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   937篇
  免费   48篇
  国内免费   4篇
耳鼻咽喉   6篇
儿科学   2篇
妇产科学   15篇
基础医学   122篇
口腔科学   11篇
临床医学   64篇
内科学   198篇
皮肤病学   56篇
神经病学   125篇
特种医学   43篇
外科学   123篇
综合类   6篇
一般理论   1篇
预防医学   39篇
眼科学   22篇
药学   59篇
中国医学   6篇
肿瘤学   91篇
  2024年   3篇
  2023年   15篇
  2022年   21篇
  2021年   42篇
  2020年   23篇
  2019年   29篇
  2018年   27篇
  2017年   21篇
  2016年   21篇
  2015年   58篇
  2014年   50篇
  2013年   64篇
  2012年   82篇
  2011年   79篇
  2010年   63篇
  2009年   41篇
  2008年   46篇
  2007年   62篇
  2006年   42篇
  2005年   64篇
  2004年   42篇
  2003年   29篇
  2002年   26篇
  2001年   2篇
  2000年   2篇
  1999年   1篇
  1998年   8篇
  1997年   5篇
  1996年   3篇
  1994年   1篇
  1993年   4篇
  1992年   1篇
  1990年   1篇
  1989年   2篇
  1985年   1篇
  1984年   6篇
  1983年   1篇
  1977年   1篇
排序方式: 共有989条查询结果,搜索用时 328 毫秒
31.
Middle meningeal vessels, dural venous sinuses, and emissary veins leave imprints and canals in the endocranium, and thus provide evidence of vascular patterns in osteological samples. This paper investigates whether craniovascular morphology undergoes changes in craniosynostotic human skulls, and if specific alterations may reflect structural and functional relationships in the cranium. The analyzed osteological sample consists of adult individuals with craniosynostoses generally associated with dolichocephalic or brachycephalic proportions, and a control sample of anatomically normal adult skulls. The pattern and dominance of the middle meningeal artery, the morphology of the confluence of the sinuses, and the size and number of the emissary foramina were evaluated. Craniovascular morphology was more diverse in craniosynostotic skulls than in anatomically normal skulls. The craniosynostotic skulls often displayed enlarged occipito-marginal sinuses and more numerous emissary foramina. The craniosynostotic skulls associated with more brachycephalic morphology often presented enlarged emissary foramina, while the craniosynostotic skulls associated with dolichocephalic effects frequently displayed more developed posterior branches of the middle meningeal artery. The course and morphology of the middle meningeal vessels, dural venous sinuses, and emissary veins in craniosynostotic skulls can be related to the redistribution of growth forces, higher intracranial pressure, venous hypertension, or thermal constraints. These functional and structural changes are of interest in both anthropology and medicine, involving epigenetic traits that concern the functional and ontogenetic balance between soft and hard tissues.  相似文献   
32.
33.
34.
35.
36.

Background

In humans, in utero exposure to ionising radiation results in an increased prevalence of neurological aberrations, such as small head size, mental retardation and decreased IQ levels. Yet, the association between early damaging events and long-term neuronal anomalies remains largely elusive.

Methods

Mice were exposed to different X-ray doses, ranging between 0.0 and 1.0 Gy, at embryonic days (E) 10, 11 or 12 and subjected to behavioural tests at 12 weeks of age. Underlying mechanisms of irradiation at E11 were further unravelled using magnetic resonance imaging (MRI) and spectroscopy, diffusion tensor imaging, gene expression profiling, histology and immunohistochemistry.

Results

Irradiation at the onset of neurogenesis elicited behavioural changes in young adult mice, dependent on the timing of exposure. As locomotor behaviour and hippocampal-dependent spatial learning and memory were most particularly affected after irradiation at E11 with 1.0 Gy, this condition was used for further mechanistic analyses, focusing on the cerebral cortex and hippocampus. A classical p53-mediated apoptotic response was found shortly after exposure. Strikingly, in the neocortex, the majority of apoptotic and microglial cells were residing in the outer layer at 24 h after irradiation, suggesting cell death occurrence in differentiating neurons rather than proliferating cells. Furthermore, total brain volume, cortical thickness and ventricle size were decreased in the irradiated embryos. At 40 weeks of age, MRI showed that the ventricles were enlarged whereas N-acetyl aspartate concentrations and functional anisotropy were reduced in the cortex of the irradiated animals, indicating a decrease in neuronal cell number and persistent neuroinflammation. Finally, in the hippocampus, we revealed a reduction in general neurogenic proliferation and in the amount of Sox2-positive precursors after radiation exposure, although only at a juvenile age.

