全文获取类型
收费全文 | 2500篇 |
免费 | 181篇 |
国内免费 | 13篇 |
专业分类
耳鼻咽喉 | 42篇 |
儿科学 | 21篇 |
妇产科学 | 40篇 |
基础医学 | 262篇 |
口腔科学 | 40篇 |
临床医学 | 194篇 |
内科学 | 546篇 |
皮肤病学 | 19篇 |
神经病学 | 262篇 |
特种医学 | 387篇 |
外科学 | 367篇 |
综合类 | 5篇 |
一般理论 | 1篇 |
预防医学 | 92篇 |
眼科学 | 37篇 |
药学 | 102篇 |
中国医学 | 1篇 |
肿瘤学 | 276篇 |
出版年
2024年 | 5篇 |
2023年 | 47篇 |
2022年 | 44篇 |
2021年 | 82篇 |
2020年 | 70篇 |
2019年 | 95篇 |
2018年 | 106篇 |
2017年 | 73篇 |
2016年 | 101篇 |
2015年 | 99篇 |
2014年 | 119篇 |
2013年 | 130篇 |
2012年 | 213篇 |
2011年 | 213篇 |
2010年 | 120篇 |
2009年 | 138篇 |
2008年 | 166篇 |
2007年 | 163篇 |
2006年 | 122篇 |
2005年 | 136篇 |
2004年 | 104篇 |
2003年 | 98篇 |
2002年 | 90篇 |
2001年 | 15篇 |
2000年 | 14篇 |
1999年 | 11篇 |
1998年 | 15篇 |
1997年 | 16篇 |
1996年 | 7篇 |
1995年 | 6篇 |
1994年 | 3篇 |
1993年 | 5篇 |
1992年 | 5篇 |
1990年 | 2篇 |
1989年 | 5篇 |
1987年 | 7篇 |
1986年 | 2篇 |
1985年 | 2篇 |
1984年 | 4篇 |
1983年 | 3篇 |
1980年 | 6篇 |
1979年 | 4篇 |
1972年 | 2篇 |
1970年 | 2篇 |
1969年 | 2篇 |
1967年 | 2篇 |
1965年 | 3篇 |
1943年 | 3篇 |
1938年 | 1篇 |
1934年 | 2篇 |
排序方式: 共有2694条查询结果,搜索用时 15 毫秒
71.
Eikelenboom MJ Killestein J Izeboud T Kalkers NF Baars PA van Lier RA Barkhof F Uitdehaag BM Polman CH 《Journal of neuroimmunology》2005,158(1-2):222-230
The expression of adhesion molecules (alpha4beta1-integrin, LFA-1, ICAM-1) on T cells, measured by flow cytometry, was compared in different subtypes of multiple sclerosis (MS) and related to future lesion development as seen as delta T1 and T2 lesion load per year on magnetic resonance imaging (MRI). LFA-1 and alpha4beta1-integrin showed higher expression on CD4 and CD8 T lymphocytes in the secondary progressive compared to the relapsing-remitting (CD4: p<0.01, p=ns, p<0.05; CD8: p<0.001, p<0.001, p<0.001, respectively) and primary progressive MS phase (CD4: p<0.001, p<0.01, p<0.05; CD8: p<0.01, p<0.01, p<0.001, respectively). The adhesion molecule expression of alpha4- (r=0.31; p<0.05) and beta1-integrin (r=0.38; p<0.01) on CD4+ cells and of LFA-1beta on both CD4+ and CD8+ (r=0.28, p<0.05) and r=0.29; p<0.05, respectively) cells was significantly related to increase in T2 lesion load. Our study provides further evidence for the involvement of integrins in lesion development, shown as T2 lesions on MRI in MS. 相似文献
72.
Retrospectively, we assessed the specificity of two proposed magnetic resonance imaging (MRI) criteria for multiple sclerosis (MS) in patients suspected to have MS but who ultimately receive another diagnosis. Brain MRIs of 28 patients mixed with 28 MRIs of MS patients from the same cohort of 377 consecutively referred patients were scored by a neuroradiologist masked to the final diagnosis. The criteria for dissemination in space incorporated in the McDonald International Panel showed good specificity (89%). However, the more sensitive criteria proposed by a Subcommittee of the American Academy of Neurology resulted in a lower specificity (29%), indicating an increased risk of a false-positive diagnosis. 相似文献
73.
