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991.
Thromboembolic disease associated with ovarian stimulation and assisted conception techniques 总被引:5,自引:6,他引:5
Thromboembolic disease, as a complication of ovarian stimulation and
assisted conception techniques, is generally considered to be a rare
complication of ovarian hyperstimulation syndrome and, by implication,
lower limb in origin. Sporadic cases of unusually sited thromboses, both
venous and arterial, have been reported. This paper aims to draw attention
to the relatively large number of such thromboses reported in the world
literature compared with those cited in previous commentaries, and to
emphasize how little is known about their pathogenesis. It is believed that
this is an issue which requires to be addressed in order to understand the
background pathology to such incidents and if possible to identify women at
greatest risk from such potentially debilitating or fatal complications,
such that appropriate prophylactic measures can be taken.
相似文献
992.
Identification of ovarian antibodies by immunofluorescence, enzyme- linked immunosorbent assay or immunoblotting in premature ovarian failure 总被引:3,自引:2,他引:3
Wheatcroft NJ; Salt C; Milford-Ward A; Cooke ID; Weetman AP 《Human reproduction (Oxford, England)》1997,12(12):2617-2622
The development of new techniques for the detection of ovarian antibodies
has challenged early concepts about the rarity of ovarian antibodies in
idiopathic premature ovarian failure (POF), but few attempts have been made
to compare results between assays. We have sought to define the prevalence
of ovarian autoimmunity in a group of 30 idiopathic POF patients compared
to a group of 12 patients with POF plus an associated autoimmune disease
and a group of 38 controls, using an enzyme-linked immunosorbent assay
(ELISA) and indirect immunofluorescence (IFL). Ovarian antibodies were
detected in 27% of idiopathic POF patients by ELISA (not significantly
different compared to POF patients with associated autoimmune disease; P
< 0.0003 compared to controls) but only 7% of these patients were
positive by IFL. In a further, pre-selected group of individuals, all
positive for ovarian antibodies by IFL, 53% had measurable antibodies by
ELISA. Some overlap was therefore demonstrated between the two techniques
but many POF patients had ovarian antibodies detectable by only one method.
Immunoblotting studies revealed that no consistent pattern of binding could
be demonstrated for these patients. These results call into question the
specificity of ovarian antibodies as a marker for autoimmune POF.
相似文献
993.
994.
Jillella AP Britt GW Litaker MS Kallab AM Harkness K Garner GD 《Medical oncology (Northwood, London, England)》2000,17(4):287-292
Our purpose was to determine the risk of ototoxicity in breast cancer patients receiving a myeloablative regimen consisting
of cyclophosphamide 6000 mg/m2, thiotepa 500mg/m2 and carboplatin 800mg/m2 (CTCb) followed by stem cell transplantation.
Fourteen consecutive patients with breast cancer were treated with high dose chemotherapy consisting of the CTCb regimen followed
by stem cell transplantation. A pretransplant complete hearing study was obtained which consisted of hearing case history,
audiometry and tympanometry. In addition, DPOAE (Distortion Product Otoaccoustic Emissions) was done to evaluate measurable
changes in the cochlear (outer hair cell) functioning.
Pre-transplant, all patients had no clinical evidence of hearing impairment and hearing studies were normal. Eleven patients
had hearing studies and a telephone interview posttransplant. One patient was lost to follow-up and two patients died. One
of the 11 patients tested had an abnormal post-transplant hearing study but none of them had clinically detectable hearing
impairment.
In our prospective study of breast cancer patients treated with the CTCb regimen, we did not observe clinically detectable
hearing impairment in any of the patients tested. 相似文献
995.
Three experiments were designed to investigate the performance of a patient (RK) who could name objects when presented in conventional views but showed catastrophic failures in identification from unconventional views. The aim of all three experiments was to assess the properties of the central representations that allow recognition of objects presented in conventional but not unconventional views. All three experiments showed that RK had problems in object identification not apparent from his naming performance. In the first experiment, RK was found to be extremely impaired at recognising the parts of objects even though he could name the whole object. In the second experiment, alterations in colour, shape and parts of objects were undetected in stimuli that he could name. In the third experiment, RK showed considerable difficulty with mirror-images and inversion tasks. The explanation for RK's impaired object recognition could not be attributed to defects to his early visual processing. We argue that RK's recognition is achieved through abstract (object-centred) representations that are global rather than local, and quite independent of their spatial framework. These abstract representations we take to be the essential bare bones for object recognition. 相似文献
996.
Trapp JV Partridge M Hansen VN Childs P Bedford J Warrington AP Leach MO Webb S 《Physics in medicine and biology》2004,49(9):1625-1635
In recent years there has been a large amount of research into the potential use of radiation sensitive gels for three-dimensional verification of clinical radiotherapy doses. In this paper we report the use of a MAGIC gel dosimeter (Fong et al 2001 Phys. Med. Biol. 46 3105) for the verification of a specific patient's radiation therapy dose distribution. A 69-year-old male patient presented with a squamous cell carcinoma extending approximately 180 degrees across the top of the scalp (anterior to posterior) and from just over midline to 90 degrees left of the skull. The patient's treatment was commenced using two electron fields. For gel dosimetry, phantoms were produced in which the outer surface spatially corresponded to the outer contours of the patient's anatomy in the region of irradiation. The phantoms were treated with either electrons or intensity modulated radiation therapy (IMRT) with photons. The results identified a hot spot between the matched electron fields and confirmed the more homogeneous dose distribution produced by the IMRT planning system. The IMRT plan was then clinically implemented. The application of a clinical dose to a phantom shaped to a specific patient as well as the ability to select a slice at will during phantom imaging means that gel dosimetry can no longer be considered to simply have potential alone, but is now in fact a useful dosimetric tool. 相似文献
997.
