献   
85.
Glycogen phosphorylase (GP) is a key enzyme in the glycogenolysis pathway. GP inhibitors are currently under investigation as a new liver-targeted approach to managing type 2 diabetes mellitus (DM). The aim of the present study was to evaluate the inhibitory activity of a panel of 52 structurally related chromone derivatives; namely, flavonoids, 2-styrylchromones, 2-styrylchromone-related derivatives [2-(4-arylbuta-1,3-dien-1-yl)chromones], and 4- and 5-styrylpyrazoles against GP, using in silico and in vitro microanalysis screening systems. Several of the tested compounds showed a potent inhibitory effect. The structure–activity relationship study indicated that for 2-styrylchromones and 2-styrylchromone-related derivatives, the hydroxylations at the A and B rings, and in the flavonoid family, as well as the hydroxylation of the A ring, were determinants for the inhibitory activity. To support the in vitro experimental findings, molecular docking studies were performed, revealing clear hydrogen bonding patterns that favored the inhibitory effects of flavonoids, 2-styrylchromones, and 2-styrylchromone-related derivatives. Interestingly, the potency of the most active compounds increased almost four-fold when the concentration of glucose increased, presenting an IC50 < 10 µM. This effect may reduce the risk of hypoglycemia, a commonly reported side effect of antidiabetic agents. This work contributes with important considerations and provides a better understanding of potential scaffolds for the study of novel GP inhibitors.  相似文献   
86.
We describe the largest-to-date single-center implementation of tele-epilepsy. Beginning in 2017, all patients at a single tertiary care academic epilepsy center were offered the option to complete outpatient follow-up visits via video-conferencing using personal devices. A retrospective review of all patients who self-selected virtual visits over nearly 3 years showed 2140 patients completed 3698 tele-epilepsy visits, with 41% completing more than one visit during the study period. Based on the distance from the center to the home address, 26.7% of patients were local (≤50 miles), 30.5% were near regional (51-150 miles), 20.1% were far regional (151-270 miles), and 22.7% were remote (>270 miles), from 43 different states. An estimated 928 696 miles of travel was prevented, with a median travel distance saved of 124.5 miles (interquartile range = 45.0-253.0). The mean visit time was 15.7 (±10.4) minutes. More than 90% of patients gave the visit and provider experience the maximum rating, with a nearly 60% response rate on the post-visit survey. Virtual outpatient follow-up care provides a convenient way to connect with epilepsy specialists and reduce the burden of care by cutting travel time. Our experience demonstrates that outpatient tele-epilepsy is feasible, sustainable, and scalable.  相似文献   
87.
88.
89.
Objective: This study aimed to analyze the trend in cervical cancer (ICD C53) mortality in Brazilian regions in women who are who are screened and not screened from 1996 to 2015. Methods: An epidemiological study, of time series of mortality from cervical cancer performed in 90,856 women under 24 years old (343 women), between 25 and 64 years old (32,703 women), and over 65 years old (10,909 women). The data from this research were collected from the DATASUS, from the SIM Health Surveillance Secretariat files, captured through TABNET selecting the resident population by gender and age group and ICD 10 C53 from 1996 to 2015. Results: Among women, 43.8% were white, and 76% had less than eight years of formal education. Polynomial regression showed an increasing trend in cervical cancer mortality in Brazil for women aged 15 - 24 years (p=0.01). Between 25 - 64 and 65 years or older it remained constant, but high (p=0.07; 0.99). The Northeast region pointed a growing trend in women aged 15 to 24 (p=0.01), 25 to 64 years (p=0.01) and 65 or older (p=0.001). The Northeast presented the highest average growth per year. In the Southeast, South and Midwest regions, decreasing trends were observed despite the high rates. The Joinpoint regression showed a 95% confidence interval, and that mortality from cervical cancer in the North region increased throughout the period analyzed. an increasing trend was observed from 1996 to 1998, whereas in the Midwest region, the trend remained stable throughout the period analyzed. The Federal District presented an upward trend from 1996 to 2015. In Brazil, an upward trend was observed throughout the whole period analyzed. Conclusions: Cervical cancer mortality in younger women is becoming more predominant, in addition to the high rate observed for women aged 65 or older.  相似文献   
90.

Introduction

Single coronary artery (SCA) with no associated congenital heart disease is a rare congenital anomaly. Most cases are asymptomatic and incidental findings, but SCA can cause ischemia, congestive heart failure, and sudden cardiac death (SCD).

Case report

A 44-year-old woman presented with Takotsubo cardiomyopathy and cardiogenic shock. Selective cannulation of the left coronary artery (LCA) was not possible on coronary angiography (CA); an SCA was revealed arising from the right sinus, continuing distally as the circumflex artery and thereafter as the left anterior descending artery. Coronary computed tomography angiography (CCTA) confirmed left main atresia and no coronary stenosis. Cardiac magnetic resonance imaging (MRI) showed diffuse myocardial edema and no perfusion defects. The patient's clinical course was favorable under conservative management.

Discussion

Our paper describes an incidental finding of right SCA. We report a Lipton type R-I, in which a dominant right SCA supplies the entire myocardium. It is the rarest SCA presentation, with an incidence of 0.0008%; only 15 cases have been reported in the literature, all of which were studied by CA. Of these 15, one had SCD, five angina, one ventricular arrhythmia and one complicated acute coronary syndrome. CCTA confirmed the diagnosis in seven patients, MRI in one and transesophageal echocardiography in another. Nine patients had coronary lesions. Two underwent coronary artery bypass grafting, one percutaneous intervention and 11 conservative treatment.

Conclusion

Right SCA with congenital absence of the LCA is one of the rarest coronary artery anomalies. In a significant percentage of patients it is associated with ischemia and can be life-threatening. CCTA and MRI are the modalities of choice for diagnosis and risk stratification.  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