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991.
The role of the complement system in innate immunity 总被引:4,自引:0,他引:4
Complement is a major component of innate immune system involved in defending against all the foreign pathogens through complement
fragments that participate in opsonization, chemotaxis, and activation of leukocytes and through cytolysis by C5b-9 membrane
attack complex. Bacterias and viruses have adapted in various ways to escape the complement activation, and they take advantage
of the complement system by using the host complement receptors to infect various cells. Complement activation also participates
in clearance of apoptotic cells and immune, complexes. Moreover at sublytic dose, C5b-9 was shown to promote cell survival.
Recently it was also recognized that complement plays a key role in adaptive immunity by modulating and modifying the T cell
responses. All these data suggest that complement activation constitutes a critical link between the innate and acquired immune
responses. 相似文献
992.
Michael Z. Gilcrease MD PhD Laura Schmidt PhD Berton Zbar MD Luan Truong MD Michael Rutledge MD Thomas M. Wheeler MD 《Human pathology》1995,26(12)
Papillary cystadenoma of the epididymis is an uncommon benign lesion that may occur sporadically or as a manifestation of von Hippel—Lindau (VHL) disease. Neither immunohistochemical studies nor molecular genetic analyses of the VHL gene have been reported previously for this lesion. The authors describe two cases of clear cell papillary cystadenoma of the epididymis, both of which were initially confused with metastatic renal cell carcinoma. Both lesions showed positive immunohistochemical staining for low and intermediate molecular weight keratins (Cam 5.2 and AE1/AE3), EMA, vimentin, α1-antitrypsin, and α1-antichymotrypsin. Each was negative for CEA. Because clear cell papillary cystadenoma is similar to renal cell carcinoma histologically, and because both occur as components of the von Hippel—Lindau disease complex, the authors analyzed both cases for the presence of mutations in the VHL gene. A somatic VHL gene mutation was detected in one of the two tumors by polymerase chain reaction followed by single-strand conformation polymorphism analysis. Direct sequencing revealed a cytosine to thymine transition at nucleotide 694, resulting in the replacement of an arginine with a stop codon after the sixth amino acid of exon 3. As the VHL gene is believed to function as a tumor suppressor gene, VHL gene mutations may play a role in the initiation of tumorigenesis in sporadic cystadenomas of the epididymis. 相似文献
993.
994.
Donangelo I Marcos HP Araújo PB Marcondes J Filho PN Gadelha M Chimelli L 《Endocrine pathology》2005,16(1):53-62
The retinoblastoma gene (RB1) is a tumor-suppressor gene in chromosomal region 13q14.2. Its role in the pathogenesis of pituitary tumors has not been
fully clarified. Some studies have shown that losses in this chromosomal region are related to aggressive tumor behavior,
although the retinoblastoma protein (pRB) is still expressed. Conversely, lack of expression of pRB was observed in one fourth
of GH-secreting pituitary adenomas (GH-tumors). In order to further study the expression of pRB in GH-tumors, we evaluated
this protein in 49 tumors from patients with acromegaly (20 noninvasive, 25 invasive, and 4 with no information) and 8 normal
pituitaries using immunohistochemistry (IHC). Nuclear staining for pRB ranged from 0 to 90% (median 40%) in the tumors and
from 40 to 80% (median 58%) in normal pituitaries. In 10 tumors (20% of total) the adenomatous cells were negative (5 cases)
or had very low labeling (5 cases) for pRB. Sixty three percent (31/49) of the tumors showed staining in 10–80% of the cells
and in 16% (8/49) of the cases >80% of the adenomatous cells were positive for pRB. The expression of pRB was not different
in invasive and noninvasive tumors. In conclusion, pRB is underexpressed in a subgroup of GH-tumors, and this may represent
an early event in the pathogenesis of this tumor subtype. 相似文献
995.
Retinoblastoma and p53 gene product expression in breast carcinoma: Immunohistochemical analysis and clinicopathologic correlation 总被引:9,自引:0,他引:9
Michel Trudel MD Lois Mulligan PhD Webster Cavenee PhD Richard Margolese MD Jean Ct MD Gilles Garipy MD 《Human pathology》1992,23(12):1388-1394
We examined 100 breast cancers for retinoblastoma (Rb) and p53 protein expression by immunohistochemistry using the PMG3.245 and PAb 1801 antibodies. We assessed percentages of reactive cells and their intensity, as well as staining patterns. The results were correlated with neu protein reactivity and a panel of variables, including age, tumor size and type, nuclear grade, estrogen receptor/progesterone receptor content, and lymph node status. Retinoblastoma protein negativity, either partial or complete, was noted in 47% of cases. Surprisingly, a relatively stronger Rb reaction was seen in some high nuclear grade tumors. p53 positivity was found in 23% of cases and was a significant predictor of Rb loss. p53 also was correlated with poorly differentiated (nuclear grade III) neoplasms and neu expression but not with negative ER status. Tissue distribution profiles for Rb-negative and p53-positive cells were variable in this series, with both uniform and heterogeneous patterns observed. This suggests that Rb and p53 alterations may represent early or late events in transformation. Our findings further implicate Rb and p53 derangements in mammary oncogenesis. 相似文献
996.
