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   1928篇
  免费   131篇
  国内免费   14篇
耳鼻咽喉   30篇
儿科学   32篇
妇产科学   16篇
基础医学   246篇
口腔科学   291篇
临床医学   159篇
内科学   341篇
皮肤病学   30篇
神经病学   124篇
特种医学   54篇
外科学   263篇
综合类   14篇
一般理论   2篇
预防医学   180篇
眼科学   68篇
药学   115篇
中国医学   11篇
肿瘤学   97篇
  2023年   22篇
  2022年   33篇
  2021年   77篇
  2020年   46篇
  2019年   61篇
  2018年   73篇
  2017年   68篇
  2016年   61篇
  2015年   82篇
  2014年   105篇
  2013年   117篇
  2012年   151篇
  2011年   171篇
  2010年   82篇
  2009年   84篇
  2008年   133篇
  2007年   109篇
  2006年   101篇
  2005年   87篇
  2004年   84篇
  2003年   46篇
  2002年   32篇
  2001年   25篇
  2000年   30篇
  1999年   22篇
  1998年   10篇
  1997年   9篇
  1996年   6篇
  1995年   7篇
  1994年   3篇
  1993年   5篇
  1992年   21篇
  1991年   21篇
  1990年   8篇
  1989年   8篇
  1988年   13篇
  1987年   2篇
  1986年   2篇
  1985年   6篇
  1983年   6篇
  1979年   5篇
  1978年   5篇
  1977年   4篇
  1975年   5篇
  1974年   4篇
  1973年   2篇
  1971年   2篇
  1969年   3篇
  1968年   2篇
  1967年   4篇
排序方式: 共有2073条查询结果,搜索用时 31 毫秒
101.
102.

Introduction

Pattern recognition receptors, such as toll-like receptor 2 (TLR-2) and TLR-4, participate in the activation of immune cells by microorganisms in dental pulp. However, the expression levels of pattern recognition receptors can be modulated by epigenetic factors, especially DNA methylation. In this study, the methylation status of the TLR-2 and CD14 (TLR4 co-receptor) genes in healthy and inflamed human dental pulp was examined.

Methods

The Methyl-Profiler DNA Methylation qPCR Assay was used to verify the DNA methylation patterns.

Results

No differences in the methylation patterns were observed between the 2 groups. Most DNA was unmethylated in both groups.

Conclusions

The hypomethylation of TLR2 and CD14 genes is a usual feature in human dental pulp.  相似文献   
103.

Introduction

The aim of this study was to characterize the response of mouse subcutaneous tissue to triple antibiotic paste (TAP) using conventional light microscopy and real-time PCR (qRT-PCR).

Methods

Polyethylene tubes containing TAP or calcium hydroxide (CH) (ie, the control group) were implanted in mouse subcutaneous tissue. Animals that received empty tubes or no tubes were used as additional controls. After periods of 7, 21, and 63 days postimplantation, the specimens were removed and subjected to histologic processing. The number of inflammatory cells and vessels, vessel areas, vascular density, and relative percentage of collagen were evaluated. Gene expression of proinflammatory (interleukin-1 beta, tumor necrosis factor alpha, and interleukin 17) and anti-inflammatory (transforming growth factor beta) cytokines and angiogenic factors (vascular endothelial growth factor and hypoxia-inducible factor-1 alpha) was quantified by 7 and 21 days postimplantation. Results were analyzed using the Student t test, analysis of variance, and the Tukey test (α = 0.05).

Results

TAP induced an exuberant inflammatory and angiogenic response, with higher numbers of inflammatory cells, higher vascular area and density, and lower relative percentage of collagen compared with CH. In general, the expression of genes involved in inflammation and angiogenesis was higher in the TAP group compared with animals that received CH or empty tubes.

Conclusions

The response of mouse subcutaneous tissue to TAP was characterized by exuberant and persistent inflammatory and angiogenic responses with no repair and high gene expression of biomarkers associated with inflammation and angiogenesis.  相似文献   
104.

Introduction

Teeth are often included in the radiation field during head and neck radiotherapy, and recent clinical evidence suggests that dental pulp is negatively affected by the direct effects of radiation, leading to impaired sensitivity of the dental pulp. Therefore, this study aimed to investigate the direct effects of radiation on the microvasculature, innervation, and extracellular matrix of the dental pulp of patients who have undergone head and neck radiotherapy.

