全文获取类型
收费全文 | 7038篇 |
免费 | 493篇 |
国内免费 | 195篇 |
专业分类
耳鼻咽喉 | 82篇 |
儿科学 | 184篇 |
妇产科学 | 47篇 |
基础医学 | 1029篇 |
口腔科学 | 74篇 |
临床医学 | 1120篇 |
内科学 | 841篇 |
皮肤病学 | 16篇 |
神经病学 | 591篇 |
特种医学 | 419篇 |
外科学 | 811篇 |
综合类 | 572篇 |
现状与发展 | 2篇 |
预防医学 | 1030篇 |
眼科学 | 38篇 |
药学 | 461篇 |
3篇 | |
中国医学 | 318篇 |
肿瘤学 | 88篇 |
出版年
2024年 | 22篇 |
2023年 | 141篇 |
2022年 | 297篇 |
2021年 | 396篇 |
2020年 | 340篇 |
2019年 | 283篇 |
2018年 | 260篇 |
2017年 | 264篇 |
2016年 | 255篇 |
2015年 | 238篇 |
2014年 | 426篇 |
2013年 | 545篇 |
2012年 | 300篇 |
2011年 | 376篇 |
2010年 | 282篇 |
2009年 | 291篇 |
2008年 | 326篇 |
2007年 | 323篇 |
2006年 | 243篇 |
2005年 | 206篇 |
2004年 | 188篇 |
2003年 | 154篇 |
2002年 | 152篇 |
2001年 | 98篇 |
2000年 | 112篇 |
1999年 | 103篇 |
1998年 | 63篇 |
1997年 | 78篇 |
1996年 | 70篇 |
1995年 | 62篇 |
1994年 | 67篇 |
1993年 | 53篇 |
1992年 | 66篇 |
1991年 | 57篇 |
1990年 | 37篇 |
1989年 | 38篇 |
1988年 | 47篇 |
1987年 | 52篇 |
1986年 | 38篇 |
1985年 | 56篇 |
1984年 | 48篇 |
1983年 | 45篇 |
1982年 | 40篇 |
1981年 | 27篇 |
1980年 | 27篇 |
1979年 | 24篇 |
1977年 | 19篇 |
1976年 | 20篇 |
1975年 | 19篇 |
1973年 | 15篇 |
排序方式: 共有7726条查询结果,搜索用时 15 毫秒
101.
Gerald W. Lucassen Lars O. Svaasand Wim Verkruysse Martin J. C. van Gemert 《Lasers in medical science》1995,10(4):231-234
Monte Carlo simulation of laser energy deposition in a port-wine stain (PWS) skin model and numerical solution of the thermal diffusion equation have been used to calculate threshold energies for thermal injury of PWS blood vessels for different vessel sizes and laser pulse durations. It has been assumed that an average vessel temperature rise of 65 C causes thermal injury to the blood vessel. The result is that for a certain combination of wavelength, pulse duration and incident energy density, only a limited range of blood vessel sizes can be injured optimally. Higher energy densities are required to injure smaller vessels with the same pulse duration, spot size and wavelength. This gives support to the mechanisms of selective photothermolysis suggested previously by Anderson and Parrish, although their model was based on the cooling behaviour of instantaneously heated vessels. The authors hypothesize that different laser parameter settings that match the individual PWS vessel anatomy during treatment will be used in the future, instead of many treatments with the same laser parameters. This could lead to less treatment sessions and to an improved predictability of clinical results. 相似文献
102.
IntroductionStroke is the leading cause of non-traumatic disability in adults, with balance and gait disturbances representing the main limitations of body functions. Dance therapy (DT) has shown positive effects in older adults and in patients with neurological pathologies. This systematic review aims to examine the feasibility, acceptability and effects of DT in stroke rehabilitation, specifically on functional gains of gait and balance.MethodsA systematic search was carried out for articles published in the MEDLINE, PEDro, Web of Science, Scopus and CINHAL in February 2021 and updated in April 2021. Results: Eight studies were included (2 clinical cases, 5 case series and 1 randomized controlled trial), 7 of them in patients with chronic stroke and only 1 in subacute stroke phase. The most widely used dance modality was tango and ballet, with sessions ranging from 30 to 110 min. DT seems to show positive effects on post-stroke body functions and activities such as gait and balance. Reported dropout rates are inconsistent, no adverse effects were reported, and participant satisfaction was high.ConclusionGiven the heterogeneity and uneven quality of the included studies, strong conclusions cannot be put forward on the effectiveness of DT in post-stroke body function and activities. Nevertheless, DT seems to be safe and acceptable therapy for patients, and no adverse effects have been reported. More studies with a high level of evidence and feasibility are needed to determine the patient profile, the characteristics of the intervention, the participation rate and the role of the rehabilitation professional most likely to generate optimal benefit. 相似文献
103.
