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   1891篇
  免费   248篇
  国内免费   79篇
耳鼻咽喉   18篇
儿科学   55篇
妇产科学   31篇
基础医学   166篇
口腔科学   19篇
临床医学   273篇
内科学   390篇
皮肤病学   37篇
神经病学   121篇
特种医学   137篇
外科学   292篇
综合类   217篇
现状与发展   20篇
预防医学   124篇
眼科学   51篇
药学   114篇
  2篇
中国医学   64篇
肿瘤学   87篇
  2024年   11篇
  2023年   49篇
  2022年   39篇
  2021年   53篇
  2020年   58篇
  2019年   47篇
  2018年   78篇
  2017年   72篇
  2016年   54篇
  2015年   82篇
  2014年   97篇
  2013年   108篇
  2012年   94篇
  2011年   99篇
  2010年   89篇
  2009年   108篇
  2008年   90篇
  2007年   62篇
  2006年   73篇
  2005年   61篇
  2004年   75篇
  2003年   72篇
  2002年   55篇
  2001年   50篇
  2000年   39篇
  1999年   44篇
  1998年   38篇
  1997年   47篇
  1996年   52篇
  1995年   41篇
  1994年   27篇
  1993年   27篇
  1992年   14篇
  1991年   13篇
  1990年   19篇
  1989年   18篇
  1988年   20篇
  1987年   18篇
  1986年   13篇
  1985年   15篇
  1984年   5篇
  1983年   7篇
  1982年   9篇
  1981年   5篇
  1980年   5篇
  1978年   12篇
  1977年   10篇
  1976年   7篇
  1975年   5篇
  1964年   5篇
排序方式: 共有2218条查询结果,搜索用时 31 毫秒
91.
92.
目的探讨体外培养条件下弓形虫培养上清对CD4+CD25+T细胞的影响。方法用弓形虫培养上清和自小鼠脾脏分离的CD4+CD25+T细胞共同孵育,Annexin-v染色法检测CD4+CD25+T细胞的凋亡情况,淋巴细胞增殖实验检测CD4+CD25+T细胞对CD4+CD25-T细胞的抑制功能。结果  用弓形虫培养上清孵育10 h的小鼠脾脏CD4+CD25+T细胞有(36. 90±0.36)%出现凋亡,和RPMI-1640孵育组相比,凋亡率上升了(13. 60士2.15)%。与RPMI-1640孵育组相比,用弓形虫培养上清处理5、10 h的小鼠脾脏CD4+CD2 5+T细胞对CD4+CD25 -T细胞的抑制功能下降(P<0.01)。结论  弓形虫培养上清中可能存在某些成分能够诱导CD4+CD25+T细胞出现凋亡,并使CD4+CD25+T缅胞对CD4+CD25-T细胞的抑制功能下降。  相似文献   
93.
This study explored the physiological response of the human brain to degraded speech syllables. The degradation was introduced using noise vocoding and/or background noise. The goal was to identify physiological features of auditory-evoked potentials (AEPs) that may explain speech intelligibility. Ten human subjects with normal hearing participated in syllable-detection tasks, while their AEPs were recorded with 32-channel electroencephalography. Subjects were presented with six syllables in the form of consonant-vowel-consonant or vowel-consonant-vowel. Noise vocoding with 22 or 4 frequency channels was applied to the syllables. When examining the peak heights in the AEPs (P1, N1, and P2), vocoding alone showed no consistent effect. P1 was not consistently reduced by background noise, N1 was sometimes reduced by noise, and P2 was almost always highly reduced. Two other physiological metrics were examined: (1) classification accuracy of the syllables based on AEPs, which indicated whether AEPs were distinguishable for different syllables, and (2) cross-condition correlation of AEPs (rcc) between the clean and degraded speech, which indicated the brain’s ability to extract speech-related features and suppress response to noise. Both metrics decreased with degraded speech quality. We further tested if the two metrics can explain cross-subject variations in their behavioral performance. A significant correlation existed for rcc, as well as classification based on early AEPs, in the fronto-central areas. Because rcc indicates similarities between clean and degraded speech, our finding suggests that high speech intelligibility may be a result of the brain’s ability to ignore noise in the sound carrier and/or background.  相似文献   
94.
95.

