全文获取类型
收费全文 | 10301篇 |
免费 | 872篇 |
国内免费 | 194篇 |
专业分类
耳鼻咽喉 | 50篇 |
儿科学 | 254篇 |
妇产科学 | 147篇 |
基础医学 | 1796篇 |
口腔科学 | 102篇 |
临床医学 | 822篇 |
内科学 | 1317篇 |
皮肤病学 | 46篇 |
神经病学 | 1185篇 |
特种医学 | 106篇 |
外科学 | 414篇 |
综合类 | 524篇 |
现状与发展 | 2篇 |
预防医学 | 996篇 |
眼科学 | 112篇 |
药学 | 2779篇 |
6篇 | |
中国医学 | 320篇 |
肿瘤学 | 389篇 |
出版年
2024年 | 31篇 |
2023年 | 163篇 |
2022年 | 390篇 |
2021年 | 429篇 |
2020年 | 384篇 |
2019年 | 388篇 |
2018年 | 367篇 |
2017年 | 351篇 |
2016年 | 375篇 |
2015年 | 377篇 |
2014年 | 564篇 |
2013年 | 867篇 |
2012年 | 523篇 |
2011年 | 541篇 |
2010年 | 451篇 |
2009年 | 497篇 |
2008年 | 471篇 |
2007年 | 404篇 |
2006年 | 334篇 |
2005年 | 304篇 |
2004年 | 262篇 |
2003年 | 241篇 |
2002年 | 186篇 |
2001年 | 152篇 |
2000年 | 157篇 |
1999年 | 166篇 |
1998年 | 130篇 |
1997年 | 121篇 |
1996年 | 124篇 |
1995年 | 105篇 |
1994年 | 101篇 |
1993年 | 124篇 |
1992年 | 107篇 |
1991年 | 106篇 |
1990年 | 115篇 |
1989年 | 94篇 |
1988年 | 89篇 |
1987年 | 81篇 |
1986年 | 78篇 |
1985年 | 92篇 |
1984年 | 85篇 |
1983年 | 47篇 |
1982年 | 68篇 |
1981年 | 60篇 |
1980年 | 52篇 |
1979年 | 42篇 |
1978年 | 33篇 |
1977年 | 31篇 |
1976年 | 42篇 |
1975年 | 23篇 |
排序方式: 共有10000条查询结果,搜索用时 20 毫秒
991.
Tizon X Lin Q Hansen T Borgefors G Johansson L Ahlström H Frimmel H 《Journal of magnetic resonance imaging : JMRI》2007,25(4):806-814
PURPOSE: To extract a graph model corresponding to a predefined set of arterial branches from whole-body contrast-enhanced magnetic resonance angiography (CE-MRA) data sets in elderly asymptomatic subjects, a high-incidence group. MATERIALS AND METHODS: Maximum intensity projections (MIPs) were used as an interface to place landmarks in the three-dimensional (3D) data sets. These landmarks were linked together using fast marching to form a graph model of the arterial tree. Only vessels of interest were identified. RESULTS: We tested our method on 10 subjects. We were able to build a graph model of the main arterial branches that performed well in the presence of vascular pathologies, such as stenosis and aneurysm. The results were rated by an experienced radiologist, with an overall success rate of 80%. CONCLUSION: We were able to extract chosen arterial branches in 3D whole-body CE-MRA images with a moderate amount of interaction using a single MIP projection. 相似文献
992.
Mirko Manchia Alessio Squassina Donatella Congiu Caterina Chillotti Raffaella Ardau Giovanni Severino Maria Del Zompo 《Neuroscience letters》2009
Lithium represents the first-choice and most effective drug in the treatment of bipolar disorder (BD). While its mechanism of action is far from being totally understood, a large amount of evidence pointed to a role of second messengers mediated pathways and elements of the circadian system in modulating its mood stabilizing effect. In the present paper, we tested the possible association and interaction effect of the nuclear receptor subfamily 1, group D, member 1 (NR1D1) gene and the Diacylglycerol kinase eta (DGKH) gene with the therapeutic response to lithium prophylaxis. Single nucleotide polymorphisms (SNPs) rs12941497 and rs939347 at NR1D1 gene and SNPs rs9315885, rs1012053 and rs1170191 at DGKH gene were genotyped in a sample of 199 Sardinian BD patients characterized for the response to lithium therapy. Genotype and allele frequency distributions did not differ significantly between groups of patients Full Responders and partial/not responders to lithium prophylaxis. Moreover, no significant differences were identified between groups of patients when divided considering the improvement in symptoms after lithium treatment. The interaction analysis did not show a significant effect on these outcomes. While negative, our findings do not exclude an involvement of DGKH and NR1D1 in lithium prophylaxis. Moreover, the lack of statistic interaction might not necessarily correspond to a lack of biologic interaction between the genes studied. 相似文献
993.
