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951.
Soo Jeong Choi Ki Chang Nam Sooin Choi Jin Kuk Kim You Kyoung Lee Bum Sun Kwon 《Health policy (Amsterdam, Netherlands)》2021,125(7):941-946
Medical devices may revolutionize healthcare delivery but can lead to serious adverse events for treated patients and users. While reporting of adverse events related to medical devices is an essential starting point for post-market surveillance, underreporting of medical device adverse events is a global problem. Korea introduced a voluntary medical device adverse event reporting system in 2010, called the Medical Device Safety Information Monitoring Center, which has led to an increase in adverse event reports. For 10 years, the Medical Device Safety Information Monitoring Center has analyzed medical device adverse events systematically and has provided active feedback to the manufacturers and education on safe use. Recently, the Medical Device Safety Information Monitoring Center contributed to harmonization of international medical device vigilance through the sharing of adverse events. This experience of Korea might contribute to improvements in medical device vigilance, which is a critical prerequisite for improving medical device policies and regulations. 相似文献
952.
Katelyn J. Yoo Soonman Kwon Yoonjung Choi David M. Bishai 《Health policy (Amsterdam, Netherlands)》2021,125(5):568-576
South Korea’s COVID-19 control strategy has been widely emulated. Korea’s ability to rapidly achieve disease control in early 2020 without a “Great Lockdown” despite its proximity to China and high population density make its achievement particularly intriguing. This paper helps explain Korea’s pre-existing capabilities which enabled the rapid and effective implementation of its COVID-19 control strategies. A systematic assessment across multiple domains demonstrates that South Korea’s advantages in controlling its epidemic are owed tremendously to legal and organizational reforms enacted after the MERS outbreak in 2015. Successful implementation of the Korean strategy required more than just a set of actions, measures and policies. It relied on a pre-existing legal framework, financing arrangements, governance and a workforce experienced in outbreak management. 相似文献
953.
An aqueous extract of Platycodi radix inhibits LPS-induced NF-kappaB nuclear translocation in human cultured airway epithelial cells 总被引:5,自引:0,他引:5
We investigated the effects of aqueous extract from Platycodi radix (AEPR), a traditional drug used to treat acute lung inflammatory disease, on lipopolysaccharide (LPS)-induced inflammation in A549 human cultured airway epithelial cells. Nuclear factor-kappaB (NF-kappaB) and its inhibitory regulator, inhibitory kappaB (I-kappaB), play crucial roles in LPS-induced inflammatory response. We show that LPS-induced nuclear translocation of NF-kappaBp65 is inhibited by AEPR. LPS-induced expression of I-kappaBalpha, which is expressed by LPS-induced activation of NF-kappaB, is inhibited by AEPR as well. Besides LPS-induced expression of a group of genes, such as tumor necrosis factor-alpha (TNF-alpha), inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2), are repressed by AEPR. We also found that expression of heat shock protein 70 (Hsp70), which has an anti-inflammatory activity, is increased by AEPR plus LPS. These results suggest that AEPR may act as a therapeutic agent for inflammatory disease through regulating the activity of NF-kappaB and expression of inflammatory genes. 相似文献
954.
In many organisms completion of the first meiotic cell division depends on the correct assembly and disassembly of the synaptonemal
complex (SC). This is a structure discovered a little over 50 years ago, which is formed by the close association of axes
of homologous sister chromatid pairs. Its structure varies between organisms, although it retains a common tripartite organization
in species as evolutionarily distant as budding yeast and humans. In mammals it is essential for crossover formation and completion
of meiosis. Components of the mammalian SC have been identified only in the last 15 years, and mouse genetic approaches have
started revealing the importance for this structure only in the past 5 years. Here we discuss the progress that has been made
in the field of the mammalian SC and what approaches could be considered for its further study. 相似文献
955.
Akt/PKB activation in gastric carcinomas correlates with clinicopathologic variables and prognosis 总被引:23,自引:0,他引:23
Nam SY Lee HS Jung GA Choi J Cho SJ Kim MK Kim WH Lee BL 《APMIS : acta pathologica, microbiologica, et immunologica Scandinavica》2003,111(12):1105-1113
Akt/protein kinase B (PKB) plays an important role in cell survival. However, the role of Akt in the biology of gastric cancer has not been well studied. We sought to investigate the expression of Akt or phosphorylated Akt (pAkt) in human gastric carcinomas and to analyze the relationship between Akt or pAkt and the clinicopathologic parameters. The expressions of Akt and pAkt were evaluated immunohistochemically in 311 gastric carcinomas using the tissue array method. Akt expression was detected in 74% of the tumors and pAkt expression in 78%. pAkt was highly expressed in the early stage of pTNM (p=0.011). We also found an inverse association between pAkt and lymphatic invasion (p=0.01) or lymph node metastasis (p=0.008). pAkt expression was significantly correlated with a higher survival in patients with stage I carcinomas (p=0.0003). Interestingly, combined evaluation revealed that the group with pAkt-positive and lymph node-negative carcinomas showed a better prognosis than the other groups (p<0.0001). In addition, pAkt was shown to correlate positively with APC (p=0.002) and Smad4 (p<0.0001) expression. These findings suggest that pAkt expression may help to predict the clinical outcome of gastric cancer patients. 相似文献
956.