James T. Giesel 《Experimental gerontology》1979,14(6):323-328
Adult longevity is genetically correlated with larval viability and developmental rate, and with adult fecundity and reproductive homeostatic ability in Drosophila melanogaster. More longevous strains are more viable as larvae and are more able to maintain high levels of fecundity throughout life, with less variation in fecundity due to environmental variation, than are less longevous strains. These results suggest that longevity is directly related to reproductive or Malthusian fitness and to homeostatic ability, and that natural selection must favor the evolutionary accumulation of longevity assurance factors in Drosophila melanogaster. 相似文献
74.
In Alpha-mannosidosis (MIM 248500) the patients accumulate mainly unbranched oligosaccharide chains in the lysosomes in all
body tissues, including the brain. With ensuing therapeutic modalities in man (BMT and ERT) non-invasive methods of monitoring
the effect of treatment are needed. Paramount is the possible effect of the treatment on the brain, since this organ is regarded
as difficult to reach because of the blood-brain barrier. We therefore performed proton nuclear magnetic resonance spectroscopy
(MRS) of the brain in two untreated patients, and a 16-year-old patient treated with BMT at the age of 10 to assess whether
this non-invasive method could be applied in the monitoring of the accumulation of abnormal chemicals in the brain of patients.
We found an abnormal peak that was not present in the treated patient. A similar pattern was also found in MRS of urine from
patients, reflecting the concentration of oligosaccharides in serum and tissues. We therefore conclude that MRS can be a useful
method to monitor the effect of treatment for Alpha-Mannosidosis. 相似文献
75.
76.
David Laurin Eric Spierings Lars T van der Veken Abdelbasset Hamrouni J H Frederik Falkenburg Gerard Souillet Corine Vermeulen Annie Farre Claire Galambrun Dominique Rigal Yves Bertrand Els Goulmy Assia Eljaafari 《Biology of blood and marrow transplantation》2006,12(11):1114-1124
In vitro stimulation of human female T cells with male HLA-identical dendritic cells resulted in the generation of HLA-DQB1*0501/0502-restricted minor histocompatibility H-Y antigen-specific CD4(+) T cell clones. Two clones generated from different HLA-identical pairs were analyzed. Use of HLA-DQ5-expressing female Epstein-Barr virus transformed B lymphoblastoid cell lines transfected with various H-Y genes and loaded with overlapping peptides demonstrated that both T cell clones are specific for a peptide encoded by DDX3Y. Previously, an HLA-DQ5-restricted T cell clone specific for the same peptide was isolated from a patient with graft-versus-host disease. Thus, we compared the T cell receptor (TCR) rearrangements of the 2 in vitro generated T cell clones and the ex vivo isolated T cell clone. All 3 clones shared the same TCRBV5-4* gene segment and 2 of 3 clones also used similar TCR-Valpha segments. Our results suggest that T cells recognizing the HLA-DQ5/DDX3Y T cell epitope might be characterized by a relatively limited TCR-beta repertoire. The differences in the junctional TCR-beta region had no effect on the antigen specificity, but altered the capacity of the TCR to distinguish the HLA-DQ5/DDX3Y complex from its allelic counterpart. The results also demonstrate that in vitro stimulation of T cells with allogeneic HLA-identical dendritic cells may facilitate the characterization of in vivo, potentially relevant HLA class II-restricted minor H epitopes. 相似文献
77.
Jendro MC Fingerle F Deutsch T Liese A Köhler L Kuipers JG Raum E Martin M Zeidler H 《Medical microbiology and immunology》2004,193(1):45-52
Chlamydia trachomatis-infected macrophages induce T cell apoptosis. This ability might promote intracellular survival of Chlamydia and perpetuate chronic chlamydial infection. The purpose of this study was to examine the molecular mechanisms by which C. trachomatis-infected macrophages induce T cell apoptosis. Monocytes and T cells were isolated from the peripheral blood of healthy donors. Macrophages were infected with C. trachomatis, and autologous T cells were stimulated by mitogen. After 6 days, both populations were cultured together using a two-chamber transwell membrane system to differentiate between mechanisms involving either cell-to-cell contact or secretion of apoptotic factors. Apoptotic T cells were identified by propidium iodide through-flow cytometry, and tumor necrosis factor-alpha (TNF-alpha) concentrations were measured by enzyme-linked immunosorbent assay. Antagonists of TNF-alpha, the Fas (CD95) molecule, TNF-related apoptosis-inducing ligand (TRAIL), and catalase were added to differentiate between the pathways of apoptosis. C. trachomatis-infected macrophages significantly induced T cell apoptosis by cell-to-cell contact (mean +/- standard deviation, 30+/-4%; P<0.001) and by humoral mechanisms (mean +/- standard deviation, 22+/-3%, P<0.001). Humoral apoptosis was mediated by secretion of TNF-alpha from infected macrophages. Inhibition of secretory TNF-alpha by the monoclonal anti-TNF-alpha antibody adalimumab (D2E7) blocked T cell death in vitro. In contrast, T cell apoptosis mediated by cell-to-cell contact was not inhibited by the different anti-apoptotic reagents. In summary, TNF-alpha derived from infected macrophages is an important apoptosis factor for T cell apoptosis induced by C. trachomatis-infected cells. 相似文献
78.
