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31.
Effects of inoculum and beta-lactamase activity in AmpC- and extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli and Klebsiella pneumoniae clinical isolates tested by using NCCLS ESBL methodology 总被引:1,自引:0,他引:1
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Escherichia coli and Klebsiella pneumoniae isolates with extended-spectrum beta-lactamases (ESBLs) or AmpC cephalosporinases generally respond as predicted to NCCLS tests for ESBL production. However, inoculum size may affect MICs. The effect of inoculum level in clinical isolates expressing beta-lactamases were studied at inocula within 0.5 log unit of the standard inoculum, using broth microdilution methodology with ceftazidime, cefotaxime, cefepime, cefpodoxime, and aztreonam. Strains with TEM-1 or no beta-lactamases gave consistent MIC results with inocula of 10(5) and 10(6) CFU/ml. When the bacteria were screened for ESBL production and the lower inoculum was used, several strains with ESBLs, including CTX-M-10, TEM-3, TEM-10, TEM-12, TEM-6, SHV-18, and K1, gave false-negative results for one or more antimicrobial agents (MICs below the NCCLS screening concentration for detecting suspected ESBLs). When the higher inoculum was used, MICs of at least one antimicrobial agent increased at least fourfold in strains producing TEM-3, TEM-10, TEM-28, TEM-43, SHV-5, SHV-18, and K1. All antimicrobial agents showed an inoculum effect with at least one ESBL producer. Confirmatory clavulanate effects were seen for both inocula for all ESBL-producing strains with all antimicrobial agents tested, except for the CTX-M-10-producing E. coli with ceftazidime and the SHV-18-producing K. pneumoniae with cefotaxime. In kinetic studies, cefpodoxime and cefepime were hydrolyzed by ESBLs in a manner similar to that of cefotaxime. When total beta-lactamase activity and hydrolysis parameters were evaluated, however, no single factor was predictive of inoculum effects. These results indicate that the NCCLS screening and confirmation tests are generally predictive of ESBL production, but false-negative results can arise when a lower inoculum is used in testing. 相似文献
32.
The bed nucleus of the stria terminalis (BNST) is believed to be a critical relay between the central nucleus of the amygdala (CE) and the paraventricular nucleus of the hypothalamus in the control of hypothalamic-pituitary-adrenal (HPA) responses elicited by conditioned fear stimuli. If correct, lesions of CE or BNST should block expression of HPA responses elicited by either a specific conditioned fear cue or a conditioned context. To test this, rats were subjected to cued (tone) or contextual classical fear conditioning. Two days later, electrolytic or sham lesions were placed in CE or BNST. After 5 days, the rats were tested for both behavioral (freezing) and neuroendocrine (corticosterone) responses to tone or contextual cues. CE lesions attenuated conditioned freezing and corticosterone responses to both tone and context. In contrast, BNST lesions attenuated these responses to contextual but not tone stimuli. These results suggest CE is indeed an essential output of the amygdala for the expression of conditioned fear responses, including HPA responses, regardless of the nature of the conditioned stimulus. However, because lesions of BNST only affected behavioral and endocrine responses to contextual stimuli, the results do not support the notion that BNST is critical for HPA responses elicited by conditioned fear stimuli in general. Instead, the BNST may be essential specifically for contextual conditioned fear responses, including both behavioral and HPA responses, by virtue of its connections with the hippocampus, a structure essential to contextual conditioning. The results are also not consistent with the hypothesis that BNST is only involved in unconditioned aspects of fear and anxiety. 相似文献
33.
Ludman E Katon W Bush T Rutter C Lin E Simon G Von Korff M Walker E 《Psychological medicine》2003,33(6):1061-1070
BACKGROUND: A randomized trial of a primary care-based intervention to prevent depression relapse resulted in improved adherence to long-term antidepressant medication and depression outcomes. We evaluated the effects of this intervention on behavioural processes and identified process predictors of improved depressive symptoms. METHOD: Patients at high risk for depression recurrence or relapse following successful acute phase treatment (N=386) were randomly assigned to receive a low intensity 12-month intervention or continued usual care. The intervention combined education about depression, shared decision-making regarding use of maintenance pharmacotherapy and cognitive-behavioural strategies to promote self-management. Baseline, 3, 6, 9 and 12-month interviews assessed patients' self-care practices, self-efficacy for managing depression and depressive symptoms. RESULTS: Intervention patients had significantly greater self-efficacy for managing depression (P<0.01) and were more likely to keep track of depressive symptoms (P<0.0001), monitor early warning signs (P<0.0001), and plan for coping with high risk situations (P<0.0001) at all time points compared to usual care control patients. Self-efficacy for managing depression (P<0.0001), keeping track of depressive symptoms (P=0.05), monitoring for early warning signs (P=0.01), engaging in pleasant activities (P<0.0001) and engaging in social activities (P<0.0001) positively predicted improvements in depression symptom scores. CONCLUSIONS: A brief intervention designed to target cognitive-behavioural factors and promote adherence to pharmacotherapy in order to prevent depression relapse was highly successful in changing several behaviours related to controlling depression. Improvements in self-efficacy and several self-management behaviours that were targets of the intervention were significantly related to improvements in depression outcome. 相似文献
34.
