全文获取类型
收费全文 | 2625篇 |
免费 | 151篇 |
国内免费 | 10篇 |
专业分类
耳鼻咽喉 | 34篇 |
儿科学 | 46篇 |
妇产科学 | 19篇 |
基础医学 | 406篇 |
口腔科学 | 54篇 |
临床医学 | 186篇 |
内科学 | 632篇 |
皮肤病学 | 20篇 |
神经病学 | 335篇 |
特种医学 | 86篇 |
外科学 | 467篇 |
综合类 | 20篇 |
预防医学 | 153篇 |
眼科学 | 50篇 |
药学 | 123篇 |
肿瘤学 | 155篇 |
出版年
2023年 | 16篇 |
2022年 | 15篇 |
2021年 | 42篇 |
2020年 | 46篇 |
2019年 | 40篇 |
2018年 | 47篇 |
2017年 | 31篇 |
2016年 | 38篇 |
2015年 | 43篇 |
2014年 | 57篇 |
2013年 | 84篇 |
2012年 | 132篇 |
2011年 | 133篇 |
2010年 | 77篇 |
2009年 | 86篇 |
2008年 | 135篇 |
2007年 | 116篇 |
2006年 | 108篇 |
2005年 | 133篇 |
2004年 | 126篇 |
2003年 | 151篇 |
2002年 | 126篇 |
2001年 | 92篇 |
2000年 | 56篇 |
1999年 | 60篇 |
1998年 | 22篇 |
1997年 | 35篇 |
1996年 | 36篇 |
1995年 | 26篇 |
1993年 | 17篇 |
1992年 | 27篇 |
1991年 | 49篇 |
1990年 | 31篇 |
1989年 | 36篇 |
1988年 | 30篇 |
1987年 | 19篇 |
1986年 | 27篇 |
1985年 | 30篇 |
1984年 | 21篇 |
1983年 | 23篇 |
1982年 | 27篇 |
1981年 | 35篇 |
1980年 | 24篇 |
1979年 | 20篇 |
1978年 | 15篇 |
1977年 | 20篇 |
1976年 | 18篇 |
1974年 | 28篇 |
1973年 | 14篇 |
1970年 | 19篇 |
排序方式: 共有2786条查询结果,搜索用时 15 毫秒
91.
Reply letter to Jinnah “Locus pocus” and Albanese “Complex dystonia is not a category in the new 2013 consensus classification”: Necessary evolution,no magic! 下载免费PDF全文
Christine Klein MD Anthony Lang MD Bart P. van de Warrenburg MD Carolyn M. Sue MD PhD Sarah J. Tabrizi MBChB PhD Lars Bertram MD Saadet Mercimek‐Mahmutoglu MD PhD Darius Ebrahimi‐Fakhari MD Thomas T. Warner MD Alexandra Durr MD Birgit Assmann MD Vladimir Kostic MD Katja Lohmann Connie Marras MD PhD International Parkinson Movement Disorder Society Task Force on Classification Nomenclature of Genetic Movement Disorders 《Movement disorders》2016,31(11):1760-1762
92.
G Morel A Enjalbert L Proulx G Pelletier N Barden F Grossard P M Dubois 《Neuroendocrinology》1989,49(6):669-675
Corticotropin-releasing factor (CRF) has been characterized on the basis of its intrinsic activity to release corticotropin from cultured rat anterior pituitary cells. Injected in intact rats, CRF increases adrenocorticotropic hormone (ACTH) release. Endogenous CRF-like immunoreactivity was detected in the cytoplasm and nucleus of corticotrophs. Using an antirat CRF serum, a similar location of CRF-like immunoreactivity was observed in lactotrophs: cytoplasmic matrix, secretory granules, nucleus and, to a lesser degree, the plasma membrane level were stained. One injection of CRF increased the plasma ACTH concentration 4-fold after 15 min, while plasma prolactin (PRL) increased 2.7-fold 5 min after injection. In vitro, incubation of female pituitary cells with rat CRF (10(-10)-10(-8) M) had no significant effect on PRL secretion. In contrast, after 4 days of in vitro pretreatment with 17 beta-estradiol (10(-9) M), rat CRF stimulated PRL secretion by 42%. In situ hybridization of whole pituitary slices showed that rat CRF injection significantly increased the labeling of corticotrophs using an ACTH-cDNA probe, but had no significant effect on the labeling of lactotrophs using a PRL riboprobe. These results indicate that CRF is a factor which can modulate PRL release but not the synthesis of PRL. 相似文献
93.
