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101.
    
Zusammenfassung Die «Prospektive Cardiovascular Münster» (PROCAM)-Studie wird seit 1979 bei Betriebsangehörigen im Raum Westfalen durchgeführt. Bis zum Ende der Rekrutierungsphase (Jahresende 1985) haben 20060 Personen beiderlei Geschlechts von 17 bis 65 Jahren an der Untersuchung teilgenommen. Die Untersuchung zu Beginn der Beobachtungszeit umfasst eine Anamnese nach standardisiertem Fragebogen, die Messung von Blutdruck und anthropometrischen Grössen, ein EKG sowie eine Blutentnahme nach zwölfstündiger Nahrungskarenz.Bei einer Längsschnittauswertung von Männern im Alter von 40 bis 65 Jahren, die zu Beginn noch keinen Herzinfarkt oder Schlaganfall erlitten hatten und einheitlich vier Jahre nachbeobachtet wurden, traten 73 Herzinfarkte oder koronare Todesfälle innerhalb des Beobachtungszeitraumes auf, während 2681 Probanden ohne Herzinfarkt oder Schlaganfall den Zeitraum überlebten.Durch eine Hyper/Dyslipoproteinämie (Cholesterin > = 300 mg/dl oder Cholesterin und/oder Triglyzeride > = 200 mg/dl und gleichzeitig HDL-Cholesterin unter 35 mg/dl) sowie einer multiplen logistischen Funktion unter Berücksichtigung der Parameter Alter, HDL-Cholesterin, Cholesterin, systolischer Blutdruck sowie der ja-nein Merkmale Zigarettenrauchen, Diabetes melliutus, Herzinfarkt in der Familie und Angina pectoris gelang es, jeweils ein Risikokollektiv abzugrenzen, das bei einer Prävalenz von unter 20% über zwei Drittel aller Inzidenzen umfasste. Als bester prädiktiver Einzelparameter erwies sich das HDL-Cholesterin.
Results of the Prospective Cardiovascular Münster (PROCAM) study
Summary In the Prospective Cardiovascular Münster(PROCAM) study since 1979 employees have been examined for cardiovascular risk factors and held under observation for the onset of clinically significant signs of atherosclerosis (myocardial infarction, stroke, coronary death). Until the end of recruitment (end of 1985) 20060 male and female employees aged 17–65 from 52 industrial companies in Westfalia have participated. The voluntary examination at the start of the observation period includes a standardised questionnaire, a physical examination, blood pressure measurements and an ECG. Blood samples are taken after an overnight fast.The data presented here describe the longitudinal evaluation of initially healthy men aged 40 to 65 who had suffered no myocardial infarction or stroke before the examination. In an uniform follow-up period of four years 73 myocardial infarctions and coronary deaths were observed while 2681 men had survived without myocardial infarction or stroke.By far the best single parameter for establishing a risk group was HDL cholesterol. Using the characteristic hyper/dyslipoproteinemia which means cholesterol > = 300mg/dl or HDL cholesterol < 35mg/dl combined with cholesterol > = 200mg/dl and/or triglyceride > = 200 mg/dl or a multiple logistic function including age. cholesterol, HDL cholesterol, systolic blood pressure, cigarette smoking, diabetes mellitus, angina pectoris and a family history of myocardial infarction patients at high risk for coronary heart disease could be identified. More than two thirds of new events happened in each of these high risk subgroups, which comprise less than 20 percent of men under consideration each.