综合采用延迟焦化优化系统静态寻优值作为炉出口温度的设定基准值,在线实行急冷油程序控制和炉出口温度程序控制,开发了延迟焦化装置物料平衡的综合优化控制策略。并成功地应用在工业装置上。 相似文献
104.
Increased NPY activity in the PVN contributes to food-restriction induced reductions in blood pressure in aortic coarctation hypertensive rats 总被引:2,自引:0,他引:2
We hypothesized that hypothalamic NPYergic mechanisms mediate the blood pressure lowering effect of caloric restriction in hypertensive rats. Aortic coarctation-induced (AC) hypertensive rats (n=25) were assigned to either an ad libitum fed control group (AL) or food restricted group (FR; 60% of AL consumption) for 3 weeks. Rats were instrumented chronically with vascular catheters and bilateral guide cannulae directed at the paraventricular hypothalamic nuclei (PVN). Blood pressure (BP) and heart rate (HR) responses to bilateral PVN microinjection of saline (200 nl) or the putative NPY receptor antagonists [D-Trp32]NPY(1-36) (3.3 micrograms/200 nl) and [D-Tyr27,36 Thr32]NPY(27-36) (D-NPY(27-36); 3.3 micrograms/200 nl) were determined. The FR rats were then refed and cardiovascular responses to PVN injections of NPY receptor antagonists were again determined. FR rats had significantly reduced resting BP (159+/-4 vs. 129+/-4 mmHg) and HR (360+/-11 vs. 326+/-9 bpm) compared to AL controls. Refeeding restored BP and HR of FR rats to levels similar to AL (BP=153+/-4 mmHg, HR=359+/-11 bpm). PVN administration of [D-Trp32]NPY produced foraging behavior and concurrent increases in BP and HR in FR, AL and Re-fed rats. The behavioral activation suggests that [D-Trp32]NPY(1-36) produced activation of NPY receptors. In contrast, D-NPY (27-36) did not produce any behavioral response or affect BP or HR in AL or Re-fed rats. In FR rats, D-NPY (27-36) produced significant increases in BP (peak=15+/-3 mmHg) which partially reversed the effect of FR on BP. Thus, in FR rats with reduced BP, PVN administration of an NPY receptor antagonist increases BP. NPY blockade in the PVN accounted for about 50% of the BP effect of food restriction, thus other mechanisms are likely to be involved. These findings are consistent with the hypothesis that NPYergic mechanisms may contribute to the reduction of BP produced by food restriction. 相似文献
105.
Previous studies have demonstrated that activation of glutamate transporters promotes glycolysis in astrocytes. Current evidence indicates that compounds such as threo-beta-hydroxyaspartate (THA) are both competitive inhibitors and substrates for glutamate transporters. In this study, we have analyzed the effect of THA on excitatory amino acid (EAA) transport and on EAA-induced glycolysis in mouse primary astrocyte cultures. In agreement with previous studies in rat astrocytes, THA competitively inhibited 3H-D-aspartate (3H-D-Asp) uptake with an IC50 of 319 microM (Ki = 36.6 microM). In contrast, it did not prevent D-aspartate-induced 3H-2-deoxyglucose (2DG) uptake in these conditions. Preexposure of cells to THA for at least 15 min revealed another form of glutamate transport inhibition. This effect was concentration-dependent with an apparent IC50 of 47.7 microM and showed kinetic characteristics consistent with a mechanism of trans-inhibition. Preincubation with THA also inhibited D-aspartate-induced 3H-2DG uptake in a concentration-dependent manner with an apparent IC50 of 59.8 microM. Comparison with other transportable analogues reveals that they share with THA the ability to cause trans-inhibition of glutamate transport and to prevent glutamate-stimulated glycolysis; THA, however, is unique in that it has no effect alone on glucose utilization after preexposure. These data indicate that trans-inhibition of glutamate transport may be a mechanism by which certain glutamate transport inhibitors can prevent the stimulation of aerobic glycolysis by glutamate in astrocytes. 相似文献
106.
