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   2992篇
  免费   278篇
  国内免费   210篇
耳鼻咽喉   32篇
儿科学   41篇
妇产科学   21篇
基础医学   282篇
口腔科学   32篇
临床医学   310篇
内科学   426篇
皮肤病学   24篇
神经病学   122篇
特种医学   73篇
外国民族医学   1篇
外科学   526篇
综合类   571篇
现状与发展   3篇
预防医学   189篇
眼科学   39篇
药学   306篇
  9篇
中国医学   233篇
肿瘤学   240篇
  2024年   19篇
  2023年   49篇
  2022年   137篇
  2021年   166篇
  2020年   141篇
  2019年   119篇
  2018年   118篇
  2017年   103篇
  2016年   82篇
  2015年   130篇
  2014年   174篇
  2013年   161篇
  2012年   194篇
  2011年   241篇
  2010年   123篇
  2009年   110篇
  2008年   131篇
  2007年   168篇
  2006年   135篇
  2005年   139篇
  2004年   115篇
  2003年   91篇
  2002年   108篇
  2001年   74篇
  2000年   78篇
  1999年   79篇
  1998年   51篇
  1997年   39篇
  1996年   52篇
  1995年   36篇
  1994年   24篇
  1993年   18篇
  1992年   15篇
  1991年   13篇
  1990年   9篇
  1989年   4篇
  1988年   7篇
  1987年   7篇
  1986年   3篇
  1985年   4篇
  1984年   1篇
  1983年   4篇
  1982年   2篇
  1980年   3篇
  1973年   1篇
  1968年   1篇
  1934年   1篇
排序方式: 共有3480条查询结果,搜索用时 15 毫秒
991.
The development of protocols for synthesizing quinazolinones using biocompatible catalysts in aqueous medium will help to resolve the difficulties of using green and sustainable chemistry for their synthesis. Herein, using I2 in coordination with electrochemical synthesis induced a C–H oxidation reaction which is reported when using water as the environmentally friendly solvent to access a broad range of quinazolinones at room temperature. The reaction mechanism strongly showed that I2 cooperates electrochemically promoted the oxidation of alcohols, then effectively cyclizing amides to various quinazolinones.

The development of protocols for synthesizing quinazolinones using biocompatible catalysts in aqueous medium will help to resolve the difficulties of using green and sustainable chemistry for their synthesis.

The N-heterocycles are key core structures that form the basis of many pharmaceutical, agrochemical and natural products.1 Among them, quinazolinones are an important motif in several biologically relevant pharmacophores,2 such as methaqualone which is famous for its effective sedative and hypnotic effects, luotonin A which is a quinazolinone alkaloid with anti-inflammatory effects, and erlotinib which is an anti-tumour agent, and all these compounds contain a quinazoline bond in their backbone (Fig. 1).3Open in a separate windowFig. 1Bioactive compounds containing quinazolinone skeleton.Due to their advantageous structures quinazolinones have been widely explored in numerous syntheses.4 The classical method involves condensation of aldehydes and o-aminobenzamides to give aminal intermediates, which then undergo oxidation to yield the final quinazolinone product.5 Another strategy is to use more benign and readily available alcohols as starting materials.6 The reaction takes place through a two-step oxidation pathway, where the alcohols are first oxidized to aldehydes, followed by coupling with o-aminobenzamides. The catalyst needs to demonstrate high activity and selectivity as the reaction involves dehydrogenation of both the C–H and N–H bonds in one pot. In 2018, Sarma and co-workers7 demonstrated that a magnetically recoverable iron oxide-carbon dot nanocomposite was an effective catalyst for cyclooxidative tandem synthesis of quinazolinones in aqueous medium using alcohols as starting materials. Furthermore, annulation reactions of o-aminoaryl acids may be the most employed strategies, which include the condensation of o-aminoaryl acids with amides, nitriles, or acid derivatives plus a nitrogen source.8 Moreover, the synthesis of quinazolinone involving transition metal catalysed reactions of o-haloarylamides with nitriles, or amines9 and reaction of o-halogenated aryl acid with amides10 have been explored (Scheme 1).Open in a separate windowScheme 1Methods for the synthesis of quinazolinones.Although the above approaches solved a lot of practical problems, there are still some limitations such as long reaction time, high temperature and by-products. Hence, development of greener, atom economic, synthetic approaches for the preparation of quinazolinones from inexpensive and easily available starting materials under relatively mild conditions is desirable. On one hand, electrochemical-induced direct functionalization has gained significant attention from the synthetic chemistry community due to it being environmentally friendly, and requiring mild conditions, and low-energy irradiation.11 With electrons as the oxidizing/reducing agent, organic electrosynthesis could offer appropriate alternatives