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   1852篇
  免费   93篇
  国内免费   26篇
耳鼻咽喉   10篇
儿科学   33篇
妇产科学   19篇
基础医学   304篇
口腔科学   47篇
临床医学   129篇
内科学   345篇
皮肤病学   37篇
神经病学   263篇
特种医学   27篇
外科学   152篇
综合类   5篇
预防医学   243篇
眼科学   11篇
药学   177篇
中国医学   6篇
肿瘤学   163篇
  2023年   7篇
  2022年   19篇
  2021年   44篇
  2020年   24篇
  2019年   34篇
  2018年   35篇
  2017年   30篇
  2016年   38篇
  2015年   42篇
  2014年   72篇
  2013年   92篇
  2012年   135篇
  2011年   144篇
  2010年   74篇
  2009年   60篇
  2008年   134篇
  2007年   139篇
  2006年   137篇
  2005年   125篇
  2004年   154篇
  2003年   131篇
  2002年   111篇
  2001年   14篇
  2000年   8篇
  1999年   13篇
  1998年   17篇
  1997年   18篇
  1996年   9篇
  1995年   6篇
  1994年   8篇
  1993年   9篇
  1992年   6篇
  1991年   4篇
  1990年   8篇
  1989年   6篇
  1988年   5篇
  1987年   6篇
  1986年   5篇
  1985年   4篇
  1984年   5篇
  1983年   3篇
  1982年   6篇
  1981年   3篇
  1979年   3篇
  1978年   4篇
  1977年   3篇
  1976年   3篇
  1972年   2篇
  1967年   2篇
  1961年   1篇
排序方式: 共有1971条查询结果,搜索用时 15 毫秒
61.
A series of novel segmented linear and crosslinked polyurethanes (PUs) are synthesized from poly(ε‐caprolactone) (PCL) (25 kg mol?1), methylene diphenyl diisocyanate (MDI), and various polyether diols (Pluronic (PLU) and polyethylene glycol (PEG)). The basic structures of the highly deformable PUs are PLU/PEG–MDI–PCL–MDI–PLU/PEG and PLU–MDI–PCL–MDI–PLU, respectively. The linear and crosslinked PUs are characterized. Changes in the tensile behavior are attributed to the effects of compositional variables and alterations in the crosslink density. Additional information on the morphology of the segmented PUs is deduced from differential scanning calorimetry, as well as transmission and scanning electron microscopy investigations. Both the linear and the crosslinked PUs exhibit a broad rubbery plateau above the melting temperature of the crystalline PCL phase, which is highly beneficial for shape memory function. This work highlights that the chemical build‐up of soft segments containing high‐molecular‐weight crystallizable chain units is a proper tool to tailor the morphology and mechanical properties of PUs, and thus also their shape memory properties.

  相似文献   

62.
Telomerase is the enzyme responsible for synthesizing telomeric repeats at the ends of chromosomes to maintain telomere length. Recent studies have suggested that telomere shortening may serve as a surrogate marker of the progression of malignant disorders and seems to be accelerated in allogeneic bone marrow transplant recipients. In this study, the results of the telomere length of nine cord blood mononuclear cell samples are presented. Telomere length was measured by the flow-FISH method, using a peptide nucleic acid probe. The proportion of cord blood cell subsets (CD19/CD34/CD3) was also evaluated. The telomere length of the internal control 1301 cell line was estimated to be 100%. The mean telomere length of cord blood cells was 18.5 +/- 3.9%, compared with the internal control. The progenitor CD34+ cells were detected as 2.6 +/- 0.7% in the lymphoid gate measured. Linear correlation analysis did not find any connection between the cell subsets (CD3+, CD34+, CD19+) and the telomere length. The findings confirm that the telomere flow-FISH method is sufficient for estimation of the telomere length. Assessment of the current procedures of collection, manipulation, and ex vivo expansion of cord blood cells in terms of their effect on telomere shortening might be important.  相似文献   
63.
