全文获取类型
收费全文 | 195104篇 |
免费 | 7665篇 |
国内免费 | 369篇 |
专业分类
耳鼻咽喉 | 3301篇 |
儿科学 | 7069篇 |
妇产科学 | 4899篇 |
基础医学 | 27338篇 |
口腔科学 | 5551篇 |
临床医学 | 14730篇 |
内科学 | 35311篇 |
皮肤病学 | 5114篇 |
神经病学 | 17948篇 |
特种医学 | 9598篇 |
外国民族医学 | 25篇 |
外科学 | 31902篇 |
综合类 | 1161篇 |
一般理论 | 46篇 |
预防医学 | 10780篇 |
眼科学 | 5083篇 |
药学 | 13562篇 |
中国医学 | 427篇 |
肿瘤学 | 9293篇 |
出版年
2023年 | 939篇 |
2021年 | 1668篇 |
2020年 | 1422篇 |
2019年 | 1677篇 |
2018年 | 3475篇 |
2017年 | 2860篇 |
2016年 | 3896篇 |
2015年 | 4252篇 |
2014年 | 4548篇 |
2013年 | 6605篇 |
2012年 | 9579篇 |
2011年 | 9151篇 |
2010年 | 5456篇 |
2009年 | 4334篇 |
2008年 | 8622篇 |
2007年 | 9568篇 |
2006年 | 9537篇 |
2005年 | 9949篇 |
2004年 | 9498篇 |
2003年 | 9322篇 |
2002年 | 9175篇 |
2001年 | 6743篇 |
2000年 | 6839篇 |
1999年 | 5898篇 |
1998年 | 1799篇 |
1997年 | 1493篇 |
1996年 | 1164篇 |
1995年 | 955篇 |
1992年 | 2742篇 |
1991年 | 2654篇 |
1990年 | 2625篇 |
1989年 | 2443篇 |
1988年 | 2157篇 |
1987年 | 2131篇 |
1986年 | 2030篇 |
1985年 | 1949篇 |
1984年 | 1536篇 |
1983年 | 1235篇 |
1979年 | 1627篇 |
1978年 | 1173篇 |
1977年 | 987篇 |
1975年 | 1231篇 |
1974年 | 1310篇 |
1973年 | 1213篇 |
1972年 | 1232篇 |
1971年 | 1167篇 |
1970年 | 1029篇 |
1969年 | 1017篇 |
1968年 | 966篇 |
1967年 | 898篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
991.
Potential sex differences in amplitude, habituation, prepulse inhibition (PPI) and prepulse facilitation (PPF) of the acoustic startle response (ASR) were investigated using male and female mice from the two different inbred mouse strains C57BL/6J (C57) and C3H. Furthermore, the effects of the estrous cycle were tested. The estrous cycle appeared to have no effect on ASR amplitude, habituation, PPF and PPI, the latter being in contrast to results in rats and humans. While sex had no effect on PPI or PPF, males exhibited higher startle amplitudes than females, irrespective of strain, which we discuss to be due to increased male anxiety. In addition, long-term habituation was stronger in C57 males and short-term habituation was weaker in C3H males with respect to females. These results provide evidence for influence of the reproductive hormones on startle reactivity and startle habituation; we therefore conclude that future studies involving genetic influences on behavior using inbred strains are only complete if both sexes are included. 相似文献
992.
