全文获取类型
收费全文 | 1063篇 |
免费 | 57篇 |
国内免费 | 6篇 |
专业分类
耳鼻咽喉 | 11篇 |
儿科学 | 20篇 |
妇产科学 | 15篇 |
基础医学 | 160篇 |
口腔科学 | 23篇 |
临床医学 | 100篇 |
内科学 | 248篇 |
皮肤病学 | 20篇 |
神经病学 | 130篇 |
特种医学 | 33篇 |
外科学 | 137篇 |
综合类 | 8篇 |
预防医学 | 108篇 |
眼科学 | 12篇 |
药学 | 64篇 |
中国医学 | 4篇 |
肿瘤学 | 33篇 |
出版年
2023年 | 10篇 |
2022年 | 25篇 |
2021年 | 44篇 |
2020年 | 14篇 |
2019年 | 37篇 |
2018年 | 45篇 |
2017年 | 33篇 |
2016年 | 33篇 |
2015年 | 34篇 |
2014年 | 51篇 |
2013年 | 67篇 |
2012年 | 98篇 |
2011年 | 92篇 |
2010年 | 49篇 |
2009年 | 41篇 |
2008年 | 66篇 |
2007年 | 53篇 |
2006年 | 49篇 |
2005年 | 45篇 |
2004年 | 57篇 |
2003年 | 36篇 |
2002年 | 26篇 |
2001年 | 17篇 |
2000年 | 19篇 |
1999年 | 13篇 |
1998年 | 4篇 |
1997年 | 6篇 |
1996年 | 4篇 |
1995年 | 6篇 |
1993年 | 2篇 |
1992年 | 2篇 |
1991年 | 6篇 |
1990年 | 7篇 |
1988年 | 2篇 |
1987年 | 2篇 |
1984年 | 3篇 |
1981年 | 1篇 |
1980年 | 1篇 |
1979年 | 4篇 |
1977年 | 1篇 |
1976年 | 4篇 |
1974年 | 1篇 |
1971年 | 1篇 |
1970年 | 1篇 |
1967年 | 3篇 |
1966年 | 2篇 |
1964年 | 1篇 |
1941年 | 1篇 |
1929年 | 1篇 |
1882年 | 1篇 |
排序方式: 共有1126条查询结果,搜索用时 15 毫秒
81.
Thiago Roberto Lima Romero Raquel Rodrigues Soares Santos Marina Gomes Miranda e Castor Júlia Alvarenga Petrocchi Luciana Souza Guzzo Andre Klein Igor Dimitri Gama Duarte 《Pharmacological reports : PR》2018,70(4):784-788
Background
The aim of this study was to investigate this involvement in not inflammatory model of pain and which opioid receptor subtype mediates noradrenaline-induced peripheral antinociception. Noradrenaline is involved in the intrinsic control of pain-inducing pro-nociceptive effects in the primary afferent nociceptors. However, inflammation can induce various plastic changes in the central and peripheral noradrenergic system that, upon interaction with the immune system, may contribute, in part, to peripheral antinociception.Methods
Hyperalgesia was induced by intraplantar injection of prostaglandin E2 (PGE2, 2 μg) into the plantar surface of the right hind paw and the paw pressure test to evaluated the hyperalgesia was used. Noradrenaline (NA) was administered locally into right hind paw of Wistar rat (160–200 g) alone and after either agents, α2-adrenoceptor antagonist yohimbine, α1-adrenoceptor antagonist prazosin, β-adrenoceptor antagonist propranolol, μ-opioid antagonist clocinnamox, δ-opioid antagonist naltrindole and κ-opioid antagonist nor-binaltorfimina. In addition, the enkephalinase inhibitor bestatin was administered prior to NA low dose.Results
Intraplantar injection of NA induced peripheral antinociception against hyperalgesia induced by PGE2. This effect was reversed, in dose dependent manner, by intraplantar injection of yohimbine, prazosin, propranolol, clocinnamox and naltrindole. However, injection of nor-binaltorfimina did not alter antinociception of NA after PGE2 hyperalgesia. Bestatin intensified the antinociceptive effects of low-dose of NA.Conclusion
Besides the α2-adrenoceptor, the present data provide evidence that, in absence of inflammation, NA activating α1 and β-adrenoceptor induce endogenous opioid release to produce peripheral antinociceptive effect by μ and δ opioid receptors. 相似文献82.