Formation of lymphatic metastasis is the initial step of generalized spreading of tumor cells and predicts poor clinical prognosis. Lymphatic vessels generally arise within the peritumoral stroma, although the lymphangiopoietic vascular endothelial growth factors (VEGF)-C and -D are produced by tumor cells. In a carefully selected collection of human cervical cancers (stage pT1b1) we demonstrate by quantitative immunohistochemistry and in situ hybridization that density of lymphatic microvessels is significantly increased in peritumoral stroma, and that a subset of stromal cells express large amounts of VEGF-C and VEGF-D. The density of cells producing these vascular growth factors correlates with peritumoral inflammatory stroma reaction, lymphatic microvessel density, and indirectly with peritumoral carcinomatous lymphangiosis and frequency of lymph node metastasis. The VEGF-C- and VEGF-D-producing stroma cells were identified in situ as a subset of activated tumor-associated macrophages (TAMs) by expression of a panel of macrophage-specific markers, including CD68, CD23, and CD14. These TAMs also expressed the VEGF-C- and VEGF-D-specific tyrosine kinase receptor VEGFR-3. As TAMs are derived from monocytes in the circulation, a search in peripheral blood for candidate precursors of VEGFR-3-expressing TAMs revealed a subfraction of CD14-positive, VEGFR-3-expressing monocytes, that, however, failed to express VEGF-C and VEGF-D. Only after in vitro incubation with tumor necrosis factor-alpha, lipopolysaccharide, or VEGF-D did these monocytes start to synthesize VEGF-C de novo. In conclusion VEGF-C-expressing TAMs play a novel role in peritumoral lymphangiogenesis and subsequent dissemination in human cancer.  相似文献   
64.
We investigated whether vaccination of healthy HIV-seronegative and HIV-1-seropositive antiretroviral therapy-treated subjects with recombinant modified vaccinia virus Ankara expressing an HIV-1 immunogen (MVA.HIVA) induced MVA-specific T cell responses. Using IFN-γ Elispot assays, we observed new or increased responses to MVA virus in 52% of HIV-seronegative subjects and 93% HIV-1 seropositive subjects; MVA-specific T cell frequencies were generally low and correlated poorly with T cell responses to the HIV-1 immunogen. In two vaccinees, responses were mapped to CD8+ T cell epitopes present in replication-competent vaccinia virus. These data support further evaluation of MVA as a viral vector for HIV-1 immunogens.  相似文献   
65.
The inflammatory actions of xylene, an aromatic irritant and sensitizing agent, were described to be predominantly neurogenic in the rat, but the mechanism and the role of the Transient Receptor Potential Vanilloid 1 (TRPV1) capsaicin receptor localized on a subpopulation of sensory nerves has not been elucidated. This paper characterizes the involvement of capsaicin-sensitive afferents and the TRPV1 receptor in nociceptive and acute inflammatory effects of xylene in the mouse. Topical application of xylene on the paw induced a short, intensive nocifensive behaviour characterized by paw liftings and shakings, which was more intensive in Balb/c than in C57Bl/6 mice. Genetic deletion of the TRPV1 receptor as well as destroying capsaicin-sensitive nerve terminals with resiniferatoxin (RTX) pretreatment markedly reduced, but did not abolish nocifensive behaviours. In respect to the xylene-induced plasma protein extravasation detected by Evans blue leakage, significant difference was neither observed between the Balb/c and C57Bl/6 strains, nor the ear and the dorsal paw skin. These inflammatory responses were diminished in the RTX pretreated group, but not in the TRPV1 gene-deleted one. Injection of the antioxidant N-acetylcysteine 15 min prior to xylene smearing significantly reduced plasma protein extravasation at both sites. These results demonstrate that xylene-induced acute nocifensive behaviour is mediated by capsaicin-sensitive afferents via TRPV1 receptor activation in mice. Neurogenic inflammatory components play an important role in xylene-induced plasma protein extravasation, but independently of the TRPV1 ion channel. Reactive oxygen or carbonyl species participate in this process presumably via stimulation of the TRPA1 channel.  相似文献   
66.