to traditional oxidation or reduction reactions. For example, Zhao and co-workers12 reported an efficient electrochemical-induced C–H methylthiolation of electron-rich aromatics via a three-component cross-coupling strategy. On the other hand, the non-metallic oxidant, iodine, catalysed C–H oxidation has attracted great interest in recent times due to its low toxicity and because it is inexpensive compared with transition metal catalysts.13 Therefore, the combination of electrochemical catalysis and non-metallic oxidant iodine is a very feasible means of organic synthesis and does not require use of the historical large doses of iodine. In this research the possibility of combining the two in a one-pot reaction was explored, thus avoiding the isolation of either aldehyde or amine intermediates leading to quinazolinones formed from alcohols as starting materials.Furthermore, water as a reaction medium is generally considered as an inexpensive, safe, and environmentally benign alternative to organic solvents.14 Recently, Muthaiah and co-workers15 demonstrated a catalyst system for the dehydrogenative oxidation of alcohols to carbonyl compounds and dehydrogenative lactonization of diols in water catalyzed by a water-soluble bifunctional iridium complex. In continuation of our work to develop new organic transformations,16,11f herein, it is demonstrated that I2 is an efficient catalyst for a novel, one-pot electrochemical-induced tandem reaction in aqueous solution.The investigation was initially begun by selecting o-aminobenzamide 1a and benzyl alcohol 2a as the model substrate to optimize the reaction conditions shown in 17 It was also observed that the reduction in current also leads to a reduction in yield (
EntryVariations from the standard conditionsYieldb (%)
1 None 92
20.1 mmol I242
3MeCN/H2O (v/v = 1 : 1) as solvent73
4In the absence of I2Trace
5In the absence of NaOHTrace
6CuI instead of I219
7TBAI instead of I226
8KI instead of I242
9Cs2CO3 instead of NaOH31
10KOH instead of NaOH73
11No currentTrace
12Addition of Bu4NPF6 as electrolyte92
130.4 mmol I2 instead of current28
141.0 mmol I2 instead of current30
15C(+)/Pt(−)64
16Pt(+)/Cu(−)16
1740 mA71
Open in a separate windowaStandard conditions: undivided cell, Pt anode, Pt cathode, 1a (0.5 mmol), 2a (0.6 mmol), I2 (0.2 mmol), NaOH (2 mmol), H2O (3 mL), I = 80 mA at room temperature (r.t.) for 6 h.bIsolated yield.The optimized conditions were then applied to various substrates to extend the scope of the method ( Open in a separate windowaStandard Conditions: undivided cell, Pt anode, Pt cathode, 1a (0.5 mmol), 2a (0.6 mmol), I2 (0.2 mmol), NaOH (2 mmol) in H2O (3 mL), I = 80 mA at room temperature for 6 h.bIsolated yield.Subsequently, the substrates of o-aminobenzamide were also expanded (Scheme 2, which gave the desired product 3aa with an 83% yield (1.47 g). This reveals that the new procedure has significant advantages over many current methods for further practical applications.Open in a separate windowScheme 2Gram-scale experiment.To exclude the possibility of other reaction pathways, some control experiments were performed (Scheme 3). Firstly, benzyl alcohol 2a effectively gave benzaldehyde 4a using aerobic oxidation reactions under standard conditions. In contrast, the absence of either base or current lead to the production of trace amounts of benzaldehyde, furthermore, the lack of catalyst lead to the formation of 5a (Scheme 3 a and b) with a yield of 43%. Nevertheless, the yield of 4a was reduced to 90% when nitrogen was substituted for air (Scheme 3c). Then, the reaction of 1a and 4a under the standard conditions effectively gave 3aa with a high yield of 93% (Scheme 3d), whereas the reaction of o-aminobenzamide under a nitrogen atmosphere, resulted in 3aa with a yield of 68% and 32% (Scheme 3e and f).Open in a separate windowScheme 3Control experiments of alcohol oxidation and synthesis of 3aa.To gain an understanding of the reaction mechanism, cyclic voltammetry (CV) was then conducted (Fig. 2). Using H2O as the solvent, a glass electrode as the working electrode, platinum wire as the opposite electrode, and SCE as the reference electrode with a 0.1 V s−1 scanning rate. By comparing curves c, f and g, it was observed that the onset potential of the I2 oxidation shifted from 1.57 to 1.07 V vs. SCE in the presence of substrate 2a, which was more than that in the presence of NaOH, indicating that I2 was more likely to react with b than disproportionated with NaOH (Fig. 2, curves c, f and g). However, a reduction peak appears in b at 0.43 V, and the reduction peak of I2 was 0.69 V, indicating that I is still carrying out the reduction reaction in the presence of b (Fig. 2, curve c and g). Interestingly, the addition of 1a and NaOH further decreases the onset potential of I2 complex oxidation to 0.99 V vs. SCE (Fig. 2, curve e). In contrast, the oxidation potential increased when NaOH was added individually, and this may be evidence that NaOH does not interact with 2a and I2 (Fig. 2, curve d).Open in a separate windowFig. 