Jamme I Barbey O Trouvé P Charlemagne D Maixent JM MacKenzie ET Pellerin L Nouvelot A 《Brain research》1999,819(1-2):132-142
In a mouse model of focal cerebral ischaemia, we observed after 1 h of ischaemia, that the total Na+, K+-ATPase activity was decreased by 39.4%, and then did not vary significantly up to 6 h post-occlusion. In the sham group, the dose-response curves for ouabain disclosed three inhibitory sites of low (LA), high (HA) and very high (VHA) affinity. In ischaemic animals, we detected the presence of only two inhibitory sites for ouabain. After 1 h of permanent occlusion, the first site exhibited a low affinity while the second site presented an affinity intermediate between those of HA and VHA sites, which evolved after 3 h and 6 h of occlusion towards that of the VHA site. The presence of only two ouabain sites for Na+, K+-ATPase after ischaemia could result from a change in ouabain affinity of both HA and VHA sites (alpha2 and alpha3 isoforms, respectively) to form a unique component. Irrespective of the duration of ischaemia, the smaller activity of this second site accounted entirely for the loss in total activity. Surprisingly, no modifications in protein and mRNA expression of any alpha or beta isoforms of the enzyme were observed, thus suggesting that ischaemia could induce intrinsic modifications of the Na+, K+-ATPase. 相似文献
107.
Volume expansion-sensing outward rectifier (VSOR) anion channel, also referred to as volume-sensitive organic osmolyte-anion channel (VSOAC), appears to be responsible for cell swelling-induced amino acid release in a variety of cells. One prominent feature of the VSOR/VSOAC is that non-hydrolyzed intracellular ATP binding to the channel or an accessory protein is required for its activation. In this study, the effect of intracellular ATP depletion on the swelling-induced release of
-[3H]aspartate from rat primary astrocyte cultures due to exposure to either high K+ or hypotonic media was studied. When the cells were pretreated for 10 min with a combination of the metabolic inhibitors 2-deoxyglucose and rotenone, 100 mM K+ media- or hypotonic media-induced
-[3H]aspartate release was completely suppressed. Added separately, each inhibitor showed only partial or no inhibition of
-[3H]aspartate release, which correlated with its relative effectiveness in decreasing intracellular ATP levels. These data are consistent with the view that during high [K+]o or hypotonic media-induced swelling of primary astrocyte cultures an ATP-dependent swelling-activated VSOAC channel is responsible for
-[3H]aspartate release and close to normal ATP is required for full channel activation. 相似文献
108.
A new type of energy converter for an electro-mechanical total artificial heart (TAH) based on the principle of a unidirectional moving motor is described. Named the TAH Serpentina, the concept consists of 2 major parts, a pendulum shaped movable element fixed on one side using a joint bearing and a special shaped drum cam. Pusher plates are mounted flexibly to the crossbar of the pendulum. A motor drives the special shaped drum cam linked to the pendulum through a ball bearing. The circular motion of the unidirectional moving brushless DC motor is transferred into the linear motion of the pendulum to drive the pusher plates. Using a crossbar with a variable length, the stroke of the pendulum and therefore the displaced blood volume is alterable. To achieve a variable length, an electric driven screw thread or a hydraulic system is possible. Comparable to the natural heart, cardiac output would be determined by frequency and stroke volume. 相似文献
109.
The role of estrogen in the regulation of calcium balance is still poorly understood. A calcium balance study was performed
to examine the effects of estrogen status in relation to fecal calcium loss as a component of bone loss after oophorectomy
(OOX) in the mature rat. The components of the classic calcium balance were compared with calcium balance estimates obtained
from whole body bone density. Six month or older Sprague Dawley rats were allocated to either a sham-operated or OOX group
and fed a 0.1% calcium diet. The bone mineral density (BMD) and bone mineral content (BMC) were measured at baseline, 6 weeks,
and 9 weeks. A calcium balance was done for 6 days before and 6 weeks post OOX. The fall in BMD from baseline to 9 weeks in
the OOX group was significantly greater than in the sham-operated group. The calcium balance was more negative at baseline
than at 6 weeks in both groups of animals because they had not adapted to the low calcium diet. However, the increase in calcium
balance was significantly less in the OOX animals than in the sham-operated animals. The greater the rise in calcium balance
from the baseline to the 6 weeks balance the less the fall in the calcium content of the whole body (Spearman correlation:
r = 0.604 P = 0.008). The fall in fecal calcium, but not urine calcium or calcium consumed, was negatively correlated with
the change in whole body BMC (Spearman correlation: fecal calcium r =−0.763 P = 0.001). Thus, the primary effect of estrogen
deficiency on calcium balance in the mature rat appears to be calcium flux in the bowel, rather than renal calcium handling.
Received: 16 April 1997 / Accepted: 22 September 1998 相似文献
110.
目的:为了解空勤与地勤人员的硒摄入,吸收和排泄量,以及硒代谢的差异,进一步做好空勤与地勤人员的营养保障,方法:用双盘法在3d自由进食条件下对36名空勤人员进行了硒代谢平衡的研究,并以36名地勤人员作为对照,结果:空勤组的硒摄入量(59.85μg.d^-1)尿硒排泄量(30.84μg.d^-1),表现吸收量(39.27μg.d^-1)和全血硒(98.91ng.ml^-1)均高于地勤组(45.96μg 相似文献