Structure and regulation of cytoplasmic adapter proteins involved in innate immune signaling 总被引:1,自引:0,他引:1
Summary: Initiation of the innate immune response requires agonist recognition by a pathogen recognition receptor. Following ligand binding, conformational rearrangement of the receptor creates a molecular scaffold from which signal transduction is propagated via complex cellular signaling pathways. This in turn leads to the induction of a pro-inflammatory immune response. A critical component of these signaling pathways is the homotypic interaction of receptor and adapter proteins via specific protein interaction domains. Within the innate immune signaling cascade, homotypic interactions between members of the death domain family and the Toll/interleukin-1 receptor domain are particularly important. Here we discuss the current understanding of the molecular basis of these homotypic receptor:adapter interactions and their role in innate immune signal transduction. 相似文献
994.
Fernanda Barea 《Mechanisms of ageing and development》2009,130(7):444-2057
Aging is a multifactorial condition that results in the loss of an organism's fitness over time. Different theories have been formulated to explain the mechanisms of aging, but a synthesis of these theories has not been possible until now. In addition, the increase in molecular data gathered by proteomics projects utilizing different organisms has permitted a better picture of proteins that function in aging. In this sense, the yeast Saccharomyces cerevisiae is a biological model for aging, and it shows two distinct aging states: a replicative state termed the replicative lifespan (RLS) and a quiescent state known as the chronological lifespan (CLS). Interestingly, both RLS and CLS appear to share common groups of proteins, but a combined model of both aging mechanisms has not been defined. Thus, by applying systems biology tools that allow mining of the yeast proteins associated with aging, it was possible to obtain an interactome network in which both RLS and CLS are represented. In addition, four subgraphs comprising ubiquitin-dependent proteasome/regulation of cell growth, nucleic acid metabolism, carbohydrate metabolism/RNA metabolism, and carbohydrate-organic acid-amino acid/DNA metabolism were found within the interactome, defining a new model of aging for yeast termed the chronologic-replicative protein network (CRPN). 相似文献
995.
Qinlian Zhou Andrew C. Zygmunt Jonathan M. Cordeiro Fernando Siso-Nadal Robert E. Miller Gregery T. Buzzard Jeffrey J. Fox 《Annals of biomedical engineering》2009,37(7):1294-1309
Determining the effect of a compound on I
Kr is a standard screen for drug safety. Often the effect is described using a single IC50 value, which is unable to capture complex effects of a drug. Using verapamil as an example, we present a method for using
recordings from native myocytes at several drug doses along with qualitative features of I
Kr from published studies of HERG current to estimate parameters in a mathematical model of the drug effect on I
Kr. I
Kr was recorded from canine left ventricular myocytes using ruptured patch techniques. A voltage command protocol was used to
record tail currents at voltages from −70 to −20 mV, following activating pulses over a wide range of voltages and pulse durations.
Model equations were taken from a published I
Kr Markov model and the drug was modeled as binding to the open state. Parameters were estimated using a combined global and
local optimization algorithm based on collected data with two additional constraints on I
Kr
I–V relation and I
Kr inactivation. The method produced models that quantitatively reproduce both the control I
Kr kinetics and dose dependent changes in the current. In addition, the model exhibited use and rate dependence. The results
suggest that: (1) the technique proposed here has the practical potential to develop data-driven models that quantitatively
reproduce channel behavior in native myocytes; (2) the method can capture important drug effects that cannot be reproduced
by the IC50 method. Although the method was developed for I
Kr, the same strategy can be applied to other ion channels, once appropriate channel-specific voltage protocols and qualitative
features are identified.
Electronic supplementary material The online version of this article (doi:) contains supplementary material, which is available to authorized users. 相似文献
996.
Henry Y. Chen Jose A. Navia Ghassan S. Kassab 《Annals of biomedical engineering》2009,37(9):1772-1780
Cross-clamping of aorta is routinely performed in cardiac surgery. The objective of this study was to simulate cross-clamping
of the aorta to elucidate the perturbation of stresses in the wall (solid mechanics) and lumen of the vessel (fluid mechanics).
Models of the aorta and clamp were created in Computer Assisted Design and Finite Element Analysis packages. The vessel wall
was considered as a non-linear anisotropic material while the fluid was simulated as Newtonian with pulsatile flow. The clamp
was applied to produce total occlusion in approximately 1 s. A cylindrical and rectangular geometry for the clamp were considered.