Luca Antiga Marina Piccinelli Lorenzo Botti Bogdan Ene-Iordache Andrea Remuzzi David A. Steinman 《Medical & biological engineering & computing》2008,46(11):1097-1112
We present a modeling framework designed for patient-specific computational hemodynamics to be performed in the context of
large-scale studies. The framework takes advantage of the integration of image processing, geometric analysis and mesh generation
techniques, with an accent on full automation and high-level interaction. Image segmentation is performed using implicit deformable
models taking advantage of a novel approach for selective initialization of vascular branches, as well as of a strategy for
the segmentation of small vessels. A robust definition of centerlines provides objective geometric criteria for the automation
of surface editing and mesh generation. The framework is available as part of an open-source effort, the Vascular Modeling
Toolkit, a first step towards the sharing of tools and data which will be necessary for computational hemodynamics to play
a role in evidence-based medicine. 相似文献
957.
Embryo transfer (ET) is the last stage of extracorporal fertilization during which the embryo is placed in the uterine cavity with a medium-filled catheter 2–3 days after in vitro fertilization. While fertilization in the laboratory occurs at very high rates (>:90%), the overall success of the procedure (i.e., take home baby) is still very low (<25%) and assumed to be mainly due to implantation failure. A computational model was developed to simulate ET within the uterine cavity by a fluid-filled catheter inserted into a two-dimensional channel with oscillating walls. The results showed that the speed at which the embryos are injected from the catheter dominates the procedure and controls the velocity of their transport within the uterine cavity. ET at excessively high injection speeds may lead to ectopic pregnancies, while uterine peristalsis affects transverse dispersion only during injection at low injection speeds. The presence of the catheter within the uterus does not affect flow patterns downstream of its tip. The potential risks to implantation failure due to mechanical factors involved in the ET processes are discussed. © 2003 Biomedical Engineering Society.
PAC2003: 8719-j, 8710+e 相似文献
958.
Materials are distributed throughout the body of mammals by fractal networks of branching tubes. Based on the scaling laws of the fractal structure, the vascular tree is reduced to an equivalent one-dimensional, tube model. A dispersion–convection partial differential equation with constant coefficients describes the heterogeneous concentration profile of an intravascular tracer in the vascular tree. A simple model for the mammalian circulatory system is built in entirely physiological terms consisting of a ring shaped, one-dimensional tube which corresponds to the arterial, venular, and pulmonary trees, successively. The model incorporates the blood flow heterogeneity of the mammalian circulatory system. Model predictions are fitted to published concentration-time data of indocyanine green injected in humans and dogs. Close agreement was found with parameter values within the expected physiological range. © 2003 Biomedical Engineering Society.
PAC2003: 8710+e, 8719Hh, 8719Uv 相似文献
959.
Robson C. Gutierre Mizue I. Egami Marta M. Antoniazzi Carlos Jared 《Comparative clinical pathology》2008,17(4):221-228
The caecilians (Amphibia, Gymnophiona) constitute one of the least known groups of terrestrial vertebrates because most species
live underground in quite inaccessible environments. Siphonops annulatus is an exclusively fossorial species and is the most extensively distributed caecilian in South America. Little is known of
this order concerning circulating granulocytes, including their morphological and cytochemical structure and ultrastructure.
This paper is part of a project covering the study of granulocytes in representative species of the order Amphibia. Blood
extensions were carried out and submitted to Leishman, Toluidine Blue, Periodic acid Schiff, Sirius Red and hydrogen o-toluidine peroxide methods. Part of the samples was prepared for conventional transmission electron microscopy. Among granular
leukocytes, mature and immature neutrophils and eosinophils were identified, plus basophils. The most frequent granulocyte
encountered in S. annulatus peripheral blood is the neutrophil. This is a cell with a hyper-segmented nucleus and with a very clear cytoplasm when compared
to the eosinophil, which presents large cytoplasmic acidophilic granules. On the other hand, the basophils present basophilic
and metachromatic granules. Glycogen was detected in the cytoplasm of the neutrophils and eosinophils, while basic protein
rich in amino acids was observed in the eosinophil’s granules. Myeloperoxidase activity was detected in the cytoplasm of the
neutrophils and eosinophils. Neutrophils were ultrastructurally detected with three types of small granules: eosinophils with
large and small spherical granules and basophils with large spherical granules with lamellate structures. 相似文献
960.
The C. elegans microRNA let-7 binds to imperfect let-7 complementary sites from the lin-41 3'UTR
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Caenorhabditis elegans let-7, a founding member of the microRNA family, is predicted to bind to six sites in the 3'UTR of the mRNA of its target gene, lin-41, to down-regulate LIN-41. Here, we demonstrate that wild-type let-7 microRNA binds in vitro to RNA from the lin-41 3'UTR. This interaction is dependent on two conserved let-7 complementary sites (LCSs). A 27-nucleotide sequence between the LCSs is also necessary for down-regulation in vivo. LCS mutations compensatory to the lesion in let-7(n2853) can partially restore lin-41 3'UTR function in a let-7(n2853) background, providing the first experimental evidence for an animal miRNA binding directly to its validated target in vivo. 相似文献