Double-blind, placebo-controlled food challenge (DBPCFC) as an office procedure: a manual 总被引:12,自引:2,他引:12
S A Bock H A Sampson F M Atkins R S Zeiger S Lehrer M Sachs R K Bush D D Metcalfe 《The Journal of allergy and clinical immunology》1988,82(6):986-997
There is now enough experience with the use of double-blind, placebo-controlled, food challenge (DBPCFC) to recommend its use as an office procedure for most patients complaining of adverse reactions to foods. This manual discusses the practical methods required for the allergist to undertake DBPCFC in the office. Thorough histories supplemented by food allergen skin testing are used to design a DBPCFC that carefully attempts to reproduce the history of food-induced symptoms described by the patient. Precautions that must be taken are delineated before challenge, as is treatment that may be required if a reaction occurs. For those foods to which challenges are positive, longitudinal evaluation with repeated challenge at appropriate intervals help to determine whether or not the problem will resolve over a period of time. 相似文献
35.
A D Guerci G Gerstenblith J A Brinker N C Chandra S O Gottlieb R D Bahr J L Weiss E P Shapiro J T Flaherty D E Bush 《The New England journal of medicine》1987,317(26):1613-1618
Patients presenting within four hours of the onset of acute myocardial infarction were randomly assigned to receive 80 to 100 mg of recombinant human-tissue plasminogen activator (t-PA) intravenously over a period of three hours (n = 72) or placebo (n = 66). Administration of the study drug was followed by coronary arteriography, and candidates for percutaneous transluminal coronary angioplasty were randomly assigned either to undergo angioplasty on the third hospital day (n = 42) or not to undergo angioplasty during the 10-day study period (n = 43). The patency rates of the infarct-related arteries were 66 percent in the t-PA group and 24 percent in the placebo group. No fatal or intracerebral hemorrhages occurred, and episodes of bleeding requiring transfusion were observed in 7.6 percent of the placebo group and 9.8 percent of the t-PA group. As compared with the use of placebo, administration of t-PA was associated with a higher mean (+/- SEM) ejection fraction on the 10th hospital day (53.2 +/- 2.0 vs. 46.4 +/- 2.0 percent, P less than 0.02), an improved ejection fraction during the study period (+3.6 +/- 1.3 vs. -4.7 +/- 1.3 percentage points, P less than 0.0001), and a reduction in the prevalence of congestive heart failure from 33 to 14 percent (P less than 0.01). Angioplasty improved the response of the ejection fraction to exercise (+8.1 +/- 1.4 vs. +1.2 +/- 2.2 percentage points, P less than 0.02) and reduced the incidence of postinfarction angina from 19 to 5 percent (P less than 0.05), but did not influence the ejection fraction at rest. These data support an approach to the treatment of acute myocardial infarction that includes early intravenous administration of t-PA and deferred cardiac catheterization and coronary angioplasty. 相似文献
36.
Multivariate analyses of the parameters of a modified Richards growth model were used to determine the effects of sex and varying levels of dietary intake of PCB's (0-50 ppm), on the asymptotic size (W infinity), total growing time (T) and shape (m) of the growth curves of game farm mallards (Anas platyrhynchos) and wild wood ducks (Aix sponsa) raised under laboratory conditions. Level of PCB intake did not affect any of the growth parameters of the wood ducks, while sex affected both m and W infinity, with males of this species growing to greater body weights and showing slightly lower shape parameters than females. Growth characteristics of the mallards on the other hand, did not differ between the sexes. PCB intake however, had a significant effect on the shape of the mallard growth curve, but did not affect either W infinity or T. All interactions between sex and PCB treatment level were non-significant in both species. The growth responses of game-farm mallards to PCB intake cannot be assumed to typify that of other wild waterfowl species without additional evidence from comparative studies. 相似文献
37.
Virginia A Reed G Christian Jernstedt Mark Ballow Robert K Bush Anita T Gewurz Stephen J McGeady 《Academic medicine》2004,79(11):1062-1066
Graduate medical education programs face new challenges as they seek to comply with the mandate from the Accreditation Council on Graduate Medical Education to demonstrate that they are teaching and assessing residents on the six core competencies. The authors describe a project designed as a collaborative venture between the American Academy of Allergy, Asthma, and Immunology (AAAAI) and the Center for Educational Outcomes at Dartmouth College (CEdO) to provide residency programs in allergy/immunology with resources for teaching and assessing the core competencies. The goal was to create a set of learning and assessment resources that maximized the content knowledge expertise provided by the AAAAI and the learning expertise provided by CEdO. A highly interactive, iterative process was used to create a set of Web-based modules. Bilateral communication, buy-in, and active involvement in the process were seen as crucial to the development of resources and their successful implementation. Approximately 18 months after the modules were made available to training program directors, 80% of the directors surveyed were aware of and had accessed the modules. The joint creation process used in this project, designed to be generally applicable across specialties, reveals how the burden of meeting new requirements can be decreased when experts in content knowledge and experts in learning collaborate. 相似文献
38.