High jet speed and flow reversal were demonstrated during clamping. It was found that the clamp design and vessel wall anisotropy
affected both the fluid wall shear stress (WSS) and solid stresses in vessel wall. The maximum wall stresses increased by
about 170 and 220% during closure in the cases of plate and cylindrical clamps, respectively. The plate clamp design was superior
for reduction of both solid stresses as well as fluid shear stresses. The cylindrical clamp causes much larger stresses than
the plate clamp in each of the stress components; e.g., radial compression of −180 vs. −50 kPa. Vibrations, flow and WSS oscillations
were detected immediately before total vessel occlusion. The present findings provide valuable insights into the mode of tissue
injury during clamping and may also be useful for improving surgical clamp designs. 相似文献
997.
Objective
To explore how the doctor–parent–child partnership is experienced and if the child patient is considered a contributor.Methods
Qualitative methodology using semi-structured interviews with 33 participants (9 paediatricians, 14 parents, and 10 children aged 8–12 with cerebral palsy) from a paediatric teaching hospital in Victoria, Australia.Results
Children were reported to participate in the doctor–parent–child partnership. The child was not perceived to be an ‘equal’ or ‘regular’ partner as there were reports of variability in the involvement between children, as well as variability in the progressive involvement of each child. Three categories emerged in relation to the child's position in the partnership: creating a space for the child's involvement; acknowledging the variability of child preferences to be involved; and negotiating the child's age and development.Conclusion
The doctor–parent–child partnership was perceived not necessarily to be dyadic, shared exclusively by the parent and paediatrician. Children were reported to contribute to the partnership, although there were limitations to the child's involvement.Practice implications
Previous understandings of partnership are not sufficient to explain the complexities involved in a doctor–parent–child partnership, and a social-model approach to care is highlighted as an important factor for enabling the development of a triadic partnership. 相似文献998.
Objective
Factors contributing to treatment adherence are poorly understood but the physician–patient interaction is one factor that is known to affect patient adherence.Methods
This meta-analysis systematically reviewed the published literature to determine the magnitude of the relationships between physician–patient collaboration and patient adherence.Results
A statistically significant weighted mean effect size of Md = 0.145 from 48 published studies indicated better physician–patient collaboration is associated with better patient adherence. The relationship between collaboration and adherence was sustained for pediatric and adult populations, chronic and acute conditions, and primary physician and specialists.Conclusion
These results emphasize the need for physician–patient collaboration within the medical consultation.Practice implications
The inclusion of the patient's perspective during the consultation is essential to obtaining cooperation once the patient has left the physician's office. 相似文献999.
Niklaus Daniel Labhardt Kaspar Schiess Engelbert Manga Wolf Langewitz 《Patient education and counseling》2009
Objective
This cross-sectional survey examines the relation between provider–patient interaction and several patient-outcomes in a rural health district in Cameroon.Methods
We used structured patient interviews and the Roter Interaction Analysis System (RIAS) for analysis of audio-recorded consultations.Results
Data from 130 primary care consultations with 13 health-care providers were analysed. 51% of patients correctly named their diagnoses after the consultation; in 47% of prescribed drugs patients explained correctly the purpose. Patients’ ability to recall diagnoses was related to the extent of clarity a provider used in mentioning it during consultation (recall rates: 87.5% if mentioned explicitly, 56.7% if mentioned indirectly and 19.2% if not mentioned at all; p < 0.001). Two thirds of patients were able to describe their concept of illness before the consultation, but only 47% of them mentioned it during consultations. On average patients who mentioned their disease concept were faced with more remarks of disapproval from providers (1.73 vs 0.63 per consultation; p < 0.01). Although 41% of patients admitted problems with financial resources to buy prescribed drugs, discussion about financial issues was very rare during consultations. Providers issued financial questions in 32%, patients in 21% of consultations.Conclusion
This study shows that provider–patient interaction in primary health care in a rural Cameroon district deserves more attention. It might improve the patients’ knowledge about their health condition and support them in beneficial health behaviour.Practice implications
Our findings should encourage providers to give more medical explanation, to discuss patients’ health beliefs in a non-judgemental manner, and to consider financial issues more carefully. 相似文献1000.
随着人类蛋白质组学的飞速发展,出现了大量的蛋白质相互作用及其网络数据,因此寻找和预测蛋白质相互作用的生物信息学方法成了研究蛋白质互作必不可少的工具之一,本文主要从生物信息学角度对蛋白质相互作用数据库做一下简单的介绍,包括各数据库的来源、主要功能、应用范围、目前的发展状况及将来的发展方向等方面. 相似文献