Purpose

Inflammation participates centrally in all stages of atherosclerosis (AS), which begins with pro-inflammatory processes and inflammatory changes in the endothelium, related to lipid metabolism. MicroRNA (miRNA) inhibition of inflammation related to SIRT1 has been shown to be a promising therapeutic approach for AS. However, the mechanism of action is unknown.

Methods

We investigated whether miRNAs regulate the SIRT1 and its downstream SREBP-lipogenesis-cholesterogenesis metabolic pathway in human umbilical vein endothelial cells (HUVECs). HUVECs were transfected with miR-132 mimics and inhibitors, and then treated with or without tumor necrosis factor α (TNFα). The effects of miR-132 on pro-inflammatory processes, proliferation and apoptosis were assessed.

Results

We identified that the relative 3’ UTR luciferase activities of SIRT1 were significantly decreased in miR-132 transfected HUVECs (0.338?±?0.036) compared to control (P?=?0.000). miR-132 inhibited SIRT1 expression of mRNA level in HUVECs (0.53?±?0.06) (P?SIRT1. mRNA expression and protein levels of SREBP (0.45?±?0.07), fatty acid synthase (FASN) (0.55?±?0.09) and 3-hydroxy-3-methylglutaryl CoA reductase (HMGCR) (0.62?±?0.08) (P?TNF-α, and inhibited its proliferation, viability and migration.