2Cyclic voltammetry measurements were performed at room temperature with standard three electrode systems.By considering the whole of the experimental findings, a plausible mechanistic pathway for the formation of compound 3aa is outlined in Scheme 4. First of all, benzyl alcohol 2a is first oxidized to benzaldehyde 4a by I2, which is generated in situ on the anode.6a,18 The iodine undergoes cathodic reduction by regenerating the iodide ion for the catalytic cycle. Next, 4a can readily react with 1a to obtain the imine D, imine D is then converted to E in the presence of a base, and thus E oxidizes and dehydrogenates to give the desired product 3aa.19 Finally, H+ removed from E combines with O2 to form H2O at the cathode.20Open in a separate windowScheme 4Proposed mechanism for this transformation.Lots of nuclear nitrogen heterocycles, such as pteridine which is a widely existing aromatic compound, similar to quinazolines, which are tyrosine kinase inhibitors, which have good specificity and inhibitory activity on tumour cells. It is thought that many fluorine-containing drugs have been widely used in clinical situations. The introduction of fluorine atoms and fluorine-containing groups into drugs can improve the clinical efficacy of drugs and reduce their side effects. Based on this, the electrocatalytic system was applied to the synthesis of the structure of the trexine and the synthesis of gefitinib analogues. For example, N-(4-methoxyphenyl)-6-(2,2,2-trifluoroethoxy)pteridin-4-amine A3 was synthesized from 3-amino-6-(2,2,2-trifluoroethoxy) pyrazine-2-carboxamide with a yield of 56% (see Scheme 5). The compounds were then tested using the MTT assay and the results are shown in Fig. 3. The A3 inhibited human non-small-cell lung carcinoma cells, A549, human colon cancer cells, HCT-116, and human gastric cancer cells, SGC-7901 to different degrees. As shown in Fig. 3, the results showed that the IC50 value of A3 in HCT116 cells (IC50 = 14.79 μg mL−1 in A549 cells, IC50 = 34.52 μg mL−1 in HCT116 cells, IC50 = 36.44 μg mL−1 in SCG-7901 cells) was just surpassed by that of gefitinib.Open in a separate windowScheme 5Synthesis of N-(4-methoxyphenyl)-6-(2,2,2-trifluoroethoxy) pteridin-4-amine (A3).Open in a separate windowFig. 3 In vitro inhibitory data of target compounds against A549, HCT-116 and SGC-7901 cell line.  相似文献   
992.
A pilot study of thiamin and folic acid in hemodialysis patients with cognitive impairment     
Renhua Lu  Yan Fang  Yijun Zhou  Miaolin Che  Jianxiao Shen  Qian Liu  Haifen Zhang  Shuting Pan  Yan Lin  Qin Wang  Shan Mou  Zhaohui Ni  Leyi Gu 《Renal failure》2021,43(1):766
ObjectiveThis study aimed to explore the effectiveness of thiamin and folic acid supplementation on the improvement of the cognitive function in patients with maintenance hemodialysis.MethodIn the present study, we randomly assigned patients undergoing hemodialysis who had the Montreal Cognitive Assessment (MoCA) score lower than 26 to treatment group (n = 25, thiamin 90 mg/day combined with folic acid 30 mg/day) or control group (n = 25, nonintervention). All subjects were followed up for 96 weeks. The primary outcome was the improvement of the MoCA score. The secondary outcomes included homocysteine level, survival and safety.ResultsPatients in treatment group had an increase of the MoCA score from 21.95 ± 3.81 at baseline to 25.68 ± 1.96 at week 96 (p < 0.001, primary outcome), as compared with the MoCA score from 20.69 ± 3.40 to 19.62 ± 3.58 in control group. Thiamin combined with folic acid treatment also resulted in lower level of serum homocysteine in treatment group compare with control group at week 96 (p < 0.05, secondary outcome). 3 patients and 9 patients died during follow-up period in treatment and control group respectively (p = 0.048). The proportion of adverse events in treatment group was significantly lower than that in control group.ConclusionHemodialysis patients with cognitive impairment treated with thiamin and folic acid had a significant improvement in MoCA score.  相似文献   
993.