Kerstin Eberhardt MD PhD Britt-Marie Larsson Social worker Kerstin Nived Social worker 《Patient education and counseling》1993,20(2-3):93-100
We report the interaction of RA and psychological factors over 2 years in a group of 89 patients with newly established disease. Short-time outcome regarding physical features was fairly good. Disease activity decreased, and disability evaluated by HAQ remained at a low level. Psychological distress as measured by the depression and anxiety subscales of SCL 90 (Symptom Check List) was not very pronounced and not related to disease state factors. A slight decrease of anxiety was recorded after 2 years. A new adjustment test was applied. It contained 13 items focused mainly on negative illness effects such as loss of independence, feelings of guilt, and change of social and leisure time activities. Three factors (regret of lost life values, dysphoric mood, and acceptance) explained 48% of the variance of the 13 items. The validity of the test was acceptable. The patients' degree of adjustment changed slowly or not at all during the 2 years. 相似文献
997.
H. Ohno PhD F. Hirata K. Terayama T. Kawarabayashi R. Doi T. Kondo N. Taniguchi 《European journal of applied physiology》1983,51(2):257-268
Summary Studies of the influences of physical exercise of short duration (bicycle ergometer, 200 W for 30 min) on the activities of carbonic anhydrase isoenzymes (CA-B and CA-C types) and zinc concentration in erythrocytes were made on 5 untrained healthy male volunteers. The subjects were rested for 30 min after the exercise. There were significant decreases in the levels of zinc, CA-B, total carbonic anhydrase activity and CA-B-dependent activity immediately after exercise, but after 30 min of rest they all returned to their pre-exercise levels. No significant change in CA-C level or CA-C-dependent activity was found after exercise. Immediately after exercise, total carbonic anhydrase activity and CA-B-dependent activity following the addition of Zn2+ showed significant increases, compared with their respective activities without Zn2+ addition. However, no such effects were observed just before exercise or after rest; the addition of Zn2+ had no effect on CA-C-dependent activity at any time. A significant correlation was found between the changes in concentration of zinc and CA-B-dependent activity after exercise (r=0.711). The findings of the present study suggest that active CA-B enzymes are converted in part to inactive enzymes during acute physical exercise, possibly by decreased zinc binding. Moreover, the change in CA-B-dependent activity correlated well with the changes in pH and HCO3 concentrations in venous blood (r=0.853 and r=0.718, respectively). One may speculate that an adaptive decrease in CA-B-dependent activity in erythrocytes occurs with increased acidification in blood during heavy physical exercise of short duration.The present study was presented to the Fifth International Symposium on the Biochemistry of Exercise, Boston, June 1–5, 1982 相似文献
998.
Anita Samuelsson MSc Monica Ahlmn MD Marianne Sullivan PhD 《Patient education and counseling》1993,20(2-3):77-91
During the last few years, studies have revealed that the need for psychosocial support and concrete social services are great in the early stages of the treatment of rheumatic diseases. The ability to keep a job, to do household chores, to participate in leisure activities and to maintain social relations is clearly impaired. Anxiety and depression are not unusual and often associated with weak support from relatives, loneliness and disturbed family relations. Nevertheless, the patients report resilience and determination to cope with the impacts of illness. Crisis intervention, vocational guidance and counselling about problems concerning the disease should be available and offered to the patients. As the patients seem to be unaccustomed to talking about their psychosocial problems, an empathetic and information-seeking attitude on the part of the health care staff is essential. 相似文献
999.
1000.
Dynamic particle image velocimetry (PIV) was applied to the study of the flow field associated with prosthetic heart valves.
The results were compared with those of laser Doppler anemometry (LDA). Anatomically and antianatomically oriented Jyros (JR)
and St. Jude Medical (SJM) valves were compared in the mitral position to study the effects of valve design on the downstream
flow field. The experimental program used a dynamic PIV system utilizing high-speed, high-resolution video to map the true
time-resolved velocity field inside the simulated ventricle. This system was complemented by a study using the more traditional
LDA system for comparison. Based on the experimental data, the following general conclusions can be made. High-resolution
dynamic PIV can capture true chronological changes in the velocity and turbulence fields. It also produces very detailed velocity
and turbulence information comparable to the LDA results. In the vertical measuring plane that passes both the center of the
aortic and mitral valves (A-A section), the two valves (the SJM and the JR) show distinct circulatory flow patterns when the
valve is installed in the antianatomical orientation. Small differences in valve design can generate noticeable differences,
particularly during the accelerating flow phase. The SJM valve maintains a relatively high velocity through the central orifice;
the curved leaflets of the JR valve generate higher velocities with a divergent flow during the accelerating and peak flow
phases. In the velocity field directly below the mitral valve and normal to the previous measuring plane (B-B section), where
characteristic differences in valve design will be visible, symmetrical twin circulations were observed because of the divergent
nature of the flow generated by the two inclined half-disks installed in the antianatomical orientation. The SJM valve, with
a central downward flow near the valve, is contrasted with the JR valve, which has a peripheral downward circulation with
higher, turbulent stresses. 相似文献