Gjerdrum C Vallée AM St Clair CC Bertram DF Ryder JL Blackburn GS 《Proceedings of the National Academy of Sciences of the United States of America》2003,100(16):9377-9382
Anomalously warm sea-surface temperatures (SSTs) are associated with interannual and decadal variability as well as with long-term climate changes indicative of global warming. Such oscillations could precipitate changes in a variety of oceanic processes to affect marine species worldwide. As global temperatures continue to rise, it will be critically important to be able to predict the effects of such changes on species' abundance, distribution, and ecological relationships so as to identify vulnerable populations. Off the coast of British Columbia, warm SSTs have persisted through the last two decades. Based on 16 years of reproductive data collected between 1975 and 2002, we show that the extreme variation in reproductive performance exhibited by tufted puffins (Fratercula cirrhata) was related to changes in SST both within and among seasons. Especially warm SSTs corresponded with drastically decreased growth rates and fledging success of puffin nestlings. Puffins may partially compensate for within-season changes associated with SST by adjusting their breeding phenology, yet our data also suggest that they are highly vulnerable to the effects of climate change at this site and may serve as a valuable indicator of biological change in the North Pacific. Further and prolonged increases in ocean temperature could make Triangle Island, which contains the largest tufted puffin colony in Canada, unsuitable as a breeding site for this species. 相似文献
94.
Bertram L Stiel S Elsner F Radbruch L Davies A Nauck F Alt-Epping B 《Schmerz (Berlin, Germany)》2010,24(6):605-612
Background
Of cancer patients receiving palliative care, 80% suffer from cancer pain, and again 80% of these patients report breakthrough pain. This study explores the patients’ perception of breakthrough pain, their experiences with existing therapeutic regimens and their expectations regarding an ideal breakthrough pain medication.Method
From November 2008 to February 2010 two German palliative care units recruited 80 in- or outpatient cancer patients who completed a standardized questionnaire on breakthrough pain characteristics, analgesic medication, attitudes towards new treatment approaches for breakthrough pain, and experiences with alternative routes of drug administration as part of the “European Survey of Oncology Patients’ Experience of Breakthrough Pain”.Results
The study participants suffered from 1–12 episodes of either incident (47.5%) or spontaneous pain (37.5%) per day which were perceived as “severe” in 71% of all cases. These exacerbations highly interfered with the patients’ general activity, mood, walking ability, and normal work. Overall, 64% of the patients reported alleviation from pharmacological (26%) and non-pharmacological (73%) interventions. Subcutaneous (40%) and oral (39%) routes were used frequently; intranasal (1.25%) and intrapulmonary (1.25%) routes were used rarely. Only 64% of all participants stated an overall satisfaction with their breakthrough analgesia.Conclusion
The diagnosis and treatment of breakthrough pain seems to be conducted in a suboptimal manner, and standard recommendations on breakthrough pain relief are not implemented consistently. Possible causes of pain should be taken into account as well as multi-professional treatment interventions and alternative routes of administration of fast onset, effective drugs should be considered. 相似文献95.
96.
Inflammation and dephosphorylation of the tight junction protein occludin in an experimental model of multiple sclerosis 总被引:3,自引:0,他引:3
Morgan L Shah B Rivers LE Barden L Groom AJ Chung R Higazi D Desmond H Smith T Staddon JM 《Neuroscience》2007,147(3):664-673
Multiple sclerosis (MS) is a disease of the CNS in which inflammation, demyelination and neurodegeneration contribute to its initiation and progression. A frequently employed model of MS is experimental autoimmune encephalomyelitis (EAE). Here, to gain new insights into the disease process, an analysis of proteins in extracts of lumbar spinal cord from naïve and EAE rats was undertaken. The data mainly confirm that inflammation and blood–brain barrier (BBB) breakdown are the major hallmarks of disease in this model. Given their importance in the BBB, junctional proteins were further investigated. Occludin, a protein localizing to tight junctions in brain endothelial cells, showed strikingly increased migration in EAE when analyzed by sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS-PAGE). This increased migration was mimicked by in vitro phosphatase treatment, implying its dephosphorylation in EAE. Occludin dephosphorylation coincided with the onset of inflammation, slightly preceding visible signs of disease, and was just prior to apparent changes in BBB permeability. These findings suggest occludin is a target for signaling processes in EAE, perhaps regulating the response of the BBB to the inflammatory environment as seen in MS. 相似文献
97.