DCZ0014, a novel compound in the therapy of diffuse large B-cell lymphoma via the B cell receptor signaling pathway     
Shuaikang Chang  Bo Li  Yongsheng Xie  Yingcong Wang  Zhijian Xu  Shuhan Jin  Dandan Yu  Huaping Wang  Yumeng Lu  Yong Zhang  Ruye Ma  Cheng Huang  Weiming Lai  Xiaosong Wu  Weiliang Zhu  Jumei Shi 《Neoplasia (New York, N.Y.)》2022,24(1):50
Diffuse large B cell lymphoma (DLBCL) is a clinical and genetically heterogeneous lymphoid malignancy. Although R-CHOP (rituximab plus cyclophosphamide, vincristine, doxorubicin, and prednisone) treatment can improve the survival rate of patients with DLBCL, more than 30% of patients exhibit treatment failure, relapse, or refractory disease. Therefore, novel drugs or targeted therapies are needed to improve the survival of patients with DLBCL. The compound DCZ0014 is a novel chemical similar to berberine. In this study, we found that DCZ0014 significantly inhibited the proliferation and activity of DLBCL cells, and induced cell apoptosis. Following treatment with DCZ0014, DLBCL cells accumulated in G0/G1-phase of the cell cycle and showed decreased mitochondrial membrane potential. Additionally, DCZ0014 inhibited DNA synthesis, enhanced DNA damage in DLBCL cells, as well as inhibited Lyn/Syk in B cell receptor signaling pathway. Further experiments demonstrated that DCZ0014 did not significantly affect peripheral blood mononuclear cells. Tumor xenograft model showed that DCZ0014 not only inhibited tumor growth but also extended the survival time of mice. Thus, DCZ0014 showed potential for clinical application in the treatment of patients with DLBCL.  相似文献   
994.
海拔4 300m居住高原不同时间血生化的改变   总被引:1,自引:0,他引:1  
崔建华  郭玉新  张静  高亮  张西洲  牟小梅  李彬 《高原医学杂志》2006,16(3):5-7
目的:探讨居住海拔4300m高原不同时间青年肝功能、肾功能、血脂、血浆蛋白及血清酶的变化。方法:对进驻高原3个月(n=174)、6个月(n=73)及一年(n=88)的男性汉族青年检测其血清总胆红素(STB)、直接胆红素(SDB)、总蛋白(TP)、白蛋白(ALB)、尿素氮(BUN)、肌酐(Cr)、尿酸(UA)、甘油三脂(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、丙氨酸氨基转换酶(ALT)、门冬氨酸氨基转换酶(AST)、γ-谷氨酰转移酶(γ-GT)、碱性磷酸酶(ALP)。结果:居住3个月较6个月及1年STB、SDB、BLA、TC、TG、LDL-C、γ-GT增高,差别有显著性(P<0.05或0.01),3个月较1年AST、ALT、BUN增高,差别非常有显著性(P<0.01);居住6个月较1年TP增高,差别有显著性(P<0.05);其余均无统计学意义(P>0.05)。结论:进驻高原初期引起肝功能、肾功能等多项指标异常,脏器损伤较居住半年以上严重。  相似文献   
995.
Signaling via Src family kinases is required for normal internalization of the receptor c-Kit.   总被引:9,自引:4,他引:5  
V C Broudy  N L Lin  W C Liles  S J Corey  B O'Laughlin  S Mou  D Linnekin 《Blood》1999,94(6):1979-1986
Stem cell factor (SCF) exerts its biological effects by binding to a specific receptor, the tyrosine kinase c-Kit, which is expressed on the cell surface. Although normal cellular trafficking of growth factor receptors may play a critical role in the modulation of receptor function, the mechanisms that regulate the distribution of c-Kit on the cell surface and the internalization of c-Kit have not been fully defined. We investigated whether signal transduction via Src family kinases is required for normal c-Kit trafficking. Treatment of the SCF-responsive human hematopoietic cell line MO7e with the inhibitor of Src family kinases PP1 blocked SCF-induced capping of c-Kit and internalization of c-Kit. c-Kit was able to associate with clathrin in the presence of PP1, suggesting that entry of c-Kit into clathrin-coated pits occurs independently of Src family kinases. SCF-induced internalization of c-Kit was also diminished in the D33-3 lymphoid cell line in which expression of Lyn kinase was disrupted by homologous recombination. These results indicate that Src family kinases play a role in ligand-induced trafficking of c-Kit.  相似文献   
996.
