全文获取类型
收费全文 | 279751篇 |
免费 | 7019篇 |
国内免费 | 654篇 |
专业分类
耳鼻咽喉 | 2166篇 |
儿科学 | 9965篇 |
妇产科学 | 5400篇 |
基础医学 | 31692篇 |
口腔科学 | 5673篇 |
临床医学 | 21854篇 |
内科学 | 54262篇 |
皮肤病学 | 3392篇 |
神经病学 | 26510篇 |
特种医学 | 11232篇 |
外国民族医学 | 1篇 |
外科学 | 38028篇 |
综合类 | 2699篇 |
一般理论 | 49篇 |
预防医学 | 28529篇 |
眼科学 | 4422篇 |
药学 | 16860篇 |
中国医学 | 1056篇 |
肿瘤学 | 23634篇 |
出版年
2024年 | 121篇 |
2023年 | 1040篇 |
2022年 | 2259篇 |
2021年 | 3731篇 |
2020年 | 2343篇 |
2019年 | 3141篇 |
2018年 | 24875篇 |
2017年 | 19619篇 |
2016年 | 22123篇 |
2015年 | 4354篇 |
2014年 | 5391篇 |
2013年 | 6696篇 |
2012年 | 15860篇 |
2011年 | 29937篇 |
2010年 | 23554篇 |
2009年 | 15610篇 |
2008年 | 26545篇 |
2007年 | 28692篇 |
2006年 | 7347篇 |
2005年 | 8490篇 |
2004年 | 9027篇 |
2003年 | 9340篇 |
2002年 | 7019篇 |
2001年 | 850篇 |
2000年 | 819篇 |
1999年 | 779篇 |
1998年 | 989篇 |
1997年 | 852篇 |
1996年 | 641篇 |
1995年 | 560篇 |
1994年 | 525篇 |
1993年 | 416篇 |
1992年 | 340篇 |
1991年 | 290篇 |
1990年 | 321篇 |
1989年 | 253篇 |
1988年 | 237篇 |
1987年 | 185篇 |
1986年 | 182篇 |
1985年 | 142篇 |
1984年 | 151篇 |
1983年 | 152篇 |
1982年 | 179篇 |
1981年 | 119篇 |
1980年 | 165篇 |
1979年 | 76篇 |
1978年 | 89篇 |
1977年 | 76篇 |
1976年 | 69篇 |
1974年 | 74篇 |
排序方式: 共有10000条查询结果,搜索用时 10 毫秒
991.
Crotti D D'Annibale ML Ubaldi M Fonzo G Medori MC 《Le infezioni in medicina : rivista periodica di eziologia, epidemiologia, diagnostica, clinica e terapia delle patologie infettive》2002,10(4):213-219
During 2001 we analyzed 1730 pharyngeal swabs for S. pyogenes (SGA): 1142 children (0-10 years old), 132 adolescent subjects (11-17 years old), and 456 adults (18 or more years old). 994 subjects (664 children, 85 adolescent ones, 245 adults) had acute pharyngotonsillitis. In this last group we observed 321 positivities (32.3 %) for SGA: 40.4 % among children, 24.7 % among adolescent people, 13.1 % among adults. The pharyngotonsillitis prevailed during winter and spring. The resistances (R) towards erythromycin were 27.7 % (89 cases), and among children 30.6 % (82 cases), towards clyndamicin 15.3 % (49 cases, and 17.2 %, 46 cases, among children), towards rokytamicin 11.8 % (38 cases, and 13.1 %, 35 cases, among children). These were the phenotypes of R to erythromycin: 25.8 % M-phenotype, 19.1 % inducible (iMLS), 55.1 % constitutive (cMLS); among children respectively 25.6 %, 18.3 % and 53.7 %. Increased resistances towards 16-C macrolides, increased resistances of cMLS to erythromycin, and the persistence of R to 14-C macrolides around 30 % are discussed. 相似文献
992.
Yuji Narita Hideaki Kagami Hiroshi Matsunuma Yosuke Murase Minoru Ueda Yuichi Ueda 《Journal of artificial organs》2008,11(2):91-99
Previous attempts to create small-caliber vascular prostheses have been limited. The aim of this study was to generate tissue-engineered small-diameter vascular grafts using decellularized ureters (DUs). Canine ureters were decellularized using one of four different chemical agents [Triton-X 100 (Tx), deoxycholate (DCA), trypsin, or sodium dodecyl sulfate (SDS)] and the histology, residual DNA contents, and immunogenicity of the resulting DUs were compared. The mechanical properties of the DUs were evaluated in terms of water permeability, burst strength, tensile strength, and compliance. Cultured canine endothelial cells (ECs) and myofibroblasts were seeded onto DUs and evaluated histologically. Canine carotid arteries were replaced with the EC-seeded DUs (n = 4). As controls, nonseeded DUs (n = 5) and PTFE prostheses (n = 4) were also used to replace carotid arteries. The degree of decellularization and the maintenance of the matrix were best in the Tx-treated DUs. Tx-treated and DCA-treated DUs had lower remnant DNA contents and immunogenicity than the others. The burst strength of the DUs was more than 500 mmHg and the maximum tensile strength of the DUs was not different to that of native ureters. DU compliance was similar to that of native carotid artery. The cell seeding test resulted in monolayered ECs and multilayered alpha-smooth muscle actin-positive cells on the DUs. The animal implantation model showed that the EC-seeded DUs were patent for at least 6 months after the operation, whereas the nonseeded DUs and PTFE grafts become occluded within a week. These results suggest that tissue-engineered DUs may be a potential alternative conduit for bypass surgery. 相似文献
993.