Résultats de l'étude prospective de Münster (PROCAM)
Résumé Dans cette étude, les employés de différentes entreprises de Westphalie ont été examinés: environ 20000 personnes des deux sexes, âgées de 17 à 65 ans ont été recrutées pour cette étude (jusqu'à la fin de 1985). L'observation porte sur une anamnèse standardisée, sur la mesure de la pression sanguine et de différentes valeurs anthropométriques, un ECG et un examen sanguin suivant 12 heures de jeûne. Les données présentées ici concernent l'évaluation de la cohorte des hommes en bonne santé, âgés de 40 à 65 ans, qui n'avaient eu aucun accident cardiovasculaire avant le premier examen. Durant une période de suivi uniforme de 4 ans, 73 infarctus ou décès ont été observés, alors que 2681 hommes ont survécu. Le meilleur paramètre prédicteur pour établir un groupe à risque est, de loin, le cholestérol HDL. En utilisant les caractéristiques de l'hyper/ dyslipoprotéinémie (cholestérol > 300 mg/dl ou cholestérol HDL < 35 mg/dl, combiné avec un cholestérol > 200 mg/dl ou/et des triglycérides > 200 mg/dl) et une fonction de régression logistique multiple prenant en compte l'âge, le cholestérol HDL, le cholestérol, la pression systolique, le tabagisme, le diabète sucré, l'anamnèse familiale de coronaropathies, il est possible de caractériser un groupe à risque élevé: deux tiers des événements cardiovasculaires surviennent dans ce groupe, alors qu'ils ne concernent que 20% de la population masculine observés.
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102.
Analysis of data obtained by linking the 1960 Swedish Census and the Swedish Cancer Registry has demonstrated an increased risk of pleural mesothelioma among pulp and paper workers. The present study was undertaken with the aim of revealing possible environmental risk factors. The work histories of the 25 cases identified earlier were reviewed. "Certain" or "probable" exposure to asbestos was found among 70% of these workers. The study illustrates how linkage of official registers can be used to identify new risk environments and encourage the establishment of preventive measures.  相似文献   
103.
The technical equipment of today's intensive care unit (ICU) workstation has been characterized by a gradual, incremental accumulation of individual devices, whose presence is dictated by patient needs. These devices usually present differently designed controls, operate under different alarm philosophies, and cannot communicate with each other. By contrast, ICU workstations could be equipped permanently and in a standardized manner with electronically linked modules if the attending physicians could reliably predict, at the time of admission, the patient's equipment needs. Over a period of 3 1/2 months, the doctors working in our 20-bed surgical ICU made 1,000 predictions concerning outcome, equipment need, duration of artificial ventilation, and duration of hospitalization for 300 recently admitted patients. The interviews were made within the first 24 hours after admission. The doctors being interviewed were usually (i.e., in over 90% of cases) unfamiliar with the patient. Information concerning the patient's general state of health, special pre-ICU events, and complications was offered to the interviewed clinician because this information represents standard admission data. It was found that the equipment need (represented by two different setups, high tech and low tech) could be predicted most reliably (96.4% correct predictions) compared with a prediction on outcome of ICU treatment (94.5%), on duration of artificial ventilation (75.4%), and on duration of stay (43.4%). There was no significant (p>0.05) difference in the reliability of predictions between residents and consultants. Factors influencing the postoperative equipment need varied with surgical specialty. The general state of health, as indicated by the ASA classification (p<0.001), and the specific intervention (all multiple-valve replacements needed the high-level equipment standard) appeared to be most important in cardiac surgery, while a state of septicemia was important in general surgery (p<0.001). Our findings suggest that ICU workstations may be standardized into at least two types.  相似文献   
104.
105.
Summary Cell cultures (GTS) of epithelioid nature derived from the skin of a green sea turtle,Chelonia mydas, were treated with colchicine at a final concentration of 0.5 g/ml for 16 h. Mitotic cells were harvested by brief treatment with trypsin-Versene, subjected to hypotonic solution (1% sodium citrate) and fixed in (13) acetic acid: methanol. Giemsa stained preparations were photographed on High Contrast Copy film under phase contrast optics using a bluegreen filter. The result was significant enhancement of the microchromosome portion of the complement morphologically characteristic of reptilian metaphase chromosomes. By this method it was determined that the GTS cell line retains the female diploid number of the Chelonia species.  相似文献   
106.