Methods

Twenty-three samples of dental pulp from patients who finished head and neck radiotherapy were analyzed. Samples were histologically processed and stained with hematoxylin-eosin for morphologic evaluation of the microvasculature, innervation, and extracellular matrix. Subsequently, immunohistochemical analysis of proteins related to vascularization (CD34 and smooth muscle actin), innervation (S-100, NCAM/CD56, and neurofilament), and extracellular matrix (vimentin) of the dental pulp was performed.

Results

The morphologic study identified preservation of the microvasculature, nerve bundles, and components of the extracellular matrix in all studied samples. The immunohistochemical analysis confirmed the morphologic findings and showed a normal pattern of expression for the studied proteins in all samples.

Conclusions

Direct effects of radiotherapy are not able to generate morphologic changes in the microvasculature, innervation, and extracellular matrix components of the dental pulp in head and neck cancer patients.  相似文献   
105.
A chemoselective route for the synthesis of 1-O-alkylglycerols chimyl (1), batyl (2), and selachyl (3) is reported. These compounds can be naturally isolated from shark liver oil and the skin of animals such as stingrays and chimeras and exhibit potential anti-fouling activity. The synthetic approach developed in this work included two distinct methods of preparation. The first was based on solvent-free reactions catalyzed by onium quaternary salts (N and P) and ionic liquids; the second methodology was based on a series of one-pot reactions.

A chemoselective route for the synthesis of 1-O-alkylglycerols chimyl (1), batyl (2), and selachyl (3) is reported.  相似文献   
106.
107.
We highlight a convenient synthesis to selectively deuterate an aryl C–H hydrogen bond donor in an arylethynyl bisurea supramolecular anion receptor and use the Perrin method of competitive titrations to study the deuterium equilibrium isotope effects (DEIE) of anion binding for HS, Cl, and Br. This work highlights the utility and also challenges in using this method to determine EIE with highly reactive and/or weakly binding anions.

We highlight a convenient synthesis to selectively deuterate an aryl C–H hydrogen bond donor in a supramolecular anion receptor and use competitive titrations to study the deuterium equilibrium isotope effects (DEIE) in binding HS, Cl, and Br.