Conclusions

Our findings provide evidence for a radiation-induced disruption of mouse brain development, resulting in behavioural differences. We propose that alterations in cortical morphology and juvenile hippocampal neurogenesis might both contribute to the observed aberrant behaviour. Furthermore, our results challenge the generally assumed view of a higher radiosensitivity in dividing cells. Overall, this study offers new insights into irradiation-dependent effects in the embryonic brain, of relevance for the neurodevelopmental and radiobiological field.

Electronic supplementary material

The online version of this article (doi:10.1186/1866-1955-7-3) contains supplementary material, which is available to authorized users.  相似文献   
37.
Hepatitis G virus (HGV) causes persistent infection in man, but its disease association is controversial. We studied the HGV disease association in 25 liver transplantation (LT) recipients without evidence of hepatitis B and C infection. HGV RNA was tested by semiquantitative RT-PCR in serial serum samples and its presence was correlated with the biochemical and histological evidence of liver damage. The overall prevalence of HGV infection in this population was 9/25 (36%), one patient being HGV RNA positive since before LT, while the other eight apparently acquired de novo infections after LT. In five cases, appearance of HGV was followed by biochemical and histological evidence of liver damage: the liver biopsy showed acute rejection in two cases, acute cholangitis in two, and acute hepatitis in one. At the end of follow-up, histological evidence of chronic hepatitis was found in one HGV-positive patient but also in three HGV-negative patients, whereas the only patient with acute hepatitis at the time HGV RNA was first detected in serum developed an intralobular gigantocellular granuloma. In conclusion, HGV infection after LT may be seldom associated with acute and chronic liver damage, but comparable histological features can be observed also among HGV-negative controls.  相似文献   
38.
We evaluated the genetic variation of Echinococcus G7 strain in larval and adult stages using a fragment of the mitochondrial cox1 gen. Viscera of pigs, bovines, and sheep and fecal samples of dogs were inspected for cystic and canine echinococcosis, respectively; only pigs had hydatid cysts. Bayesian inferences grouped the sequences in an E. canadensis G7 cluster, suggesting that, in Mexico, this strain might be mainly present. Additionally, the population genetic and network analysis showed that E. canadensis in Mexico is very diverse and has probably been introduced several times from different sources. Finally, a scarce genetic differentiation between G6 (camel strain) and G7 (pig strain) populations was identified.Echinococcus granulosus sensu lato (s.l.) includes species that cause cystic echinococcosis (CE), one of the most important and widespread parasitic zoonoses. Recent phylogenetic studies based on both mitochondrial and nuclear DNA genes show that E. granulosus s.l. consists of at least four valid species: E. granulosus sensu stricto (s.s.; genotypes G1–G3), E. equinus (G4), E. ortleppi (G5), and E. canadensis (G6–G10). Genotypes G6/G7 are closely related and referred to as camel and pig strains, respectively.13 The pig–dog cycle is mainly present in Mexico and maintains the G7 strain.4,5 Although there are isolated reports of E. oligarthrus in a wild cat,6 E. ortleppi (E. granulosus s.l.; G5) in a patient,7 and E. granulosus s.s. (G1) in a rural pig, there is no evidence that these species are maintained in Mexico.8 No data of CE caused by G7 have been documented in Mexican patients, although there is a high number of E. canadensis G7-infected patients in central Europe, pointing to the importance of this strain as a cause of human CE.9,10 There are only two genetic studies performed in samples from Mexico. Cruz-Reyes and others5 documented that G7 parasites of Mexican and Polish pig isolates showed similar patterns by restriction fragment length polymorphism (RFLP) of ribosomal DNA (rDNA) internal transcribed spacer 1 (ITS1) and random amplified polymorphic DNA (RAPD) techniques, and although polymerase chain reaction (PCR) -sequencing analysis of mitochondrial cox1 gen fragment was performed, no polymorphism data were reported. Sharma and others11 identified two variants (A and B) inside of the G6/G7 group consisting of samples from Mexico and Argentina using five nuclear markers (elongation factor 1α, transforming growth factor-β receptor kinase, thioredoxin