Masato Matsuda Mika Sato Hiroki Sakata Takahisa Ogawa Ken-ichiro Yamamoto Taiji Yakushiji Makoto Fukuda Takehiro Miyasaka Kiyotaka Sakai 《Journal of artificial organs》2008,11(3):148-155
When uremic blood flows through dialyzers during hemodialysis, dialysis membrane surfaces are exposed to shear stress and internal filtration, which may affect the surface characteristics of the dialysis membranes. In the present study, we evaluated changes in the characteristics of membrane surfaces caused by shear stress and internal filtration using blood substitutes: water purified by reverse osmosis and 6.7 wt% dextran70 solution. We focused on the levels of a hydrophilic modifier, polyvinylpyrrolidone (PVP), on the membrane surface measured by attenuated total reflectance Fourier transform infrared spectroscopy. Experiments involving 4 h dialysis, 0-144 h shear-stress loading, and 4 h dead-end filtration were performed using polyester-polymer alloy (PEPA) and polysulfone (PS) membranes. After the dialysis experiments with accompanying internal filtration, average PVP retention on the PEPA membrane surface was 93.7% in all areas, whereas that on the PS membrane surface was 98.9% in all areas. After the shear-stress loading experiments, PVP retention on the PEPA membrane surface decreased as shear-stress loading time and the magnitude of shear stress increased. However, with the PS membrane, PVP retention scarcely changed. After the dead-end filtration experiments, PVP retention decreased in all areas for both PEPA and PS membranes, but PVP retention on the PEPA membrane surface was lower than that on the PS membrane surface. PVP on the PEPA membrane surface was eluted by both shear stress and internal filtration, while that on the PS membrane surface was eluted only by internal filtration. 相似文献
994.
Lin-Bo Gao Bin Zhou Lin Zhang Ye-Sheng Wei Yan-Yun Wang Wei-Bo Liang Mei-Li Lv Xin-Min Pan Yu-Cheng Chen Li Rao 《BMC medical genetics》2008,9(1):74
Background
Previous studies suggested that genetic polymorphisms in the epidermal growth factor receptor (EGFR) gene had been implicated in the susceptibility to some tumors and inflammatory diseases. EGFR has been recently implicated in vascular pathophysiological processes associated with excessive remodeling and atherosclerosis. Acute coronary syndrome (ACS) is a clinical manifestation of preceding atherosclerosis. Our purpose was to investigate the association of the EGFR polymorphism with the risk of ACS. In this context, we analyzed the HER-1 R497K and EGFR intron 1 (CA)n repeat polymorphisms in 191 patients with ACS and 210 age- and sex-matched controls in a Chinese population, using a polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) strategy and direct sequencing. 相似文献995.
Dina Ruano António Macedo Maria Jo?o Soares José Valente Maria Helena Azevedo Carlos Pato Mara Helena Hutz Clarissa S Gama Maria Inês Lobato Paulo Belmonte-de-Abreu Peter Heutink Joana Almeida Palha 《American journal of medical genetics. Part B, Neuropsychiatric genetics》2007,(5):642-646
Several observations point to the involvement of disturbed lipid biology in schizophrenia. Reduced response to niacin flushing test, which involves vasodilatation induced by prostaglandin D2 (PGD2), is among the evidences, together with decreased CSF levels of lipocalin-type prostaglandin D2 synthase (PTGDS), the enzyme responsible for the synthesis of PGD2 in the brain. Since PTGDS is also a carrier for lipophilic molecules such as retinoids and thyroid hormones, altered PTGDS levels might influence both PGD2-mediated signaling, and vitamin A and thyroid hormone availability. To test whether genetic variants of PTGDS are involved in the etiology of schizophrenia, we searched for variants in the coding and regulatory regions of the gene. We identified four previously described polymorphisms. Using two case-control samples from Portugal and Brazil, none of the polymorphisms tested was associated with the disease. In addition, no transmission distortion was observed in an independent parents-offspring sample from the Azorean Islands. Our data do not support the involvement of the PTGDS gene in the etiology of schizophrenia. 相似文献
996.