Unsöld B Kerst G Brousos H Hübner M Schreiber R Nitschke R Greger R Bleich M 《Pflügers Archiv : European journal of physiology》2000,441(2-3):368-378
Previous studies have shown that heteromultimeric KCNQ1/KCNE1 (KvLQT1/minK) channels and homomultimeric KCNQ1 (KvLQT1) channels exhibit different current properties, e.g. distinct kinetics and different sensitivities to drugs. In this study we report on the divergent responses to internal pH changes and further characterize some of the current properties of the human isoforms of KCNQ1 and KCNE1 expressed in Chinese hamster ovary (CHO) cells or Xenopus laevis oocytes. Decreasing the bath temperature from 37 degrees C to 20 degrees C increased the half-activation time by a factor of 5 for KCNQ1/KCNE1 currents (IKs) but by only twofold (not significant) for KCNQ1 currents (IK) in CHO cells. Acidification of cytosolic pH (pHi) increased IKs but decreased 1K whereas intracellular alkalinization decreased I(Ks) but increased IK. pHi-induced changes in intracellular Ca2+ activity ([Ca2+]i) did not correlate with the current responses. At 20 degrees C mefenamic acid (0.1 mM) significantly augmented IKs but slightly decreased IK. It changed the slow activation kinetics of I(Ks) to an instantaneous onset. The form of the current/voltage (I/V) curve changed from sigmoidal to almost linear. In contrast, at 37 degrees C, mefenamic acid also increased I(Ks) but slowed the activation kinetics and shifted the voltage activation to more hyperpolarized values without markedly affecting the sigmoidal shape of the I/V curve. The potassium channel blockers clotrimazole and tetrapentylammonium (TPeA) inhibited I(Ks) with a lower potency than I(K). These results show that coexpression of KCNE1 reversed pH regulation of KCNQ1 from inhibition to activation by acidic pHi. In addition, KCNE1 altered the pharmacological properties and sensitivity to temperature of KCNQ1. The pH-dependence of I(Ks) might be of clinical and pathophysiological relevance in the pathogenesis of ischaemic cardiac arrhythmias. 相似文献
993.
Stevanin G David G Dürr A Giunti P Benomar A Abada-Bendib M Lee MS Agid Y Brice A 《European journal of human genetics : EJHG》1999,7(8):889-896
Spinocerebellar ataxia 7 (SCA7) is a neurodegenerative disease characterised by the association of cerebellar ataxia and, in most patients, progressive macular degeneration leading to loss of autonomy and blindness. The patients die after 5-30 years of evolution. The cause of the disease has been identified as a (CAG)n repeat expansion in the coding sequence of the SCA7 gene on chromosome 3p. De novo mutations occur on intermediate-sized alleles carrying from 28 to 35 CAG repeats. Neomutations explain the persistence of the disease in spite of the great instability of the repeat sequence which results in the appearance of juvenile onset patients and the extinction of the disease within families. This rare disorder has been reported in a wide variety of countries and ethnic groups. In a large number of SCA7 families (n = 41) of different origins, we have determined the haplotypes segregating with the mutation of several microsatellite markers close to the SCA7 gene and of a new intragenic polymorphism (G3145TG/A3145TG). Four different haplotypes were found for centromeric markers (G3145TG/A3145TG-D3S1287-D3S3635) in the majority of the kindreds from four different geographic regions: A-2-4 in Korea; A-3-6 in North Africa, B-3-6 in continental Europe and A-4-6 in the UK and USA. The haplotypes in the Jamaican, Filipino, Brazilian and German families were different, suggesting that independent regional founders are at the origin of the SCA7 mutation in each population. Two different haplotypes were observed, however, in two families from the same rural area in central Italy in which de novo SCA7 mutations on intermediate alleles have been observed, suggesting the existence of different pools of at-risk chromosomes in this population. 相似文献
994.
Aldea A Campistol JM Arostegui JI Rius J Maso M Vives J Yagüe J 《American journal of medical genetics. Part A》2004,(1):67-73
Familial Mediterranean fever (FMF) is an autosomal recessive disease characterized by recurring short attacks of fever and serositis. Secondary AA amyloidosis is the worst complication of the disease and often determines the prognosis. The MEFV gene, on chromosome 16p13.3, is responsible for the disease and around 30 mutations have been reported to date. Colchicine is the standard FMF treatment today, and prevents both attacks and amyloid deposition in 95% of patients. Here we describe a three-generation Spanish kindred with five family members affected by a severe periodic inflammatory disorder associated with renal AA amyloidosis and colchicine unresponsiveness. Clinical diagnosis of definite FMF disease was made based on the Tel-Hashomer criteria set. Genetic analyses revealed that all subjects were heterozygous for the new H478Y MEFV variant, segregating with the disease. In addition, mutations in the TNFRSF1A and CIAS1/PYPAF1/NALP3 genes, related to the dominantly inherited autoinflammatory periodic syndromes, were ruled out. However, the dominant inheritance of the disease, the long fever episodes with a predominant joint involvement, and the resistance to colchicine in these patients raise the question of whether the periodic syndrome seen in this kindred is a true FMF disease with unusual manifestations or rather another MEFV-associated periodic syndrome. We conclude that the new H478Y MEFV mutation is the dominant pathological variant causing the inflammatory periodic syndrome in this kindred and that full-length analyses of the MEFV gene are needed to obtain an adequate diagnosis of patients with clinical suspicion of a hereditary periodic fever syndrome, especially those from non-ancestral populations. 相似文献
995.