An infant feeding update program at healthcare centers and its impact on breastfeeding and morbidity
Bernardi JR Gama CM Vitolo MR 《Cadernos de saúde pública / Ministério da Saúde, Funda??o Oswaldo Cruz, Escola Nacional de Saúde Pública》2011,27(6):1213-1222
This study evaluated the impact of an infant feeding update program on exclusive breastfeeding and the incidence of diarrhea and respiratory illness in infants. A randomized cluster field study was conducted in the city of Porto Alegre, Rio Grande do Sul State, Brazil, with 20 healthcare centers. Health professionals received information on the Ten Steps to Healthy Feeding for Children up to Two Years of Age. We evaluated 619 infants 6-9 months of age. The results showed longer duration of exclusive breastfeeding (p = 0.02) in the intervention group but no significant differences in the incidence of diarrhea or respiratory symptoms. Complementary analyses showed that exclusive breastfeeding was longer in the group of children without the occurrence of diarrhea (p = 0.001) or respiratory symptoms (p = 0.03). The data suggest that the training was insufficient to affect incidence of illness, but that it was effective in extending exclusive breastfeeding. 相似文献
83.
Effects of a low dose of bentazon on spermatogenesis of mice exposed during foetal, postnatal and adult life 总被引:2,自引:0,他引:2
Bentazon is a herbicide used to control many broadleaf weeds and sedges. Its use has improved rice production in paddy fields in Northern Italy, but as a negative consequence it is found in groundwater, the major source of drinking water. To determine whether low doses of bentazon affect spermatogenesis, it was dissolved in water at the concentration of 30 microg/L. Bentazon was administered through drinking water to: (1) adult mice for 100 days and (2) mice exposed in utero, during lactation and for 100 days after birth. The histopathological analysis of testes of treated animals showed that the frequency of defective tubules was comparable to that found in control groups. The cell associations of the 12 stages of the seminiferous epithelium were correct as well as the architecture of the epithelium. The spermatocytes/spermatids ratio was the same as in controls. However, the frequency of stages VII, IX and XII of the cycle of the seminiferous epithelium of adult mice and of stages I, III and VII of mice exposed in utero and for 100 days after birth was different when compared to that of control mice. Sperm number and morphology were not affected by the treatment. The potential genotoxic effects were evaluated on spermatozoa (Comet assay), in pachytene spermatocytes (analysis of the synaptonemal complex) and in bone marrow cells (frequency of micronuclei). None of these analyses evidenced genotoxic effects of bentazon. Although our results show that the administration of a low dose of bentazon does not impair spermatogenesis, we found alterations of the frequency of some stages of the cycle of the seminiferous epithelium in both experimental groups. 相似文献
84.
Gomes CM Giannella-Neto D Gama ME Pereira JC Campos MB Corbett CE 《Transactions of the Royal Society of Tropical Medicine and Hygiene》2007,101(7):660-667
The role of the insulin-like growth factor I (IGF-I) system and nutritional status was studied in 241 children from a Brazilian area endemic for visceral leishmaniasis (VL). Thirty-nine children had the active form, 20 were oligosymptomatic, 38 were asymptomatic and 144 were not infected. Serum concentrations of growth hormone (GH), total and free IGF-I and IGF binding-protein 3 (IGFBP3) were measured by radioimmunoassay. Nutritional status was evaluated by anthropometric indicators and biochemical measurements. Total and free IGF-I and IGFBP3 were significantly reduced in the active form. Z scores for total and free IGF-I and for IGFBP3 were found to be significantly lower for active VL and oligosymptomatic individuals than for asymptomatic individuals, but never reached values 相似文献
85.
Elder GA De Gasperi R Gama Sosa MA 《The Mount Sinai journal of medicine, New York》2006,73(7):931-940
Until recently neurogenesis in mammals was considered to occur only during the embryonic and early post-natal periods and to have no significant role in the adult nervous system. However, it is now accepted that neurogenesis occurs in two brain regions in adult mammals, namely, the hippocampus and olfactory bulb. In both regions new neurons arise from a resident population of neural progenitor cells that are maintained throughout adult life. Hippocampal neurogenesis is required for some types of hippocampal-dependent learning. Many factors enhance hippocampal neurogenesis including hormones, growth factors, drugs, neurotransmitters, and physical exercise as well as learning a hippocampal-dependent task. Other factors suppress hippocampal neurogenesis; these include aging, stress, glucocorticoids and stimuli that activate the pituitary/adrenal axis. Recently much attention has become focused on the relevance of hippocampal neurogenesis to the pathophysiology and treatment of mood disorders. Indeed all major pharmacological and non-pharmacological treatments for depression enhance hippocampal neurogenesis and suppressing hippocampal neurogenesis in mice blocks behavioral responses in some antidepressant-sensitive tests. Altered hippocampal neurogenesis may also play a pathophysiological role in neurodegenerative disorders such as Alzheimer's disease. How much neurogenesis occurs normally in other brain regions is unclear. Neural progenitors are found throughout the neuraxis including both neurogenic and non-neurogenic regions. When cultured in vitro or isolated and transplanted back into neurogenic brain regions, these cells can differentiate into neurons although in their in situ location they seem to behave as lineage-restricted glial progenitors. The environmental cues that limit the potential of progenitor cells in non-neurogenic brain regions are unknown. However, an emerging view is that astrocytes, a subset of which also functions as neural progenitor cells, are critical in regulating the local environment. After transplantation into adult brain, neural stem cells are capable of surviving and differentiating into both neurons and glial cells, offering hope that stem cell therapy may be utilized to treat a variety of neurological and perhaps psychiatric disorders. The widespread existence of endogenous neural progenitors even in non-neurogenic brain regions also offers hope that the potential of these cells may be harnessed to repair cellular injuries caused by injuries such as stroke, trauma or neurodegenerative diseases. While obstacles remain to both approaches, stem-cell-based therapies remain an area of intense research interest. 相似文献
86.