Molecular recognition and host–guest binding in both biological and synthetic systems are often driven by a mixture of competitive and additive primarily non-covalent interactions. Understanding the role of each of these forces in a host–guest system can reveal insights into the driving forces behind binding and help inform on the molecular design of future hosts.1–3 Equilibrium isotope effects (EIE), also referred to as binding isotope effects (BIE) in structural molecular biology,4 measure the effect of isotopic substitution on supramolecular interactions through changes in the vibrational energy of the substituted bond. These studies can be used to elucidate the complex non-covalent forces involved in host conformational changes and host–guest binding.5–8Examples from structural molecular biology have demonstrated that EIEs can reveal mechanistic information in enzyme–ligand binding events.4,9 Isotopic substitution in synthetic supramolecular systems has been used both for labelling purposes and for studying individual non-covalent interactions. For example, Bergman, Raymond, and coworkers used deuterium equilibrium isotope effects (DEIE) to study benzylphosphonium cation guest binding in a self-assembled supramolecular complex in aqueous solution.10 From these DEIE studies, the authors found that attractive cation⋯π interactions in the interior of the host were important for promoting guest binding, and that C–H⋯π and π⋯π interactions were relatively small contributors. In another example, Shimizu and coworkers studied the DEIE on the strength of C–H⋯π interactions in their molecular balances.11 Both computational and experimental results showed that the strength of C–H⋯π and C–D⋯π interactions were about equal, settling the debate on which interaction is stronger and easing concerns about using deuteration for spectroscopic and labelling applications.Previously, we used DEIE to study Cl binding with the arylethynyl bisurea anion receptor 1H/D (Fig. 1) in DMSO-d6.12 We found an experimental DEIE of 1.019 ± 0.010, which matched the computationally-predicted DEIE of 1.020. Further computational analysis determined that the DEIE was due to a distorted N–H⋯Cl hydrogen bond geometry, which resulted in changes in the C–H/D bond vibrational energy in the host–guest complex. In addition, Paneth and coworkers performed a computational study with 1H and other hydrogen bonding supramolecular Cl receptors to determine the EIE of 35/37Cl binding in these hosts.13 Because isotope effects, both equilibrium and kinetic, originate solely from changes in the vibrational energy of the isotopically labelled bond, the EIE arising from this study came from changes in the vibrational energies of the bonds in the supramolecular hosts when participating in hydrogen bonding with Cl isotopes. Indeed, a linear relationship was observed between the hydrogen bond donor (D) D–H bond lengths in the host–guest complex and the computed 35/37Cl EIE.Open in a separate windowFig. 1Arylethynyl bisurea receptors 1H and 1D used in our previous DEIE study of Cl binding. Related receptors 2H and 2D are used in this study to avoid reaction of the nitro group with HS.Previous EIE studies with receptor 1H/D have focused on Cl binding; however, to the best of our knowledge, no work has yet investigated the EIE of hydrosulfide (HS) binding in this or other systems. HS is a highly reactive anion that plays crucial roles in biology. At physiological pH, HS is favored in solution by a 3 : 1 ratio over its conjugate acid, hydrogen sulfide (H2S). H2S has been identified as the third physiological gasotransmitter alongside CO and NO and plays essential roles in physiological systems.15 Despite its high nucleophilicity and redox activity, HS has been observed to be bound through non-covalent interactions in the protein crystal structure of a bacterial ion channel16 and in the turn-over state of vanadium-containing nitrogenase.17 The supramolecular chemistry of HS is under-studied in synthetic supramolecular receptors, likely due to the inherent high reactivity of HS. Indeed, we are aware of only three families of receptors that have been shown to reversibly bind HS.18–21Recently, we used a series of arylethynyl bisurea anion receptors to investigate and demonstrate a linear free energy relationship between the polarity of a non-traditional C–H hydrogen bond donor and the solution binding energy of HS, HSe, Cl and Br.14 A major and unexpected finding of this study was that HS demonstrated a significant increase in sensitivity towards the polarity of the C–H hydrogen donor over HSe, Cl and Br. Although increasing the polarity of the C–H hydrogen bond donor did not lead to changes in selectivity between Cl, Br, and HSe, we observed a 9-fold increase in selectivity for HS over Cl, suggesting a fresh approach to selective HS recognition using non-covalent interactions. In this current study, we label the C–H hydrogen bond donor in an arylethynyl bisurea receptor with a deuterium atom (2H/D, Fig. 1) to further investigate this apparent preference of polar C–H H-bond donors for HS over Cl and Br through DEIE.Receptor 2H is a previously reported anion receptor for HS, Cl, and Br and was prepared by established methods.14 Deuterium labelling of the isotopologue 2D was achieved by selective monodeuteration of intermediates through methods similar to those reported in the literature (Scheme 1).22 The diazonium salt 3 was synthesized in a 71% yield from 2,6-diiodo-4-trifluoromethylaniline.23 Dediazonation in DMF-d7 is catalyzed by FeSO4 and allows for selective synthesis of monodeuterated intermediate 4. The deuteration step proceeds through a radical pathway that uses DMF-d7 as the deuterium source. This deuteration reaction provides efficient deuterium incorporation even with up to 