Karina R B Bastos Renato Barboza Luiz Sardinha Momtchilo Russo José M Alvarez Maria Regina D'Império Lima 《Journal of interferon & cytokine research》2007,27(5):399-410
Besides the established role of interleukin-12 (IL-12) and IL-18 on interferon-gamma (IFN-gamma) production by natural killer (NK), T, and B cells, the effects of these cytokines on macrophages are largely unknown. Here, we investigated the role of IL-12/IL-18 on nitric oxide (NO) and tumor necrosis factor-alpha (TNF-alpha) production by CD11b(+) adherent peritoneal cells, focusing on the involvement of endogenously produced IFN-gamma. C57BL/6 cells released substantial amounts of NO when stimulated with IFN-gamma or lipopolysaccharide (LPS), but failed to respond to IL-12 or IL-18 or both. However, IL-12/IL-18 pretreatment was able to program these cells to release 6-8-fold more NO and TNF-alpha in response to LPS or Trypanosoma cruzi stimulation, with NO levels directly correlating with macrophage resistance to intracellular parasite growth. Analysis of IL-12/IL-18-primed cells from mice deficient in IFN-gamma, IFNGR, and IFN regulatory factor-1 (IRF-1) revealed that these molecules were essential for LPS-induced NO release, but TNF-alpha production was IFN-gamma independent. Conversely, the myeloid differentiation factor 88 (MyD88)-dependent pathway was indispensable for IL-12/IL-18-programmed LPS-induced TNF-alpha production, but not for NO release. Contaminant T and NK cells largely modulated the IL-12/IL-18 programming of LPS-induced NO response through IFN-gamma secretion. Nevertheless, a small population of IFN-gamma(+) cells with a macrophage phenotype was also identified, particularly in the peritoneum of chronically T. cruzi-infected mice, reinforcing the notion that macrophages can be an alternative source of IFN-gamma. Taken together, our data contribute to elucidate the molecular basis of the IL-12/IL-18 autocrine pathway of macrophage activation, showing that endogenous IFN-gamma plays an important role in programming the NO response, whereas the TNF-alpha response occurs through an IFN-gamma-independent pathway. 相似文献
997.
Martijn W Heymans Dirk L Knol Willem van Mechelen Henrica CW de Vet 《BMC medical research methodology》2007,7(1):33
Background
Missing data is a challenging problem in many prognostic studies. Multiple imputation (MI) accounts for imputation uncertainty that allows for adequate statistical testing. We developed and tested a methodology combining MI with bootstrapping techniques for studying prognostic variable selection. 相似文献998.
Benjamin Kligler Mary Koithan Victoria Maizes Meg Hayes Craig Schneider Patricia Lebensohn Susan Hadley 《BMC medical education》2007,7(1):7
Background
As more integrative medicine educational content is integrated into conventional family medicine teaching, the need for effective evaluation strategies grows. Through the Integrative Family Medicine program, a six site pilot program of a four year residency training model combining integrative medicine and family medicine training, we have developed and tested a set of competency-based evaluation tools to assess residents' skills in integrative medicine history-taking and treatment planning. This paper presents the results from the implementation of direct observation and treatment plan evaluation tools, as well as the results of two Objective Structured Clinical Examinations (OSCEs) developed for the program. 相似文献999.
Background
Ischemic stroke is the most common cause of disability in North America and in addition to the generally accepted risk factors, there is increasing evidence for the potential pathophysiological role of genes. One of these genes, the endothelial nitric oxide synthase gene (NOS3) has been reported as a genetic risk factor for ischemic stroke. To independently confirm and extend the results of these previous reports, we investigated this gene as a risk factor for stroke in an ethnically diverse study population. 相似文献1000.
Monica Fonseca-Aten Pamela J Okada Karen L Bowlware Susana Chavez-Bueno Asuncion Mejias Ana Maria Rios Kathy Katz Kurt Olsen Simon Ng Hasan S Jafri George H McCracken Octavio Ramilo R Doug Hardy 《Annals of allergy, asthma & immunology》2006,97(4):457-463
BACKGROUND: Clarithromycin is postulated to possess immunomodulatory properties in addition to its antimicrobial activity. OBJECTIVE: To evaluate the effect of clarithromycin on serum and nasopharyngeal cytokine and chemokine concentrations in children with an acute exacerbation of recurrent wheezing. METHODS: Children with a history of recurrent wheezing or asthma and who presented with an acute exacerbation of wheezing were enrolled in a double-blind, randomized trial of clarithromycin vs placebo. Concentrations of tumor necrosis factor alpha (TNF-alpha), interferon-gamma (IFN-gamma), interleukin-1beta (IL-1beta), IL-2, IL-4, IL-5, IL-6, IL-8, IL-10, granulocyte-macrophage colony-stimulating factor, RANTES, eotaxin, macrophage inflammatory protein 1alpha, macrophage inflammatory protein 1beta, and monocyte chemoattractant protein 1 were measured in serum and/or nasopharyngeal aspirates before, during, and after therapy. Mycoplasma pneumoniae and Chlamydophila pneumoniae infection were evaluated for by polymerase chain reaction and serologic testing. RESULTS: Nasopharyngeal concentrations of TNF-alpha, IL-1beta, and IL-10 were significantly and persistently lower in children treated with clarithromycin compared with placebo. There tended to be a greater effect of clarithromycin on nasopharyngeal cytokine concentrations in patients with evidence of M. pneumoniae or C. pneumoniae infection. No significant differences were detected in serum cytokines for children treated with clarithromycin compared with placebo. CONCLUSION: Clarithromycin therapy reduces mucosal TNF-alpha, IL-1beta, and IL-10 concentrations in children with an acute exacerbation of recurrent wheezing. 相似文献