peroxidase, calreticulin, and ezrin-radixin-moesin-like protein). Because some local slaughter records from northern Mexico indicate the presence of Echinococcus spp. in livestock animals,5 the objective of this study was to investigate if parasites in pigs and dogs correspond to G7 and if so, describe its genetic variation.Infected animals were identified in the municipal slaughterhouse of Calera, Zacatecas (north central Mexico), where farm and backyard livestock animals coming from the whole state and other surrounding states were included. For this purpose, viscera from 387 pigs, 243 bovines, and 32 sheep were inspected for the larval stage of Echinococcus. Nine pigs (six pigs from Zacatecas, two pigs from Aguascalientes, and one pig from Morelos) were found infected, and hydatid cysts were obtained under aseptic conditions. After cyst contents were aspirated and centrifuged, aliquots were examined under microscopy to confirm the presence of protoscolices, and pellets were kept in 70% ethanol at −20°C until DNA extraction. Each cyst from each animal was considered as an isolate.Based on the presence of the parasites previously identified in Calera''s slaughterhouse, a rural community located in the central area of Zacatecas at 22°55′ N, 102°48′ W was selected to look for the adult stage of this parasite. For this search, all dogs (60) present in the community were sampled one time for feces after obtaining verbal consent from the owner; samples were used to identify taeniid eggs by the Faust technique, antigens in stool samples (copro-antigens) by enzyme-linked immunosorbent assay (ELISA; CpAg ELISA), and DNA by Copro-PCR. The CpAg ELISA was performed as described by Allan and others12 and Moro and others.13 For Copro-PCR, only positive samples by CpAg ELISA were analyzed using JB3 and JB4 primers to amplify a cox1 gen fragment.14 Coprological analysis of dogs showed that 11 samples were positive by CpAg ELISA (18.3%); only 2 of these samples had taeniid tapeworms (3.4%), and 3 of 11 samples yielded products of approximately 450 bp. All amplicons obtained of hydatid cysts and fecal samples were purified, sequenced on both strands, submitted to GenBank (accession numbers KF734649-KF734660), and compared with several mitochondrial DNA sequences of cox1. Dogs positive for taeniid eggs or antigens were purged and treated with praziquantel at 30 mg/kg and arecoline bromide at 2 mg/kg. The protocol was previously approved by the Ethics and Research Committees of the General Hospital “Dr. Manuel Gea Gonzalez”; government and health authorities of the municipality and community also authorized our study.All sequences were subjected to the Basic Local Alignment Search Tool (BLAST) search in the GenBank database; multiple alignments were performed with the CLUSTAL W and MUSCLE programs,15,16 with manual adjusted in MEGA program v517 to determine the appropriate model of molecular evolution in the Modeltest 3.7 program.18 The phylogenetic reconstruction using Bayesian inference was performed with Mr Bayes 3.2.1 program.19 Unrooted haplotype networks were created using NETWORK 4.611 software and nested according to the rules in median-joining networks.20 An analysis of genetic diversity within and between populations was performed using DnaSPv421 and included nucleotide diversity (π), haplotype polymorphism (θ), genetic differentiation index (FST), and Tajima''s D test. Analysis of molecular variance (AMOVA) was used to examine the population genetic structure between populations by ΦST as the genetic fixation index (analogous to FST) obtained by ARLEQUIN software.22After multiple alignments, all sequences of larval and adult stages showed 98% or higher identity with E. canadensis, whereas the Bayesian phylogenetic tree and the haplotype network inference grouped these sequences in the E. canadensis G7 cluster. Sequences for cox1 of E. canadensis from Africa, Asia, Europe, Latin America, and North America deposited in the GenBank databases (N = 58) as well as our sequences (accession numbers KF734649-KF734660) were analyzed. The results for π and θ were 0.0118 and 0.718, and the result of Tajima''s D test was −2.1885 (P < 0.01). Genetic differentiation indexes between different paired sequences of E. canadensis genotypes are shown in
Population APopulation BFSTAMOVAReferences
ΦSTSSVCPercent
G6G70.0310.0851.6400.0608.53038
G6G80.8930.93737.7675.39593.7
G6G100.6240.61315.7980.72661.3
G7G80.7830.76027.2504.31576.030,31,39,40
G7G100.3590.3368.7220.53233.6
G8G100.8820.88140.0255.99188.130,34,36,39