Sleep deprivation for one night induces mood improvement in depressed patients, an action that probably involves the serotonergic (5-HT) system. In animals, sleep deprivation and pharmacologic treatment with antidepressants exert similar effects on 5-HT neurotransmission, notably functional desensitization of 5-HT1A autoreceptors located on 5-HT neurons in the dorsal raphe nucleus (DRN). However, in stressful conditions, corticosterone can also induce a desensitization of these autoreceptors. STUDY OBJECTIVES: To investigate the mechanisms of this adaptation during sleep deprivation and the possible involvement of corticosterone, we studied the effects of an 18-hour sleep deprivation, by forced locomotion, on 5-HT1A receptor-mediated firing response of DRN 5-HT neurons in transgenic mice with impaired glucocorticoid-receptor expression (GR-i) and in wild-type animals. We also examined the effects of chronic treatment with the antidepressant drug fluoxetine in the same paradigm. MEASUREMENTS AND RESULTS: In both wild-type and GR-i mice, the 18-hour sleep deprivation or fluoxetine treatment had no effect on the spontaneous firing of 5-HT neurons recorded under anesthesia. However, sleep deprivation decreased the potency of the 5-HT1A agonist 8-OH-DPAT to inhibit 5-HT neuronal firing in wild-type mice, whereas it had no effect in GR-i animals. Conversely, after chronic fluoxetine treatment, the induced reduction of this 5-HT1A autoreceptor-driven response was of larger amplitude in GR-i than in wild-type mice. CONCLUSIONS: These data suggest that glucocorticoid-receptor activation by corticosterone participates in the antidepressant-like adaptive changes in 5-HT1A autoreceptors in sleep-deprived mice. On the other hand, GR-i animals exhibited enhanced 5-HT1A autoreceptor desensitization induced by fluoxetine, in line with data in other animal models of depression. 相似文献
98.
Blacker D Bertram L Saunders AJ Moscarillo TJ Albert MS Wiener H Perry RT Collins JS Harrell LE Go RC Mahoney A Beaty T Fallin MD Avramopoulos D Chase GA Folstein MF McInnis MG Bassett SS Doheny KJ Pugh EW Tanzi RE;NIMH Genetics Initiative Alzheimer's Disease Study Group 《Human molecular genetics》2003,12(1):23-32
Alzheimer's disease (AD) is a devastating neurodegenerative disorder of late life with complex inheritance. Mutations in three known genes lead to the rare early-onset autosomal dominant form of AD, while a common polymorphism (epsilon 4) in the gene encoding apolipoprotein E (APOE ) is a risk factor for more typical late-onset (>60 years) AD. A recent study concluded that there are up to four additional genes with an equal or greater contribution to the disease. We performed a 9 cM genome screen of 437 families with AD, the full National Institute of Mental Health (NIMH) sample, which has been carefully ascertained, evaluated and followed by our group over the last decade. Performing standard parametric and non-parametric linkage analyses, we observed a 'highly significant' linkage peak by Lander and Kruglyak criteria on chromosome 19q13, which probably represents APOE. Twelve additional locations-on 1q23, 3p26, 4q32, 5p14, 6p21, 6q27, 9q22, 10q24, 11q25, 14q22, 15q26 and 21q22-met criteria for 'suggestive' linkage [i.e. two-point lod score (TLS) >/=1.9 and/or multipoint lod score (MLS) >/=2.2] in at least one of our analyses. Although some of these will surely prove to be false positives, these linkage signals should provide a valuable framework for future studies aimed at identifying additional susceptibility genes for late-onset AD. 相似文献
99.
Timing and mechanism of conceptus demise in a complement regulatory membrane protein deficient mouse 下载免费PDF全文
Michael P. Triebwasser Xiaobo Wu Paula Bertram Dennis E. Hourcade Donald Michael Nelson John P. Atkinson 《American journal of reproductive immunology (New York, N.Y. : 1989)》2018,80(4)
Problem
Crry is a widely expressed type 1 transmembrane complement regulatory protein in rodents which protects self‐tissue by downregulating C3 activation. Crry?/? concepti produced by Crry+/? × Crry+/? matings are attacked by maternal complement system leading to loss before day 10. The membrane attack complex is not the mediator of this death. We hypothesized that the ability of C3b to engage the alternative pathway's feedback loop relatively unchecked on placental membranes induces the lesion yielding the demise of the Crry?/? mouse.Method of Study
We investigated the basis of Crry?/? conceptus demise by depleting maternal complement with cobra venom factor and blocking antibodies. We monitored their effects primarily by genotyping and histologic analyses.Results
We narrowed the critical period of the complement effect from 6.5 to 8.5 days post‐coitus (dpc), which is immediately after the conceptus is exposed to maternal blood. Deposition by 5.5 dpc of maternal C3b on the placental vasculature lacking Crry?/? yielded loss of the conceptus by 8.5 dpc. Fusion of the allantois to the chorion during placental assembly did not occur, fetal vessels originating in the allantois did not infiltrate the chorioallantoic placenta, the chorionic plate failed to develop, and the labyrinthine component of the placenta did not mature.Conclusion
Our data are most consistent with the deposition of C3b being responsible for the failure of the allantois to fuse to the chorion leading to subsequent conceptus demise.100.