We compared the effects of common excitatory and inhibitory inputs on motoneuron synchronization by simulating synaptic inputs with injected current transients. We elicited repetitive discharge in hypoglossal motoneurons recorded in slices of rat brain stem using a combination of a suprathreshold injected current step with superimposed noise to mimic the synaptic drive likely to occur during physiological activation. The effects of common inputs to motoneurons were simulated by the addition of a waveform composed of from 6 to 300 trains of current transients designed to mimic excitatory and/or inhibitory synaptic currents. We compared the discharge records obtained in several trials in which the same "common input" waveform was applied repeatedly in the presence of different background noise waveforms. The effects of the common input on motoneuron discharge probability and discharge rate were determined by compiling a cross-correlation histogram (CCHist) and a perispike frequencygram (PSFreq) between the discharges of the same cell at different times. Both excitatory and inhibitory common inputs induced synchronous discharge that was evident by a large central peak in the CCHist. The CCHists produced by common excitatory inputs were characterized by larger and narrower central peaks than those generated by common inhibitory inputs. The PSFreqs produced by common excitatory inputs indicated an increase in the discharge rate of motoneurons around time 0 that coincided with the narrow and large central peak in the CCHist. On the other hand, inhibitory inputs often generated very little, if any, change in the discharge rate around time 0 corresponding with the small and wide central peak in the CCHist. These results suggest that the CCHist indicates the effective strength of the net common input but not its sign. Although correlated changes in discharge rate are often quite different for net excitatory and inhibitory common input, except in some restricted conditions, the PSFreq analysis also cannot be used to unambiguously distinguish net excitation from net inhibition. 相似文献
996.
Platelet 5-HT levels and scores on the 17-item Hamilton Rating Scale for Depression (HRS) were studied in patients with unipolar depression before and after antidepressant treatment. Before treatment there were no differences in platelet 5-HT values or in HRS scores between patients who showed a good and a poor therapeutic response. Repeated administration of 5-HT uptake inhibitors (amitriptyline, clovoxamine, fluvoxamine) for 28 days markedly decreased platelet 5-HT levels. Chronic treatment with trazodone or maprotiline (weak inhibitors of platelet 5-HT uptake) produced no changes in platelet 5-HT levels. No significant correlation was observed between platelet 5-HT concentrations and the HRS scores before or during treatment. The findings suggest that the changes in platelet 5-HT levels after antidepressant treatment are mainly due to the effects of antidepressants on the 5-HT uptake system. 相似文献
997.