50% by volume H2O in the reaction solution due to the differential bond strengths in DMF and H2O.22 Sonogashira cross-coupling reaction of 4 and 4-t-butyl-2-ethynylaniline24 afforded 5 in 45% yield. Subsequent addition with 4-methoxyphenyl isocyanate gave 2D in 34% yield. Compound 2D and intermediates were characterized through 1H, 2H, 13C{1H}, and 19F NMR spectroscopy and high-resolution mass spectrometry (see ESI).Open in a separate windowScheme 1Synthetic route for the selective deuteration of anion receptor 2D.Previous work on the DEIE of Cl binding with 1H/D in DMSO revealed an experimental isotope effect of 1.019 ± 0.010. Therefore, we expected similar small DEIEs for HS, Cl, and Br binding with 2H/D. Typical methods to determine binding constants (Ka) in supramolecular systems use non-linear regression fitting of titration data. Results from this method can be affected by small errors in the known initial host and guest concentration, quality of the titration isotherm, and subsequent data fitting, which when taken together often results in 2–15% errors in Ka. To increase the precision in KHa/KDa data for this study, we used the Perrin method of competitive titrations,25 which has been shown previously to reduce errors in EIE values significantly with errors as small as 0.0004.26 In this method, a linearized plot of the chemical shifts of 2H (δH) and 2D (δD) in fast exchange with an anionic guest is fit by linear regression to eqn (1):(δ0HδH)(δDδfD) = DEIE(δ0DδD)(δHδfH)1The slope of the linear regression is equal to the DEIE of the system. Because the linear regression only relies on chemical shift values and is independent of host and guest concentration, the precision of the method is limited to the precision of the NMR instrument and quality of data fitting.In addition, 13C NMR spectroscopy is sensitive to isotopic labelling and can show changes in chemical shifts between isotopomers. We were able to differentiate between the 13C NMR signals for Cab, C1 and C2 for free and bound 2H and 2D (Fig. 2a) in 10% DMSO-d6/CD3CN, which were similar to those reported for 1H/D in DMSO-d6.12 Competitive 13C NMR spectroscopy titrations were performed in anaerobic and anhydrous 10% DMSO-d6/CD3CN at 25 °C with mixtures of 2H and 2D in combined concentrations between 5.71 and 13.46 mM. Aliquots of the tetrabutylammonium (TBA) salts of HS, Cl, and Br were added until the system had reached saturation (Titration method A in ESI). In an effort to decrease reactivity of HS with 2H/D and DMSO over long periods of time and decrease oxygen and water contaminations, some titrations with HS were performed by splitting the host solution of 2H/D between four J-young NMR tubes. For each point in the competitive titration, TBASH was added to a new solution of 2H/D inside an N2-filled glovebox shortly before obtaining a 13C NMR spectra (Titration method B in ESI). The Cab, C1 and C2 13C NMR signals were tracked for 2H and 2D in each titration for each anion. A representative competitive titration and linearized plots for Cl binding is shown in Fig. 2.Open in a separate windowFig. 2(a) Representation of the host–guest equilibrium between 2H/D and Cl. (b) Differences in the chemical shifts between the 2H and 2D isotopologues are observed in the 13C NMR signals for the Cab, C1, and C2 carbons. 13C NMR signals for the Cab, C1, and C2 carbons in 2H and 2D are tracked throughout a titration. (c–e) Linearized plots from fitting the chemical shifts of the Cab, C1, and C2 throughout a titration to eqn (1).The DEIE data calculated from tracking the chemical shifts of the Cab, C1 and C2 13C NMR signals from Cl and Br binding are summarized in eqn (1) through linear regression is included in parentheses
13C NMR SignalDEIE (R2)
CarbonClBr
Cab0.983 ± 0.017 (0.997)1.006 ± 0.010 (0.999)
C11.006 ± 0.007 (0.999)1.009 ± 0.018 (0.997)
C11.014 ± 0.002 (1.00)0.990 ± 0.046 (0.981)
Open in a separate windowNotably, our experimental DEIE value for Cl binding with 2H/D in 10% DMSO-d6/CD3CN is smaller than the computed value of 1.020 for Cl binding with 1H/D in DMSO-d6.12 Our previously published computational study revealed that the DEIE of Cl binding resulted from distorted urea N–H⋯Cl hydrogen bonding geometry affecting the vibrational frequency of the C–H/D bond in the host–guest complex. Replacing the NO2 functional group in 1H/D (σp = 0.78) with a CF3 functional group (σp = 0.54) in 2H/D decreases the polarization of the C–H/D bond and subsequently makes it a slightly poorer hydrogen bond donor. In addition, the DEIE of Cl binding in this current study is in a less polar solvent system (10% DMSO/CH3CN, ε ∼ 42) compared to the previous study (DMSO, ε = 47). We hypothesize that the decreased polarization of the C–H/D bond and the lower solvent polarity either relieve the distorted N–H⋯Cl hydrogen bonding geometry or decrease their influence on the vibrational frequency of the C–H/D bond in the host–guest complex. To deconvolute and better understand the role of both C–H/D hydrogen bond donor polarity and solvent on the DEIE of Cl binding in these receptors, a systematic study of these two variables would be required, similar to those previously reported, which we intend to pursue in future work.14,27,28Analysis of the data for competitive titrations of 2H/D with Br revealed no DEIE at any of the tracked 13C NMR signals; however, each calculated DEIE has a relatively large percent error (0.99–4.64%, compared to 0.20% for the DEIE of Cl binding), which could potentially obscure small DEIEs. We attribute these large percent errors to a limitation in the Perrin method that assumes that the hosts are fully bound by guest at saturation. This limitation can potentially decrease the precision of this method for weakly bound guests with low Ka, such as Br which has a Ka of 173 ± 9 M−1 with 2H in 10% DMSO-d6/CD3CN at 25 °C.14Using the combined data from 11 experiments, we were unable to determine a DEIE for HS binding. The C1 13C NMR signal appeared to be the most sensitive to the change in vibrational energy of the C–H/D bond in the free host and the host–guest complex; however, in over half these trials, data from the C1 13C NMR signal showed a poor linear fit (R2 < 0.99). In addition, we were unable to triplicate any DEIE from the data which showed a good linear fit (R2 > 0.99). We hypothesize that the high nucleophilicity and air and water sensitivity of HS made it incompatible with the long experiment times needed for 13C NMR spectroscopy titrations. In addition it is important to note that HS is the only protic guest investigated in these studies, and it is also possible that vibrational coupling between the S–H motif and the receptor may further complicate the measurement of these small EIEs. Such coupling between S–H and other motifs has been implicated previously in the IR inactivity of S–H stretching modes in many metal-sulfhydryl complexes.29In conclusion, deuterium equilibrium isotope effects (DEIE) can be used to elucidate non-covalent driving forces behind anion binding in our arylethynyl bisurea receptors. We endeavored to use DEIE studies to further investigate a preference of polarized C–H hydrogen bond donors for HS over Cl and Br which we reported previously.14 In this current work, we highlight a convenient method to selectively and completely deuterate the aryl C–H hydrogen bond donor in our supramolecular anion receptors. We then found a DEIE of 1.014 ± 0.002 for Cl binding with 2H/D. This DEIE was smaller than the computed DEIE of Cl binding with 1H/D which features a more polarized C–H hydrogen bond donor and in a more polar solvent. Finally, we reveal challenges in using the Perrin method and 13C NMR spectroscopy titrations in determining small and precise EIE for weakly binding or highly reactive guests.From this work, we have identified several areas that need further research. The first is to study how solvent and hydrogen bond donor polarity affect EIE of guest binding. A computational study from Paneth and coworkers suggest that both these variables can be used to influence 35/37Cl EIE in supramolecular hosts.13 We also were unable to determine a DEIE of HS binding in our receptors, likely due to its high reactivity. A new method to determine small, precise EIE of reactive species such as HS is needed in order to learn more about the supramolecular chemistry of this biologically relevant anion and to develop new strategies for selectively binding HS over other competing anions.  相似文献   
108.
109.
This paper presents a three-step method for the addition of obliquely crossed spherocylinders. Contrary to other methods it does not require algorithms or complicated abstract concepts to secure the consistency of the results.  相似文献   
110.
Wound healing is a complex process resulting from an interplay of processes including coagulation, inflammation, angiogenesis, and epithelialization. The chemokine family has been shown to contain members that are potent regulators of many of these pathways. Because we have previously shown that chemokines "pool" in biologic wound dressings, we studied the levels of CXC and CC chemokines, along with key inflammatory mediators, serially from a group of patients undergoing therapy for chronic venous leg ulcers. After 8 weeks, all patients had marked clinical healing of their ulcers (median 63.3% reduction in size) with two of 10 completely healed. Wound fluids extracted from dressings showed high levels of platelet factor-4 and interferon-gamma-inducible protein, with a trend toward increases in the ratio of the sums of the angiogenic versus angiostatic CXC chemokines (p = 0.082) in the tissues collected from the center of the ulcers during wound closure. Neutrophil-activating peptide-2 and interleukin-8 accounted for the most changes in wound fluid angiogenic chemokines, with significant differences both as compared with baseline levels and with patients' plasma level noted at various time points between weeks 0 and 8. The level of angiostatic chemokines, interferon-y inducible protein 10 and platelet-activating-4, fell most significantly between weeks 0 and 3 as compared with plasma levels. The observed shift toward angiogenic CXC chemokines suggests that effective healing in chronic venous insufficiency ulcers appears to "move" the ulcer bed toward a state more conducive to epithelialization,characteristic of the proliferative phase of wound healing. CC chemokines were also elevated at baseline in the wound fluid samples as compared with the patients' plasma levels. Macrophage inflammatory protein-1 (3 and regulated on activation, normal T expressed and secreted (RANTES) levels decreased with healing, whereas there were significant increases in the tissue levels of monocyte chemoattractant protein-1 and macrophage inflammatory protein-1 a over the first 4 weeks of therapy (p< or = 0.05 for both). Coincident with these changes was a steady increase in the ratio of interleukin-1 R/interleukin-1 receptor antagonist protein in the ulcer center tissues, which also correlated with healing (p < 0 .05) as compared with a decreasing ratio at the ulcer edge, and a biphasic response in the wound fluids. These findings suggest that advanced wound care techniques help move the ulcer from a chronic inflammatory state into one more characteristic of the late inflammatory/early proliferative phase of wound healing. Chemokines may play a critical role in the pathogenesis of chronic venous ulcers through their effects on angiogenesis and/or the progression of inflammatory reactions at the site of injury.  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