首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   920篇
  免费   66篇
  国内免费   7篇
耳鼻咽喉   41篇
儿科学   35篇
妇产科学   52篇
基础医学   89篇
口腔科学   23篇
临床医学   81篇
内科学   202篇
皮肤病学   20篇
神经病学   29篇
特种医学   29篇
外国民族医学   4篇
外科学   137篇
综合类   26篇
一般理论   3篇
预防医学   35篇
眼科学   14篇
药学   97篇
中国医学   19篇
肿瘤学   57篇
  2023年   9篇
  2022年   33篇
  2021年   53篇
  2020年   34篇
  2019年   34篇
  2018年   46篇
  2017年   36篇
  2016年   30篇
  2015年   36篇
  2014年   45篇
  2013年   58篇
  2012年   85篇
  2011年   93篇
  2010年   53篇
  2009年   39篇
  2008年   51篇
  2007年   46篇
  2006年   43篇
  2005年   56篇
  2004年   34篇
  2003年   29篇
  2002年   24篇
  2001年   9篇
  2000年   2篇
  1999年   4篇
  1998年   3篇
  1997年   2篇
  1996年   1篇
  1995年   2篇
  1994年   1篇
  1993年   1篇
  1988年   1篇
排序方式: 共有993条查询结果,搜索用时 15 毫秒
951.

Introduction

There are conflicting data regarding the prognostic value of syncope in patients with acute pulmonary embolism (APE).

Methods

We retrospectively reviewed data of 552 consecutive adults with computed tomography pulmonary angiogram-confirmed APE to determine the correlates and outcome of the occurrence of syncope at the time of presentation.

Results

Among 552 subjects with APE (mean age 54 years, 47% men), syncope occurred in 12.3% (68/552). Compared with subjects without syncope, those with syncope were more likely to have admission systolic blood pressure < 90 mm Hg (odds ratio (OR) 5.788, P < 0.001), and an oxygen saturation < 88% on room air (OR 5.560, P < 0.001), right ventricular dilation (OR 2.480, P = 0.006), right ventricular hypokinesis (OR 2.288, P = 0.018), require mechanical ventilation for respiratory failure (OR 3.152, P = 0.014), and more likely to receive systemic thrombolysis (OR 4.722, P = 0.008). On multivariate analysis, syncope on presentation was an independent predictor of a massive APE (OR 2.454, 95% CI 1.109–5.525, P = 0.03) after adjusting for patients' age, sex, requirement of antibiotics throughout hospitalization, peak serum creatinine, admission oxygen saturation < 88% and admission heart rate > 100 bpm. There was no difference in mortality in cases with APE with or without syncope (P = 0.412).

Conclusion

Syncope at the onset of pulmonary embolization is a surrogate for submassive and massive APE but is not associated with higher in-hospital mortality.  相似文献   
952.

Objective

This study investigated the effect of dietary solvents on flexural strength and modulus of bulk-fill composites.

Materials and methods

One conventional composite (Filtek Z350 [FZ]), two bulk-fill composites (Filtek Bulk-fill [FB] and Tetric N Ceram [TN]) and a bulk-fill giomer (Beautifil-Bulk Restorative [BB]) were evaluated. Specimens (12?×?2?×?2?mm) were fabricated using customized stainless steel molds. Specimens were light-cured, removed from their molds, finished, measured and randomly divided into six groups. The groups (n?=?10) were conditioned in the following mediums for 7?days at 37?°C: air (control), artificial saliva (SAGF), distilled water, 0.02?N citric acid, heptane, 50% ethanol–water solution. After conditioning, the specimens were rinsed, blotted dry, measured and subjected to flexural testing using a universal testing machine. Representative SEM images of the intact surfaces were obtained to appraise the degradation mechanism by dietary solvents. Data was subjected to statistical analysis using ANOVA/Tukey’s tests at significance level p?<?0.05.

Results

Significant differences in flexural properties were observed between materials and conditioning mediums. The highest flexural properties were usually obtained with conditioning in air (control) or heptane. Exposure to aqueous solutions generally reduced flexural properties of bulk-fill composites.