In this study, we present a mechanism for the development of arterial blood supply in experimental liver metastases. To analyze the arterialization process of experimental liver metastases, we elucidated a few key questions regarding the blood supply of hepatic lobules in mice. The microvasculature of the mouse liver is characterized by numerous arterioportal anastomoses and arterial terminations at the base of the lobules. These terminations supply one hepatic microcirculatory subunit per lobule, which we call an arterial hepatic microcirculatory subunit (aHMS). The process of arterialization can be divided into the following steps: 1) distortion of the aHMS by metastasis; 2) initial fusion of the sinusoids of the aHMS at the tumor parenchyma interface; 3) fusion of the sinusoids located at the base of the aHMSs, which leads to the disruption of the vascular sphincter (burst pipe); 4) incorporation of the dilated artery and the fused sinusoids into the tumor; and 5) further development of the tumor vasculature (arterial tree) by proliferation, remodeling, and continuous incorporation of fused sinusoids at the tumor–parenchyma interface. This process leads to the inevitable arterialization of liver metastases above the 2000- to 2500-μm size, regardless of the origin and growth pattern of the tumor.It is widely accepted that hepatic metastases and tumors are predominantly supplied by arterial blood, a notion that serves as the basis for hepatic arterial chemotherapy and chemoembolization.1,2,3,4,5,6,7 The most cited article on this field dates back to the 1950s.1 Since then numerous papers have been published using human and experimental materials and different methods such as corrosion casting, confocal and electron microscopy, angiography, radiolabeled microspheres, and in vivo microscopy, have been used to study the blood supply of liver metastases.2,3,4,5,6,7,8,9,10,11,12,13,14,15,16 A large proportion of these articles have confirmed the original observation of Breedis and Young,1 but no mechanism for the development of the arterial blood supply in metastases has ever been presented.2,3,4,5,6,7 On the other hand, numerous papers, including ours, have emphasized the contribution of the portal vein, either directly or through the sinusoids in the blood supply of hepatic metastases.8,9,10,11,12,13,14 This apparent contradiction might result from the observed continuity of the sinusoidal with the tumor vasculature and the presumption that blood flows in an “outside-in” direction from the sinusoids toward the tumor vasculature. Most of the studies dealing with the blood supply of metastases have neglected the importance of arterioportal anastomoses and other interspecies differences in the hepatic microcirculation, which could lead to seriously biased results. According to the observations of Yamamoto et al15 there are extensive arterioportal anastomoses throughout the vascular tree in rats, whereas a separate arterial and portal tree, without direct arterioportal communication, can be observed in hamster and human liver. Opinions about the presence of arterioportal anastomoses in mice are controversial10,16; therefore, we have addressed this question first.The classic lobule can be divided into several conical hepatic microcirculatory subunits (HMSs) supplied by a single inlet portal venule. Hepatic arterioles terminate either on the inlet venules or directly on sinusoids. The number of these terminations within a lobule is species-dependent. The blood flow through the inlet venules and terminal arterioles is regulated by sphincters.17 The most detailed studies on microcirculation of the liver and vessel architecture of liver metastases were performed by corrosion casting. However, in these studies the livers were completely filled with uncolored resin, which made analyzing the three-dimensional organization of the deep interlobular vessels difficult.10,14,15In the present study, we used a two color corrosion casting technique to analyze the blood supply in liver metastases of experimental tumors in mice. A special filling method was used to prevent the mixing of the “portal and arterial resin” upstream of the hepatic sinusoids. This technique enabled us to analyze separately the contribution of the two vascular systems to the blood supply of liver metastases and to establish the steps of the arterialization process.  相似文献   
67.
We studied the replacement of hepatic S9 with in vivo and in vitro induced hepatocytes as a metabolic activation system with the aim of broadening the possibilities of mutagenic assays. Rats were pretreated with beta-naphthoflavone (BNF), phenobarbital (PB), 3-methylcholanthrene (MC) and a combination of BNF and PB (BNF + PB). Mutagenic activation of benzo[a]pyrene (BP) and 2-aminoanthracene (2AA) by hepatic S9 and hepatocytes was determined in the Ames test. Primary rat hepatocytes were used for in vitro induction and were used as the activating system in the Ames test. In vivo BNF treatment greatly increased the metabolic activation capacity of hepatic S9 and hepatocytes towards BP. With regard to 2AA activation, S9 and hepatocytes showed different BNF induction profiles. PB treatment reduced the mutagenicity of both compounds. Although ethoxyresorufin O-dealkylase (EROD) activity of S9 from BNF + PB-treated animals was almost 30-fold greater than the control, its effectiveness in activation of 2AA was below the control level. A large part of the EROD activity of control cells was lost during culture, together with the ability to activate 2AA, however, 72 h of MC induction increased EROD activity to 200-fold of the control, which corresponds to 28% of that of in vivo induced hepatocytes. The mutagenic potential of BP activated by in vitro induced hepatocytes was 10-fold above the control, which is 47% of the mutagenicity detected following in vivo induction. In vitro induced hepatocytes increased 2AA mutagenicity to 14.6-fold over the control, which corresponds to 68% of in vivo induction. Our results suggest that primary culture of hepatocytes provides a useful model for the study of the role of metabolic activation processes concerning enzyme activity of cytochromes P450 and other metabolic enzymes and induction profiles of different inducers.  相似文献   
68.