The reproducibility of polyacrylamide gel dosimetry applied to stereotactic conformal radiotherapy 总被引:1,自引:0,他引:1
Cosgrove VP Murphy PS McJury M Adams EJ Warrington AP Leach MO Webb S 《Physics in medicine and biology》2000,45(5):1195-1210
The reproducibility of polyacrylamide gel (PAG) dosimetry has been evaluated when used to verify two radiotherapy treatment plans of increasing complexity. The plans investigated were a three-field coplanar arrangement, using the linac jaws for field shaping, and a four-field, conformal, non-coplanar plan using precision-cast lead alloy shielding blocks. Each treatment was performed three times using phantoms and calibration gels manufactured in-house. Two phantoms were specially designed for this work to aid accurate positioning of the gels for irradiation and imaging. All gels were imaged post-irradiation using a Siemens Vision 1.5T MR scanner. T2 relaxation images were calibrated to absorbed dose distributions using a number of smaller calibration vessels to produce distribution maps of relative dose. The relative dose distributions were found to be reproducible, with the standard deviation on the mean areas enclosed by the > or = 50% isodose lines measured in three orthogonal planes being 6.4% and 4.1% for the coplanar and non-coplanar plans respectively. The measured distributions were also consistent with those planned, with isodose lines generally agreeing to within a few millimetres. However, the measured absolute doses were on average 23.5% higher than those planned. Although the polyacrylamide gel dosimetry technique has some limitations, particularly when calibrating distributions to absolute dose, the ability to resolve sharp dose gradients in three dimensions with millimetre precision is invaluable when verifying complex conformal treatment plans, where avoidance of proximal, critical structures is a treatment criterion. 相似文献
998.
Production of migration inhibition factor (MIF) by purified human T cell subpopulations. 总被引:1,自引:0,他引:1 下载免费PDF全文
R J Warrington S L Olivier P J Sauder W J Rutherford 《Clinical and experimental immunology》1981,44(2):324-331
T cells possessing suppressor activity (TG) were isolated from normal human peripheral blood by rosetting with IgG-coated ox red blood cells (OxRBC) as shown by their ability to inhibit pokeweed mitogen (PWM) induced proliferation and Ig synthesis in vitro. The suppressor activity of the intact T cell and Tg cell fractions was enhanced by concanavalin A (Con A) stimulation for 48 hr and supernatants from these Con A-treated cell cultures, after removal of mitogen, contained migration inhibition factor (MIF). Its release appeared to be primarily a function of the TG cells. The bulk of the MIF activity was present in a gel filtration fraction of mol. wt approx. 25,000, similar to that found in previous studies of Con A- or antigen-induced MIF in man. 相似文献
999.
This study reports the cognitive abnormalities of a group of 58 patients with definite multiple sclerosis (MS). The psychometric functions measured were: 'IQ deficit', verbal and visual memory, abstracting ability, visual and auditory attention and naming ability. The presence of brain pathology was investigated using magnetic resonance imaging (MRI). A group of 46 physically disabled controls without significant brain disease was used for comparison. Normative MRI data were obtained from a group of 40 normal volunteers. The psychometric performance of the MS group was compared to the previously reported findings in patients with clinically isolated syndromes. MS patients had widespread cognitive deficits sparing naming ability and affecting verbal memory less severely than other intellectual functions. The overall performance on psychometric tests was related to the severity of the MRI abnormalities and to the duration of the illness, but was not significantly influenced by the presence of psychiatric morbidity or the degree of physical disability. Patients with clinically isolated syndromes occupied an intermediate position between MS patients and disabled controls in terms of cognitive and MRI abnormalities. 相似文献
1000.
Is subclinical ovarian failure an autoimmune disease? 总被引:2,自引:2,他引:2
Wheatcroft NJ; Rogers CA; Metcalfe RA; Lenton EA; Cooke ID; Weetman AP 《Human reproduction (Oxford, England)》1997,12(2):244-249
Young women with unexplained infertility who exhibit elevated basal serum
follicle stimulating hormone (FSH) concentrations (>10 IU/l) have poor
outcomes in in-vitro fertilization. A subgroup of these women has regular
menses, representing 'subclinical' ovarian failure, which may have an
autoimmune basis and could potentially be treated by immunosuppression. To
investigate this further, a range of immunological markers was used to
assess autoimmune activity in 14 women aged <40 years with elevated FSH
compared with 15 infertile women with normal FSH and 10 pre-menopausal,
healthy controls. All samples were taken during natural menstrual cycles.
Organ-specific antibodies against ovary, endometrium and thyroid, and
non-organ-specific antibodies against histones and cardiolipin, were not
significantly increased in elevated FSH patients compared with other
control groups. Soluble CD23 and soluble intercellular adhesion molecule
concentrations were not elevated in the sera of the women tested, and
circulating T cell subsets remained unaltered. Significantly, increased
concentrations of the complement breakdown product C3a and terminal
complement complexes were detected in the elevated FSH group compared with
the normal FSH group, although the latter also had significant complement
activation compared with laboratory controls. Autoimmunity appears as an
infrequent cause of 'subclinical' ovarian failure, but there is evidence of
activation of complement in the sera of infertile women.
相似文献