Conclusion

The effect of dietary solvents on flexural properties of bulk-fill composites was material and medium dependent.  相似文献   
953.
The continuously increasing incidence rates of cancer and infectious diseases are open threats to the sustainable survival of animals and humans. In the last two decades, the demands of nanomaterials as modern therapeutic agents have increased. In this study, biogenic zinc oxide nanoparticles (ZnO NPs) were developed from aqueous Pandanus odorifer leaf extract (POLE) and characterized using modern methods and tools, such as electron microscopy, X-ray diffraction, energy dispersive X-ray spectroscopy (EDX), Fourier transform infrared spectroscopy and UV-vis spectroscopy, which indicated the formation of very pure, spherical NPs approximately 90 nm in size. The anticancer activity of the ZnO NPs was evaluated by MTT and neutral red uptake (NRU) assays in MCF-7, HepG2 and A-549 cells at different doses (1, 2, 5, 10, 25, 50, 100 μg ml−1). Moreover, the morphology of the treated cancer cells was examined by phase contrast microscopy. The results suggest that the synthesized ZnO NPs inhibited the growth of the cells when applied a concentration from 50–100 μg ml−1. Moreover, the biogenic ZnO NPs were analysed as an antimicrobial agent against pathogenic bacteria. The highest antibacterial activity was observed against Gram-positive Bacillus subtilis (26 nm) and Gram-negative Escherichia coli (24 mm) at 50 μg per well. Complete bacterial growth (100%) vanished 100% upon treatment with ZnO NPs at 85 μg ml−1. Overall, POLE mediated derived biogenic ZnO NPs could serve as a significant anticancer and antimicrobial agent and be used in the development of novel drugs and skin care products.

The continuously increasing incidence rates of cancer and infectious diseases are open threats to the sustainable survival of animals and humans.  相似文献   
954.
955.
956.
957.
958.
BackgroundSkin and soft tissue infections are frequent; Candidiasis and Aspergillosis are the most common cutaneous fungal infections. Yemeni alum (Aluminium Potassium Sulphate) is a natural mineral with antifungal and antibacterial properties.ObjectiveThis study aimed to confirm Yemeni alum's antifungal effectiveness against selected fungal strains and develop useful topical formulations.MethodsUsing different alum concentrations, we prepared twenty-three formulations, including four non-adjusted aqueous solutions, eight adjusted pH aqueous solutions, eight glycerite solutions, and three Oil/Water cream formulations. Then, we examined the antifungal activity against the suggested fungus. The animal skin irritation test evaluated the local skin sensitivity reactions that might happen upon using the formulations we prepared on the intact animal's skin. Additionally, this study also included six weeks of stability testing to estimate the expected shelf life (t90) of the selected formulations.ResultsAlum exerted antifungal effect against Candida albicans, Aspergillus niger, and Aspergillus flavus. The animal's skin was not irritated by any of the formulations examined. The 5% alum aqueous solution and the 10% alum Oil/Water cream exhibited promising results among all tested formulations. The approximate formulation's shelf-lives (t90) were 2 and 1.52 years with alum content (%) ranging between 105.75 to 106.02 %, respectively.ConclusionBased on the results we found, 10% alum Oil/Water cream is a promising formulation for large-scale manufacture.  相似文献   
959.
960.
Bacillus anthracis causes anthrax disease and exerts its deleterious effects by the release of three exotoxins, i.e. lethal factor, protective antigen and edema factor (EF), a highly active calmodulin-dependent adenylyl cyclase (AC). Conventional antibiotic treatment is ineffective against either toxaemia or antibiotic-resistant strains. Thus, more effective drugs for anthrax treatment are needed. Our previous studies showed that EF is differentially inhibited by various purine and pyrimidine nucleotides modified with N-methylanthraniloyl (MANT)- or anthraniloyl (ANT) groups at the 2′(3′)-O-ribosyl position, with the unique preference for the base cytosine (Taha et al., Mol Pharmacol 75:693 (2009)). MANT-CTP was the most potent EF inhibitor (K i, 100 nM) among 16 compounds studied. Here, we examined the interaction of EF with a series of 18 2′,3′-O-mono- and bis-(M)ANT-substituted nucleotides, recently shown to be very potent inhibitors of the AC toxin from Bordetella pertussis, CyaA (Geduhn et al., J Pharmacol Exp Ther 336:104 (2011)). We analysed purified EF and EF mutants in radiometric AC assays and in fluorescence spectroscopy studies and conducted molecular modelling studies. Bis-MANT nucleotides inhibited EF competitively. Propyl-ANT-ATP was the most potent EF inhibitor (K i, 80 nM). In contrast to the observations made for CyaA, introduction of a second (M)ANT-group decreased rather than increased inhibitor potency at EF. Activation of EF by calmodulin resulted in effective fluorescence resonance energy transfer (FRET) from tryptophan and tyrosine residues located in the vicinity of the catalytic site to bis-MANT-ATP, but FRET to bis-MANT-CTP was only small. Mutations N583Q, K353A and K353R differentially altered the inhibitory potencies of bis-MANT-ATP and bis-MANT-CTP. The nucleotide binding site of EF accommodates bulky bis-(M)ANT-substituted purine and pyrimidine nucleotides, but the fit is suboptimal compared to CyaA. These data provide a basis for future studies aiming at the development of potent EF inhibitors with high selectivity relative to mammalian ACs.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号