Mexico (G7)Europe (G7)0.2010.1793.4940.25917.930,31,40,41
Latin America (G7)Europe (G7)0.1460.1132.4610.13811.3
Latin America (G7)Africa (G6)0.1470.1543.3340.17115.431,33,35
Latin America (G7)Asia (G6)0.1560.1262.7220.14412.630,31
Latin America (G7)Africa–Asia (G6)0.1510.2053.8330.18020.630,31,33,35
Europe (G7)Africa (G6)0.0470.0430.7270.0224.330,33,35,40,41
Europe (G7)Asia (G6)0.0610.0190.4720.0249.130,40,41
Europe (G7)Africa-Asia (G6)0.0420.0600.6500.2336.030,33,35,40,41
Open in a separate windowEurope (G7) includes G7 sequences from Italy, Poland, and Romania. Latin America (G7) includes G7 sequences from Mexico and Peru. Africa (G6) includes G6 sequences from Algeria, Ethiopia, Mauritania, and Sudan. Asia (G6) includes G6 sequences from Iran and Kazakhstan. Africa–Asia (G6) includes G6 sequences from China, Iran, Mauritania, Mongolia, and Russia. SS = sum of squared; VC = variance of components.For the network analysis, haplotypes of E. canadensis (G6, G7, G8, and G10), according to their hosts and country of origin, were included and exhibited three relevant dispersion centers (clustering more than nine haplotypes in each one of them): one for G10 from North America with elk/wolf, one for G6/G7 from Iran, Mauritania, and Peru with camel and sheep, and one for G6/G7 from Africa, Asia, and Latin America with cattle, camel, dog, elk, goat, and human. Interestingly, some G7 pig haplotypes from Mexico are displayed around the third dispersion center; in contrast, other G7 haplotypes from European and Asian countries are clustered around the second dispersion center (Figure 1).Open in a separate windowFigure 1.Haplotype network for E. canadensis using cox1 sequences of different countries and hosts. Numbers on branches refer to mutational changes. Sizes of circles are proportional to haplotype frequencies (numbers of haplotypes are shown inside circles). Thus, major circles represent ancestral haplotypes, and small circles represent missing haplotypes. Hosts are shown on a side of the haplotypes, and the three big ellipses with discontinuous lines containing G6/G7, G8, and G10.The sequences obtained from three dogs and nine infected pigs showed that E. canadensis (G7) was the only strain identified, indicating that it is the main genotype present in Mexico, which had been previously reported.4,5 This study also shows that E. canadensis (G6, G7, G8, and G10) is lightly more polymorphic than other species of the genus Echinococcus (π = 0.0118), and the negative value of Tajima''s D test suggests a recent expansion for the populations. Haag and others23 reported π = 0.0005 for E. multilocularis and π = 0.0090 for E. granulosus using mitochondrial (nad) and nuclear (ActII, Hbx2, and AgB) sequences; in addition, Sharma and others11 performed a population genetic analysis of E. granulosus s.s. using cox1 sequences and found that π ranged from 0.0039 to 0.0093 for E. granulosus s.s. isolates from India, and they also found a negative value for Tajima''s D test. Small sample sizes and lengths of the nucleotide sequences might affect the π values, showing a tendency toward underestimation.24 In addition, most studies of genetic variation in Echinococcus have used around a dozen sequences; therefore, π results might not be directly comparable among them. However, even under these considerations, this comparison allows us to highlight the genetic diversity among populations of E. canadensis. Furthermore, we found that, in E. canadensis populations, G6 and G7 have a scarce differentiation (FST and ΦST close to 0.1), whereas it is high for E. canadensis G8 and G10 (FST and ΦST > 0.6). In contrast, in a study focused on the genetic diversity of E. granulosus s.s., hydatid cysts from four European countries (Bulgaria, Hungary, Romania, and Italy) were evaluated by sequences of cox1 and showed FST values up 0.187.25 In this study, when G6 and G7 were divided in geographic areas, a similar genetic differentiation was observed with FST and ΦST < 0.1, except when Latin America (G7) was matched with Europe, Africa, or Asia (FST and ΦST = 0.15–0.2), suggesting that the former population reflects a great genetic differentiation regarding the latter populations. This is strengthened by the network analysis, in which some haplotypes of pigs from Mexico are clustered in different branches from those from pigs of European countries.Based on the network analysis, we might deduce the following inferences. (1) E. canadensis G7 in Mexico is very diverse and has probably been introduced from abroad several times from different sources (i.e., Figure 1 shows that six Mexican isolates have from 4 to 14 mutational changes between the isolate and the main haplotype). (2) Haplotypes grouped in the North American wildlife cluster (G10) are closer within them (with one or two mutational changes), and they are placed far away from Mexican isolates; thus, they might be ruled out as sources of introduction to Mexico. (3) Differentiation between G6 and G7 would not make any sense based on the differentiation of genetic indexes found for both genotypes (FST and ΦST close to 0.1). Additionally, one of the main ancestral dispersion centers in the network analysis clustered identical haplotypes of G6 and G7 from China, Mexico, Peru, Sudan, and Russia. The species status of E. canadensis is still controversial,13,5,25 because biologically different strains (G6–G10) have been unified. The camel (G6) and pig (G7) strains (both maintained primarily by dog-mediated domestic lifecycles from tropical to temperate zones) are ecologically and geographically segregated from G8 to G102,26; therefore, some works have suggested that G6 and G7 should be treated as a single species: E. intermedius.5,27 However, in recent taxonomic revisions, this proposal has been considered inappropriate,2,26 and the specific name of E. canadensis seems to be the most suitable for handling the closely related genotypes. Thompson and Lymbety28 have argued that knowledge of the genetic structure of cestodes can be applied to the epidemiology and the control of these parasites, because genetic variation within and between populations determines future evolutionary changes, genetic differentiation, and speciation. According to our results, it is probable that E. canadensis G7 has been accidentally introduced from abroad several times through different sources, except from North America (where G10 is more prevalent). This knowledge may have important implications for control of the zoonosis, mainly in areas that lack adequate veterinary control, which could prompt an important health problem. Although presently there are few cases of human cystic echinococcosis in Mexico, interestingly, a study performed in a rural community where an autochthonous human case of CE was detected in 2006 showed that, although some risk practices (such as feeding dogs with infected viscera) were observed, no data of CE in livestock and canine echinococcosis were found, suggesting that CE in Mexico has an unclear pattern.29  相似文献   
39.
Parameters of arterial stiffness: hypertensive and diabetic patients vs controls     
Gómez-Marcos MA  Recio-Rodríguez JI  Patino-Alonso MC  Agudo-Conde C  Rodríguez-Sánchez E  García-Ortiz L 《Revista espa?ola de cardiología》2012,65(4):384-387
  相似文献   
40.
Their pain is not our pain: Brain and autonomic correlates of empathic resonance with the pain of same and different race individuals     
Ruben T. Azevedo  Emiliano Macaluso  Alessio Avenanti  Valerio Santangelo  Valentina Cazzato  Salvatore Maria Aglioti 《Human brain mapping》2013,34(12):3168-3181
Recent advances in social neuroscience research have unveiled the neurophysiological correlates of race and intergroup processing. However, little is known about the neural mechanisms underlying intergroup empathy. Combining event‐related fMRI with measurements of pupil dilation as an index of autonomic reactivity, we explored how race and group membership affect empathy‐related responses. White and Black subjects were presented with video clips depicting white, black, and unfamiliar violet‐skinned hands being either painfully penetrated by a syringe or being touched by a Q‐tip. Both hemodynamic activity within areas known to be involved in the processing of first and third‐person emotional experiences of pain, i.e., bilateral anterior insula, and autonomic reactivity were greater for the pain experienced by own‐race compared to that of other‐race and violet models. Interestingly, greater implicit racial bias predicted increased activity within the left anterior insula during the observation of own‐race pain relative to other‐race pain. Our findings highlight the close link between group‐based segregation and empathic processing. Moreover, they demonstrate the relative influence of culturally acquired implicit attitudes and perceived similarity/familiarity with the target in shaping emotional responses to others' physical pain. Hum Brain Mapp 34:3168–3181, 2013. © 2012 Wiley Periodicals, Inc.  相似文献   
[首页] « 上一页 [1] [2] [3] 4 [5] [6] [7] [8] [9] [10] [11] 下一页 » 末  页»
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