Conclusions

SIRT1 mRNAs are direct targets of miR-132. miR-132 controls lipogenesis and cholesterogenesis in HUVECs by inhibiting SIRT1 and SREBP-1c expression and their downstream regulated genes, including FASN and HMGCR. Inhibition of SIRT1 by miR-132 was associated with lipid metabolism-dependent pro-inflammatory processes in HUVECs. The newly identified miRNA, miR-132 represents a novel targeting mechanism for AS therapy.  相似文献   
96.
目的 研究一体化PET/MR结合统计参数图(SPM)辅助^11C-匹兹堡化合物B(PIB)用于β-淀粉样蛋白(Aβ)PET显像半定量分析的准确性,探索其用于认知障碍的诊断及鉴别诊断的可行性.方法 回顾分析2018年1月至2019年9月在华中科技大学同济医学院附属协和医院PET中心进行^11C-PIB PET/MR扫描,临床最终确诊的13例阿尔茨海默病(AD)患者[男4例,女9例;年龄(59.2±5.8)岁]和10例血管性认知障碍(VCD)患者[男9例,女1例;年龄(59.5±11.5)岁].结合三维T1加权成像(3D T1WI)对^11C-PIB PET图像分别进行脑区手动勾画和SPM辅助半自动分割,获得8个关键脑区(大脑白质、纹状体、丘脑、后扣带回、额叶皮质、后顶叶皮质、颞叶外侧皮质和枕叶皮质)与小脑皮质的标准摄取值比值(SUVR).对2种方法所获结果进行Pearson相关分析;采用两独立样本t检验、配对t检验分析数据.结果 AD组与VCD组患者的年龄和简易精神状态检查量表(MMSE)评分[(19.7±4.7)和(21.7±3.8)分]差异均无统计学意义(t值:0.095和1.098,均P>0.05).除丘脑外(r=0.179,P=0.413),分割法和勾画法在其余7个关键脑区获得的SUVR均有良好的相关性(r值:0.678~0.893,均P<0.05).AD组8个关键脑区的SUVR均明显高于VCD组(1.519~2.055与1.105~1.618;t值:2.799~11.582,均P相似文献   
97.
Mutations in the leucine‐rich repeat kinase 2 (lrrk2) gene are the leading genetic cause of Parkinson's disease (PD). In characterizing the novel ROC domain mutant A1442P, we compared its steady‐state protein levels, propensity to aggregate, and toxicity with the pathogenic R1441C mutant and wild‐type (WT) LRRK2. Mutant (R1441C and A1442P) and WT LRRK2 fused to green fluorescent protein (GFP) and FLAG were transiently expressed in HEK293 cells using plasmid constructs. Western analysis and fluorescence microscopy consistently demonstrated lower mutant LRRK2 protein levels compared with WT. A time‐course expression study using flow cytometry showed that WT LRRK2 expression increased initially but then plateaued by 72 hr. Conversely, R1441C and A1442P mutant expression attained 85% and 74% of WT levels at 24 hr but fell to 68% and 55% of WT levels by 72 hr, respectively. We found that proteasome inhibition markedly increased mutant LRRK2 to levels approaching those of WT. Taken together, our findings reveal increased intracellular degradation for both mutants. Furthermore, the impact of mutant and WT LRRK2 expression on HEK293 cell viability was assessed under normative and oxidative (hydrogen peroxide) conditions and found not to differ. Expression of WT and mutant LRRK2 protein gave rise to intracellular aggregates of similar appearance and cellular localization. In summary, we provide evidence that the novel A1442P mutant and the previously investigated R1441C pathogenic mutant exhibit increased intracellular degradation, a property reportedly demonstrated for the pathogenic LRRK2 kinase domain mutant I2020T. © 2013 Wiley Periodicals, Inc.  相似文献   
98.
99.
目的对一例全面发育落后的婴儿进行临床和遗传学分析,明确其病因。方法采集患儿及其家系成员的病史,应用实验室检查、遗传代谢病筛查和新一代测序技术对该家系进行临床和遗传学分析。结果先证者临床表现为对声音反应不灵敏,竖头不稳,不能翻身、逗笑,不认识母亲。实验室检查血乳酸、血糖等正常,尿有机酸中3-甲基戊烯二酸、3-甲基戊二酸水平增高,提示为"3-甲基戊烯二酸尿症可能"。头颅磁共振扫描显示胼胝体压部T1W信号偏低,髓鞘化落后于月龄。高通量测序发现CLPB基因存在复合杂合变异c.1085G>A和c.1700A>C,分别遗传自父亲和母亲,二者均为新变异。根据美国医学遗传学与基因组学学会标准,两个变异均预测为疑似致病变异。结论该患儿可能为CLPB基因变异引起的3-甲基戊烯二酸尿症Ⅶ型。高通量测序技术为分析该类疾病提供了有力的诊断工具。  相似文献   
100.
Retinoblastoma (RB) is a childhood intraocular cancer initiated by biallelic inactivation of the RB tumor suppressor gene (RB1?/?). RB can be hereditary (germline RB1 pathogenic allele is present) or non‐hereditary. Somatic copy number alterations (SCNAs) contribute to subsequent tumorigenesis. Previous studies of only enucleated RB eyes have reported associations between heritability status and the prevalence of SCNAs. Herein, we use an aqueous humor (AH) liquid biopsy to investigate RB genomic profiles in the context of germline RB1 status, age, and International Intraocular Retinoblastoma Classification (IIRC) clinical grouping for both enucleated and salvaged eyes. Between 2014 and 2019, AH was sampled from a total of 54 eyes of 50 patients. Germline RB1 status was determined from clinical blood testing, and cell‐free DNA from AH was analyzed for SCNAs. Of the 50 patients, 23 (46.0%; 27 eyes) had hereditary RB, and 27 (54.0%, 27 eyes) had non‐hereditary RB. Median age at diagnosis was comparable between hereditary (13 ± 10 months) and non‐hereditary (13 ± 8 months) eyes (P = 0.818). There was no significant difference in the prevalence or number of SCNAs based on (1) hereditary status (P > 0.56) or (2) IIRC grouping (P > 0.47). There was, however, a significant correlation between patient age at diagnosis, and (1) number of total SCNAs (r[52] = 0.672, P < 0.00001) and (2) number of highly‐recurrent RB SCNAs (r[52] = 0.616, P < 0.00001). This evidence does not support the theory that specific molecular or genomic subtypes exist between hereditary and non‐hereditary RB; rather, the prevalence of genomic alterations in RB eyes is strongly related to patient age at diagnosis.  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