Von Hippel-Lindau disease (VHL) is a rare autosomal dominant disease characterized by development of cystic and tumorous lesions at multiple sites, including the brain, spinal cord, kidneys, adrenals, pancreas, epididymis and eyes. The clinical phenotype results from molecular abnormalities of the VHL tumor suppressor gene, mapped to human chromosome 3p25-26. The VHL gene encodes two functionally active VHL proteins due to the presence of two translational initiation sites separated by 53 codons. The majority of disease-causing mutations have been detected downstream of the second translational initiation site, but there are conflicting data as to whether few mutations located in the first 53 codons, such as the Pro25Leu could have a pathogenic role. In this paper we report a large Hungarian VHL type 2 family consisting of 32 members in whom a disease-causing AGT80AAT (Ser80Ile) c.239G>A, p.Ser80Ile mutation, but not the concurrent CCT25CTT (Pro25Leu) c.74C>T, p.Pro25Leu variant co-segregated with the disease. To our knowledge, the Ser80Ile mutation has not been previously described in VHL type 2 patients with high risk of pheochromocytoma and renal cell cancer. Therefore, this finding represents a novel genotype-phenotype association and VHL kindreds with Ser80Ile mutation will require careful surveillance for pheochromocytoma. We concluded that the Pro25Leu variant is a rare, neutral variant, but the presence such a rare gene variant may make genetic counseling difficult.  相似文献   
69.
Family members of 47 hepatitis B virus (HBV)-carrier pregnant women were tested for the presence of hepatitis B surface antigen (HBsAg), other markers of HBV infection, and hepatitis A virus (HAV) antibodies. Eleven members of six families were found to be HBV DNA positive. Five of the anti-HBe-positive persons were found to be HBV DNA carriers, too. The mean age of the HBV DNA carriers was found to be lower than that of Hbe carriers; therefore, it is suggested that seroconversion to HBe occurs before the resolution of HBV DNA carrier state. Superinfection with hepatitis A virus was not found to influence the elimination of HBV-carrier state, as there was no correlation found between the hepatitis A exposure and the hepatitis B virus markers in the families. The low HBV prevalence in the population (0.3%) was in contrast to the high prevalence of the families of the HBV-carrier mothers (27.1%) and family members with HBV markers (50.4%). Significant positive correlation was found in the proportion of HBV-positive children, and the HBV history of their parents. When fathers were shown to be seronegative, the probability of HBV transmission was reduced by a factor of 6 (12.5% instead of 75%) probably due to reduced viral load and possibly by other factors. Several results indicate, that the noncytocidal hepatitis B virus clearing mechanism suggested by Guidotti et al. [1996, 1999] was effective also in the HBV-carrier human population.  相似文献   
70.
Ghrelin, a regulator of food intake and energy expenditure, has been shown to be associated with insufficient sleep. The goal of the present study was to investigate the effect of a single night of total sleep deprivation on fasting saliva ghrelin and on nocturnal variation of saliva ghrelin concentration. A further aim of the study was to investigate the influence of body mass index on changes in saliva ghrelin levels. Altogether 35 adolescents (18 boys; age: 13.8 ± 1.14 years) were studied on two subsequent days (sleep and total sleep deprivation). Saliva samples were collected during the two experimental nights at 21:00 hours, 01:00 hours and 06:00 hours. Total-ghrelin concentration showed a continuous increase from the evening until 06:00 hours. This increase was blunted significantly (p = 0.003) by total sleep deprivation. Total-ghrelin level was significantly lower (p = 0.02) during total sleep deprivation at 06:00 hours (median 403.6 pg ml−1; 95% confidence interval: 343.1–468.9 pg ml−1) as compared with values during the sleep condition (median 471.2 pg ml−1; 95% confidence interval: 205.4–1578.7 pg ml−1). Acyl-ghrelin levels did not present any change at the three time points, and were not affected by total sleep deprivation. Stratifying the study population according to body mass index (normal weight and overweight/obese groups), the blunting effect of total sleep deprivation was more pronounced in the obese/overweight group (sleep: median 428.2 pg ml−1; 95% confidence interval: 331.3–606.9 pg ml−1 versus total sleep deprivation: median 333.1 pg ml−1; 95% confidence interval: 261.5–412.9 pg ml−1; p = 0.0479). Saliva total-ghrelin concentrations gradually increased during the night, and total sleep deprivation significantly blunted this increase. This blunting effect was mainly observed in subjects with overweight/obesity. The physiological and clinical implications of the present observation are to be clarified by further studies.  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