Izabela Rasmussen Line H Pedersen Luise Byg Kazuhiro Suzuki Hideki Sumimoto Frederik Vilhardt 《BMC immunology》2010,11(1):1-15
Background
Egg white must provide nutrients and protection to the developing avian embryo. One way in which this is achieved is an arsenal of antimicrobial proteins and peptides which are essentially extensions of the innate immune system. Gallin is a recently identified member of a family of peptides that are found in egg white. The function of this peptide family has not been identified and they are potentially antimicrobial.Results
We have confirmed that there are at least 3 forms of the gallin gene in the chicken genome in 3 separate lines of chicken, all the forms are expressed in the tubular cells of the magnum region of the oviduct, consistent with its presence in egg white. mRNA expression levels are in the order 10,000 times greater in the magnum than the shell gland. The conservation between the multiple forms of gallin in the chicken genome compared with the conservation between gallin and other avian gallin like peptides, suggests that the gene duplication has occurred relatively recently in the chicken lineage. The gallin peptide family contains a six cysteine motif (C-X5-C-X3-C-X11-C-X3-C-C) found in all defensins, and is most closely related to avian beta-defensins, although the cysteine spacing differs. Further support for the classification comes from the presence of a glycine at position 10 in the 41 amino acid peptide. Recombinant gallin inhibited the growth of Escherischia coli (E. coli) at a concentration of 0.25 μM confirming it as part of the antimicrobial innate immune system in avian species.Conclusions
The relatively recent evolution of multiple forms of a member of a new defensin related group of peptides that we have termed ovodefensins, may be an adaptation to increase expression or the first steps in divergent evolution of the gene in chickens. The potent antimicrobial activity of the peptide against E. coli increases our understanding of the antimicrobial strategies of the avian innate immune system particularly those of the egg white and the evolution of the defensin family. The potential of this peptide and others in the family can now be investigated in a number of novel antimicrobial roles. 相似文献79.
Heterozygous germline mutations in the mismatch repair gene PMS2 predispose carriers for Lynch syndrome, an autosomal dominant predisposition to cancer. Here, we present a LINE-1-mediated retrotranspositional insertion in PMS2 as a novel mutation type for Lynch syndrome. This insertion, detected with Southern blot analysis in the genomic DNA of the patient, is characterized as a 2.2 kb long 5' truncated SVA_F element. The insertion is not detectable by current diagnostic testing limited to MLPA and direct Sanger sequencing on genomic DNA. The molecular nature of this insertion could only be resolved in RNA from cultured lymphocytes in which nonsense-mediated RNA decay was inhibited. Our report illustrates the technical problems encountered in the detection of this mutation type. Especially large heterozygous insertions will remain unnoticed because of preferential amplification of the smaller wild-type allele in genomic DNA, and are probably underreported in the mutation spectra of autosomal dominant disorders. 相似文献
80.
Schuitemaker A van der Doef TF Boellaard R van der Flier WM Yaqub M Windhorst AD Barkhof F Jonker C Kloet RW Lammertsma AA Scheltens P van Berckel BN 《Neurobiology of aging》2012,33(6):1067-1072
Healthy brain aging is characterized by neuronal loss and decline of cognitive function. Neuronal loss is closely associated with microglial activation and postmortem studies have indeed suggested that activated microglia may be present in the aging brain. Microglial activation can be quantified in vivo using (R)-[(11)C]PK11195 and positron emission tomography. The purpose of this study was to measure specific binding of (R)-[(11)C]PK11195 in healthy subjects over a wide age range. Thirty-five healthy subjects (age range 19-79 years) were included. In all subjects 60-minute dynamic (R)-[(11)C]PK11195 scans were acquired. Specific binding of (R)-[(11)C]PK11195 was calculated using receptor parametric mapping in combination with supervised cluster analysis to extract the reference tissue input function. Increased binding of (R)-[(11)C]PK11195 with aging was found in frontal lobe, anterior and posterior cingulate cortex, medial inferior temporal lobe, insula, hippocampus, entorhinal cortex, thalamus, parietal and occipital lobes, and cerebellum. This indicates that activated microglia appear in several cortical and subcortical areas during healthy aging, suggesting widespread neuronal loss. 相似文献