Susana Moreira Naisandra Bezerra Silva Jailma Almeida-Lima Hugo Alexandre Oliveira Rocha Silvia Regina Batistuzzo Medeiros Clodomiro Alves Jr. Francisco Miguel Gama 《Toxicology letters》2009
Nanomaterials have unusual properties not found in the bulk materials, which can be exploited in numerous applications such as biosensing, electronics, scaffolds for tissue engineering, diagnostics and drug delivery. However, research in the past few years has turned up a range of potential health hazards, which has given birth to the new discipline of nanotoxicology. Bacterial cellulose (BC) is a promising material for biomedical applications, namely due its biocompatibility. Although BC has been shown not to be cytotoxic or genotoxic, the properties of isolated BC nanofibres (NFs) on cells and tissues has never been analysed. Considering the toxicity associated to other fibre-shaped nanoparticles, it seems crucial to evaluate the toxicity associated to the BC-NFs. 相似文献
87.
88.
S Amorim P Dias G Rocha G Gama M de Campos S Pires 《Revista portuguesa de cardiologia》2001,20(12):1249-1257
The incidence of poisoning with calcium channel blockers, accidental or intentional, has increased in recent years, associated with more frequent use. We present a clinical case of bradycardia and shock of unknown cause, which came to be revealed a poisoning by 3240 mg of slow-release diltiazem, managed with temporary transvenous pacing and dopamine in high concentration. We make a review of the cardiovascular manifestations of the three classic calcium channel blockers: verapamil, diltiazem and nifedipine; namely, hypotension, rhythm and conduction disturbances. We point out the late appearance of the beginning of manifestations with the use of slow releasing formulations. The toxicity by calcium channel blockers can lead to a wide variety of manifestations in the central nervous system, gastrointestinal system, endocrine-metabolic, hematologic and respiratory systems. There is a high clinical suspicion when the following factors are present: hypotension with bradycardia, mental state disturbances, lactic acidosis, hyperglycemia, sinus pauses and refractory shock. Treatment is based on general measures of intoxication support, decreasing the drug absorption and improvement of cardiac function. The bradyarrhythmias are corrected with the use of intravenous calcium, glucagon, atropine and pacemaker. If the intoxication causes depression of cardiac contractility, the use of calcium or/and glucagon is indicated. If there is refractoriness with these measures, catecholamines should be employed. There are alternative and adjuvant drugs such as amrinone, insulin-glucose, 4-aminopyridine and calcium entry promoters. Charcoal hemoperfusion can be useful in the overdose of sustained release preparations, but hemodialysis is unworthy of therapeutical interest. 相似文献
89.
90.
Lemos PA Ribeiro EE Perin MA Kajita LJ de Magalhães MA Falcão JL Filho AE da Gama MN Horta PE Marchiori GG Spadaro AG Martinez EE 《The international journal of cardiovascular imaging》2007,23(1):1-7
Background Factors influencing the size of target vessels of patients referred for coronary intervention are poorly defined. We aimed
to investigate in a large series of patients undergoing percutaneous intervention the relation of constitutional, anatomical,
and clinical features with the reference diameter of coronary vessels treated with stenting.
Methods A total of 4,850 de novo coronary lesions, non-ostial and non-bifurcational, located in native vessels were analyzed. The following pre-specified
characteristics were analyzed to reflect the relation between constitutional, anatomical, and clinical features on reference
vessel diameter: age, gender, height, weight, proximal location, vessel, diabetes, hypertension, multivessel disease, and
clinical presentation.
Results The average reference diameter was 2.66 ± 0.50 mm. All pre-specified markers had a significant relation with the vessel
reference diameter at univariate analysis, except by hypertension which showed a strong tendency. However, at multivariate
analysis, only diabetes, proximal location, multivessel disease, clinical presentation, vessel, weight, and height were identified
as independent predictors of reference vessel diameter.
Conclusion Reference diameter of coronary vessels at the site of lesions treated by stenting is significantly influenced by a variety
of characteristics. We hypothesize that the treated segment size of patients undergoing stenting ultimately reflects the conjoint
effect of several different factors, including constitutional, anatomical, and clinical features. 相似文献