颅中窝内侧肿瘤的显微外科治疗     
郑秀珏  付伟明  刘伟国 《中华肿瘤杂志》2000,22(2):174-176
目的 报告 2 7例颅中窝内侧肿瘤的显微外科治疗。方法 分析 2 7例病例影像学特点、手术方法、手术结果及术后并发症等。结果 肿瘤全切除 12例 ,次全切除 9例 ,部分切除 6例。手术死亡 2例 ,术后颅神经功能障碍加重 5例 ,术后颅神经症状同术前 5例 ,其余病例临床症状及体征均有不同程度好转。结论 经额—颧—颞入路切除颅中窝内侧肿瘤是适宜的。  相似文献   
997.
老年性白内障血、房水、晶体核中抗氧化酶和抗氧化物研究   总被引:4,自引:0,他引:4  
李文生  牟奇芸  李含玉  曾令柏  王家翠 《中国实用眼科杂志》2000,18(7):432-435
目的:了解抗氧化酶和抗氧化物之间的关系及其在老年性白内障形成中的作用。方法:随机取符合条件的老年性白内障44例(44眼),男23例,妇女1例,平均年龄67.7岁。用黄嘌呤氧化酶法测定超氧化物歧化酶(Superoxide dismutase,SOD)、丙二醛(Malondialdehyde MDA)用巴比妥酸反应比色法测定,谷胱甘肽过氧化物酶(Glutathione-Peroxide,GSH-PX)  相似文献   
998.
人免疫球蛋白和重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白治疗中毒性表皮坏死松解症的对比研究     
包诗杰  程杨  晏莹  范昉  高婷婷  冯小兰  郑亮  雷卫  黄琴斯  张伟明  周小勇 《中华皮肤科杂志》2022,55(2):153-156
目的:评价静脉注射人免疫球蛋白(IVIG)及重组人Ⅱ型肿瘤坏死因子受体-抗体融合蛋白(rhTNFR:Fc)治疗中毒性表皮坏死松解症(TEN)的疗效。方法:收集2013—2019年武汉市第一医院使用IVIG及rhTNFR:Fc治疗的TEN患者资料。IVIG组11例,男3例,女8例,年龄25 ~ 72岁,中位TEN疾病严重...  相似文献   
999.
尿动力学检查术前对BPH患者TVP术后疗效的评价作用     
盛旭俊  陈建华  陈方  孔良  王伟明  虞永江  常秀华 《临床泌尿外科杂志》2005,20(9):540-542
目的:探讨尿动力学检查在术前对前列腺增生(BPH)患者行经尿道前列腺电汽化术(TVP)术后疗效的评价作用。方法:对800例拟行TVP的BPH患者术前行尿动力学检查、国际前列腺症状(IPSS)评分,并于术后随访1年,观察最大尿流率,IPSS评分。结果:800例BPH患者术前最大尿流率均〈15ml/s,IPSS评分平均〉29分。根据术前最大尿道压力、最大尿道压力与充盈时膀胱最大压力的关系、膀胱顺应性及是否存在尿道外括约肌与膀胱逼尿肌压力不协调等指标共分为四组。术后1年最大尿流率平均分别为18.3ml/s、17.9ml/s、9.2ml/s和8.2ml,s,IPSS评分平均分别为12分、11分、23分和26分。其中各组术后最大尿流率〉15ml/s,分别占89.8%、85.5%,29,2%和22.5%。Ⅰ组、Ⅱ组术后各项指标与Ⅲ组,Ⅳ组比较差异均有统计学意义(P〈0.05)。结论:尿动力学榆查对BPH患者行TVP术的疗效有良好的评价作用,可为BPH患者采用何种治疗方法提供重要依据。  相似文献   
1000.
环氧乙烷对一次使用性卫生巾消毒效果的试验观察   总被引:4,自引:0,他引:4  
刘伟明  迟晓文  熊建伟  郭炳才  吴林 《中国消毒学杂志》1999,(1):19-22
在温度为41~45℃、相对湿度为60%条件下,以400mg/L环氧乙烷作用6h对枯草杆菌黑色变种芽胞的杀灭率可达100%;但以800mg/L环氧乙烷,作用10h才能使HBsAg转阴。对载物车各层物品的消毒效果无明显差别;温度较高则消毒效果较好。消毒后的卫生巾在室温下放3~5d,环氧乙烷残留量≤66.8mg/kg。  相似文献   
[首页] « 上一页 [95] [96] [97] [98] [99] 100 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