1. Current and voltage-clamp recording of CA3/CA4 pyramidal neurons, hilar neurons, and granule cells or pairs of these neurons were used to study the generation of Cl-dependent and K-dependent inhibitory postsynaptic potentials (IPSPs) in the guinea pig hippocampal slice preparation. 2. A sequence of an early Cl-dependent and a late K-dependent IPSP was evoked in CA3 neurons by electrical stimulation from the stratum moleculare of the dentate gyrus, the hilus, and the stratum oriens/alveus. Blockade of glutamatergic excitation by 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX, 10 microM) and D(-)-2-amino-5-phosphonovaleric acid (APV, 30 microM) abolished IPSPs evoked from the stratum moleculare of the dentate gyrus, but IPSPs could still be evoked from the hilus and the stratum oriens/alveus. 3. Repetitive giant IPSPs, which consisted of Cl-dependent and K-dependent components, were evoked by bath application of 4-aminopyridine (4-AP, 10-50 microM) in CA3 neurons and in granule cells. Giant IPSPs were blocked by bath-applied tetrodotoxin (TTX). In addition, 4-AP hyperpolarized CA3 neurons in a Cl-dependent and picrotoxin-sensitive way. 4. Focal application of TTX to the dentate gyrus or the hilus considerably reduced the amplitude of giant IPSPs evoked by 4-AP in CA3 neurons. In hilar neurons, 4-AP evoked repetitive bursts, eventually, but not necessarily intermingled with giant IPSPs. Bursts were observed in hilar neurons in presence as well as absence of CNQX and APV. 5. In paired recordings, bursts in hilar neurons induced by 4-AP occurred simultaneously to giant IPSPs in granule cells and CA3 neurons, and giant IPSPs in granule cells occurred simultaneously to giant IPSPs in CA3 neurons. Blockade of glutamatergic excitation by CNQX and APV did not abolish this synchrony. 6. 4-AP-evoked Cl- and K-dependent IPSPs were, unlike electrically evoked IPSPs, not strictly coupled: some 20% of large IPSPs and up to 90% of small IPSPs were either Cl or K dependent. In granule cells K-dependent components either preceded or followed Cl-dependent components. 7. K-dependent IPSPs only could be evoked in CA3 neurons by focal application of 4-AP (1 mM) to the hilus, the stratum lacunosum moleculare or the stratum pyramidale. Wash out of Ca for 15-20 min blocked the Cl-dependent but not the K-dependent component of giant IPSPs evoked by bath-applied 4-AP.(ABSTRACT TRUNCATED AT 400 WORDS) 相似文献
998.
A splicing factor that is inactivated during in vivo heat shock is functionally equivalent to the [U4/U6.U5] triple snRNP-specific proteins. 总被引:10,自引:0,他引:10
One of the consequences of the heat shock response is a shutdown of pre-mRNA splicing, a phenomenon that can be reproduced in extracts prepared from heat-shocked cells. The block in splicing occurs before the covalent modifications that generate spliced mRNA at the level of spliceosome formation. We have used extracts prepared from heat-shocked cells as a complementation system to characterize and partially purify a protein factor that is inactivated during the in vivo heat shock. The activity functions in the formation of the active spliceosome by assembling U4/U6 and U5 snRNPs into a triple snRNP particle. The factor appears to be different from previously isolated splicing factors and is functionally equivalent to several polypeptides that are specifically associated with the purified triple snRNP but not with individual U4/U6 or U5 snRNPs. Our data confirm the hypothesis that U4/U6 and U5 snRNPs enter the spliceosome as a triple snRNP complex and show for the first time a function of specific snRNP-associated polypeptides in the mammalian splicing pathway. 相似文献
999.