Lymphocyte proliferation in response to acute heavy resistance exercise in women: influence of muscle strength and total work 总被引:3,自引:0,他引:3
Dohi K Mastro AM Miles MP Bush JA Grove DS Leach SK Volek JS Nindl BC Marx JO Gotshalk LA Putukian M Sebastianelli WJ Kraemer WJ 《European journal of applied physiology》2001,85(3-4):367-373
Little is understood about the immune responses to heavy resistance exercise. The purpose of this investigation was to determine
the influence of physical strength and the ability to do more total work on lymphocyte proliferation after an acute bout of
heavy resistance exercise. A group of 50 healthy but non-strength trained women were recruited for the study and tested for
their one repetition maximum (i.e. 1 RM or maximal mass lifted once). From the normal distribution of strength the top and
bottom 8 women [mean age 22.5 (SD 3.1) years] were asked to volunteer to define our two groups (i.e. high strength and low
strength). The two groups were significantly different (P<0.05) in 1 RM squat strength [low strength 39.9 (SD 4.6) kg, 0.65 (SD 0.08) kg·kg body mass–1 and high strength 72.2 (SD 10.7) kg, 1.1 (SD 0.12) kg·kg body mass–1] but were not significantly different in body mass, age, activity levels, and menstrual status (all in same phase). Each
performed a resistance exercise protocol consisting of six sets of 10 RM squats with 2 min rest between the sets. The 10 RM
loads and total work were significantly greater in the high strength group than in the low strength group. Blood samples were
obtained pre-exercise and immediately post-exercise for test for lactate (significant increase with exercise) and cortisol
(no changes) concentrations with no differences noted between groups. Immunological assays on the blood samples determined
the incorporation of tritiated thymidine by lymphocytes in responses to concanavalin A (ConA), phytohemagglutinin (PHA), and
pokeweed mitogen (PWM). Following the squat exercise, there was a significant decrease in lymphocyte responsiveness to PWM
in the high strength but not in the low strength group for both total proliferation and proliferation adjusted per B or T
cell. On the other hand, lymphocytes from the low strength group proliferated to a significantly greater extent (adjusted
per T cell) in response to ConA and PHA. These data indicate that the heavy resistance exercise protocol reduced the lymphocyte
proliferative responses only in the stronger group of subjects. This effect may have been due to the high absolute total work
and the greater exercise stress created by the resistance exercise protocol in the high strength group. Therefore, individuals
performing at the same relative exercise intensity (i.e. 10 RM) in a resistance exercise protocol may have different immune
responses stemming from differences in absolute total work performance.
Electronic Publication 相似文献
39.
Bush EC Simons EL Allman JM 《The anatomical record. Part A, Discoveries in molecular, cellular, and evolutionary biology》2004,281(1):1083-1087
Extant anthropoids have large brains, small olfactory bulbs, and high-acuity vision compared with other primates. The relative timing of the evolution of these characteristics may have important implications for brain evolution. Here computed tomography is used to examine the cranium of a fossil anthropoid, Parapithecus grangeri. It is found that P. grangeri had a relatively small brain compared with living primates. In addition, it had an olfactory bulb in the middle of the range for living primates. Methods for relating optic foramen area and other cranial measurements to acuity are discussed. Multiple regression is used to estimate retinal ganglion cell number in P. grangeri. Given currently available comparative data, P. grangeri seems to have had retinal ganglion cell counts intermediate for living primates, overlapping with the upper end of the range for strepsirrhines and possibly with the lower end for anthropoids. 相似文献
40.
The overwhelming problem of cutaneous melanoma is chemoresistance. Subversion of the biochemical changes that lead to chemoresistance
intersects the apoptosis pathways. The mitochondrion has been a focal point of this intersection for the development of therapeutic
strategies aimed at reducing the progression of melanoma. The Bcl-2 family of apoptotic regulators is arguably the most pivotal
component to this mitochondrial response. The shear number of studies conducted on the relationship between melanoma and Bcl-2
members prompted us to evaluate the literature available and discern some rational utility of the data. We have found that
there are striking inconsistencies for the expression of Bcl-2 family proteins with melanoma progression, particularly for
Bcl-2. Roughly one-third of the data suggests an increase in Bcl-2 expression with advancing melanoma, while another third
suggests a decrease. Furthermore, the remaining third found on the whole, a detectable level of Bcl-2 in all tissues of melanocytic
origin. These discrepancies are difficult to rectify in light of the apparent success of recent clinical trials utilizing
Bcl-2 antisense strategies. The general consensus in the literature is that pro-apoptotic Bax is decreased with melanoma progression
while anti-apoptotic Bcl-xL and Mcl-1 appear to increase with progression. We suggest that the biochemical techniques being used for analysis present
too great of a heterogeneity, which could be mitigated with more standard procedures and reagents. Finally the utility of
‘multi-specific’ antisense tactics could be a more effective way of targeting advanced melanoma disease.
This revised version was published online in July 2006 with corrections to the Cover Date. 相似文献