Relating cell and tissue mechanics: Implications and applications   总被引:1,自引:0,他引:1  
The Differential Adhesion Hypothesis (DAH) posits that differences in adhesion provide the driving force for morphogenetic processes. A manifestation of differential adhesion is tissue liquidity and a measure for it is tissue surface tension. In terms of this property, DAH correctly predicts global developmental tissue patterns. However, it provides little information on how these patterns arise from the movement and shape changes of cells. We provide strong qualitative and quantitative support for tissue liquidity both in true developmental context and in vitro assays. We follow the movement and characteristic shape changes of individual cells in the course of specific tissue rearrangements leading to liquid-like configurations. Finally, we relate the measurable tissue-liquid properties to molecular entities, whose direct determination under realistic three-dimensional culture conditions is not possible. Our findings confirm the usefulness of tissue liquidity and provide the scientific underpinning for a novel tissue engineering technology. Developmental Dynamics 237:2438-2449, 2008. (c) 2008 Wiley-Liss, Inc.  相似文献   
107.
108.
Heterochromatin protein 1 (HP1) is a key component of constitutive heterochromatin in Drosophila and is required for stable epigenetic gene silencing classically observed as position effect variegation. Less is known of the family of mammalian HP1 proteins, which may be euchromatic, targeted to expressed loci by repressor-corepressor complexes, and retained there by Lys 9-methylated histone H3 (H3-MeK9). To characterize the physical properties of euchromatic loci bound by HP1, we developed a strategy for regulated recruitment of HP1 to an expressed transgene in mammalian cells by using a synthetic, hormone-regulated KRAB repression domain. We show that its obligate corepressor, KAP1, can coordinate all the machinery required for stable gene silencing. In the presence of hormone, the transgene is rapidly silenced, spatially recruited to HP1-rich nuclear regions, assumes a compact chromatin structure, and is physically associated with KAP1, HP1, and the H3 Lys 9-specific methyltransferase, SETDB1, over a highly localized region centered around the promoter. Remarkably, silencing established by a short pulse of hormone is stably maintained for >50 population doublings in the absence of hormone in clonal-cell populations, and the silent transgenes in these clones show promoter hypermethylation. Thus, like variegation in Drosophila, recruitment of mammalian HP1 to a euchromatic promoter can establish a silenced state that is epigenetically heritable.  相似文献   
109.
Summary We have used physicochemical and ultrastructural methods to investigate the effects of Ca2+ and ATP on the structure of purified heavy meromyosin (HMM) from the striated adductor muscle of the scallop, a species with myosin-linked regulation. Using papain as a structural probe, we found that, in the presence of ATP, the head/tail junction was five times more susceptible to digestion at high levels of Ca2+ than at low levels.wBy HPLC gel filtration, two fractions of scallop HMM with different Stokes radii were detected in the presence of ATP at low Ca2+, while at high Ca2+ a single peak with the larger Stokes radius predominated. Electron microscopy of rotary-shadowed HMM suggested that molecules with the smaller Stokes radius had their heads bent back towards their tails, while those with the larger radius had heads pointing away from the tail. The number of molecules with their heads bent back decreased at high Ca2+ levels. The data also showed that in the absence of ATP or at high salt, HMM molecules behaved similarly to those in the presence of ATP at high Ca2+.These results suggest that scallop myosin heads can exist in two conformations (heads down towards the tail and heads up away from the tail) and that the equilibrium between these two conformations is altered by the concentrations of salt, ATP and Ca2+. However, the equilibrium between the two forms appears to be too slow to be involved in regulating contraction. The heads-down configuration may instead be related to the inactive, folded (10S) form of scallop myosin and possibly involved in filament assembly during development.  相似文献   
110.
The role of mitochondria-rich cells (MR cells) in transepithelial Na transport was investigated by determining electrolyte concentrations and Rb uptake in individual cells of frog skin epithelium using electron microprobe analysis. Measurements were performed under control conditions and after blocking the transepithelial Na transport with amiloride. Under control conditions, Na and Cl concentrations of MR cells scattered much more than those of principal cells and ranged from a few up to more than 30 mmol/kg wet weight. Rb uptake from the basal side into individual MR cells also showed a large variation and was, on the average, much less pronounced than into the principal cells. In principal cells, amiloride reduced the Na concentration and Rb accumulation. In contrast, no effect was observed upon electrolyte concentration and Rb uptake of MR cells. Rb uptake was correlated to the Na concentration of MR cells both under control conditions and after amiloride. It is concluded that, in contrast to the principal cells, MR cells are not involved in amiloride-sensitive transepithelial Na transport and that their Na/K-pump activity is very low.  相似文献   
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