Schreiber R. Lorenz H. P. Bühlmeyer K. 《Journal of molecular medicine (Berlin, Germany)》1982,60(2):61-69
Zusammenfassung In einer prospektiven Studie wurden bei 500 Patienten mit angeborenen Herzfehlern, davon 55% mit azyanotischen und 45% mit zyanotischen Vitien, die Thrombozytenzahl, einige Globaltests der plasmatischen Gerinnung (Quick-Wert, partielle Thromboplastinzeit, Thrombinzeit) und des Vollblutes (Thrombelastogramm) sowie der Proaktivator-Plasminogen-Komplex als Parameter der Fibrinolyse-Aktivität im Vollblut untersucht. Die Ergebnisse wurden nach Herzfehlertyp (azyanotisch/zyanotisch), Lebensalter (Neugeborene/Säuglinge/Kinder) und Hämatokrit-Bereichen (bis 40%/41–50%/51–60%/über 60%) gruppiert. Die Signifikanz zwischen den einzelnen Gruppen wurde mit Hilfe der Varianz-Analyse, die Korrelation der Parameter zum Hämatokrit-Wert mit Hilfe der linearen Regression berechnet.Bei azyanotischen Herzfehlern lagen die untersuchten Hämostase-Parameter im Normbereich, während bei zyanotischen Herzfehlern die Mittelwerte der Thrombozytenzahl, der plasmatischen und der Vollblut-Gerinnung sowie des Proaktivator-Plasminogen-Komplexes mit zunehmendem Lebensalter zum pathologischen Bereich tendierten; die niedrigsten Werte fanden sich im Neugeborenenalter, und zwar ohne Abhängigkeit vom Herzfehlertyp, wobei ursächlich die altersphysiologische Unreife des Gerinnungssystems anzuschuldigen ist. Bei Patienten mit zyanotischen Herzfehlern nahm die Gerinnbarkeit des Vollblutes mit zunehmender Polyglobulie kontinuierlich ab, während die Parameter der plasmatischen Gerinnung bis zu Hämatokrit-Werten von 60% durchaus im Normbereich blieben; eine ausreichende Korrelation der Hämostase-Parameter zum Schweregrad der Polyglobulie war nur für Patienten mit Hämatokrit-Werten über 60% nachzuweisen. Auch die Fibrinolyse-Aktivität im Vollblut war bei zyanotischen Patienten generell und ohne gesetzmäßige Abhängigkeit vom Lebensalter vermindert und nahm entgegen dem Anstieg des Hämatokrit-Wertes deutlich ab; dieses Verhalten spricht genen die in der Literatur vielfach diskutierte Steigerung der Fibrinolyse-Aktivität bei zyanotischen Patienten, welche allerdings von anderen Autoren nur im Plasma und nicht im Vollblut bestimmt wurde.Es empfiehlt sich daher, bei höhergradiger Polyglobulie Gerinnung und Fibrinolyse vorzugsweise im Vollblut zu untersuchen und nach den hier gefundenen, hämatokrit-bezogenen Richtwerten zu beurteilen, insbesondere vor diagnostischen und chirurgischen Eingriffen. Eine Behandlung mit gerinnungsaktiven Medikamenten ist streng zu indizieren; bei extremer Polyglobulie mit Hämatokrit-Werten über 70% können therapeutische Erythropheresen im Rahmen der präoperativen Vorbereitung Rheologie und Hämostase-Parameter kurzfristig verbessern.Mit Unterstützung der Deutschen Forschungsgemeinschaft, Bad Godesberg. Für die Durchführung der Laborarbeiten und die Dokumentation der Ergebnisse danken wir Frau Gudrun Godec herzlich. Die Studie wurde auszugsweise auf der Jahrestagung der Deutschen Gesellschaft für Pädiatrische Kardiologie am 25.9.79 in Berlin vorgetragen 相似文献
1000.
A. Tümer N. Öztürk-Demir C. Basar-Eroglu A. Noyan 《Journal of muscle research and cell motility》1983,4(1):103-113
Summary In this study the spontaneous activities of prescapular lymph nodes, which were isolated from calves, goats and sheep and mesenteric lymph nodes of guinea-pigs were recorded and analysed in the frequency domain. Stretch-evoked contractions of the mesenteric lymph nodes were also recorded and their frequency characteristics analysed.The preparations were placed in a Krebs solution which was kept at 37° C and bubbled continuously with a mixture of 95% O2 and 5% CO2. The tension changes occurring in the lymph nodes were recorded. The patterns obtained were initially transformed into numerical values which were then used to obtain autocorrelation functions and power spectra, according to the time series analysis method. A passive stretch of 100 s duration was applied to the mesenteric lymph nodes and the responses were examined using the transient response-frequency characteristics method.It was observed that prescapular and mesenteric lymph nodes had spontaneous activities due to the contractions of the smooth muscles within the nodes. A frequency analysis of these contractions indicated that at least three contractile components were responsible for the contractions; these components contract within the frequency bands of 0.01–0.04 Hz, 0.05–0.07 Hz and 0.09–0.14 Hz respectively. It was also observed that the spontaneous activities could be regulated and synchronized by stretch. It is suggested that these contractions of the lymph nodes play an essential role in lymph propulsion within the nodes. 相似文献