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   10028篇
  免费   960篇
  国内免费   163篇
耳鼻咽喉   27篇
儿科学   141篇
妇产科学   62篇
基础医学   729篇
口腔科学   157篇
临床医学   758篇
内科学   2132篇
皮肤病学   144篇
神经病学   910篇
特种医学   182篇
外国民族医学   1篇
外科学   292篇
综合类   617篇
现状与发展   2篇
预防医学   1051篇
眼科学   44篇
药学   3063篇
  1篇
中国医学   396篇
肿瘤学   442篇
  2024年   10篇
  2023年   241篇
  2022年   225篇
  2021年   483篇
  2020年   305篇
  2019年   342篇
  2018年   452篇
  2017年   470篇
  2016年   440篇
  2015年   377篇
  2014年   519篇
  2013年   1487篇
  2012年   416篇
  2011年   448篇
  2010年   381篇
  2009年   378篇
  2008年   397篇
  2007年   383篇
  2006年   341篇
  2005年   310篇
  2004年   291篇
  2003年   268篇
  2002年   212篇
  2001年   182篇
  2000年   183篇
  1999年   126篇
  1998年   134篇
  1997年   125篇
  1996年   115篇
  1995年   109篇
  1994年   92篇
  1993年   88篇
  1992年   70篇
  1991年   87篇
  1990年   66篇
  1989年   53篇
  1988年   65篇
  1987年   54篇
  1986年   42篇
  1985年   76篇
  1984年   65篇
  1983年   34篇
  1982年   43篇
  1981年   36篇
  1980年   37篇
  1979年   24篇
  1978年   16篇
  1977年   18篇
  1975年   8篇
  1974年   9篇
排序方式: 共有10000条查询结果,搜索用时 62 毫秒
991.
992.
Exploring some basic interactions in blending systems is of great significance for designing a blend with controlled structure and properties. This work attempts to analyze microstructure and molecular interaction in glycerol plasticized chitosan/poly(vinyl alcohol) blends by atomic force microscopy, differential scanning calorimetry and ATR‐FTIR spectroscopy. Our results show that the blending films are aggregated by spherical chitosan/poly(vinyl alcohol) blending nanoparticles. The size and aggregation behavior of these particles are closely related to glycerol content. The presence of glycerol gives rise to a continuous closing in Tg of poly(vinyl alcohol) and chitosan components, suggesting an improved miscibility of the blend. Strong hydrogen bonding interaction in the blend is observed and further distinguished by peak resolution. Moreover, more interesting evidence on the effect of glycerol in the blends is provided by monitoring the structure evolution of the blend at different blending steps using atomic force microscopy. The formation of strong hydrogen bonding network among glycerol molecules and polymer matrix was considered as the main driving force to result in the changes in the microstructure and miscibility of the blend.

  相似文献   

993.
胆胃宁对乙醇性胃黏膜损伤保护作用的实验研究   总被引:1,自引:0,他引:1  
目的:研究中药胆胃宁对无水乙醇所致胃黏膜损伤的保护作用及作用机制。方法:40只SD大鼠随机分为正常对照组、模型组和胆胃宁低、中、高剂量组共5组。正常对照组和模型组均以1ml生理盐水灌胃,胆胃宁组分别予胆胃宁1ml、2ml、4ml灌胃,2h后除正常对照组外均予无水乙醇灌胃。再过2h后处死大鼠,观察胃黏膜改变并测定溃疡指数及溃疡抑制率以及胃黏膜病理组织学改变,检测胃黏膜丙二醛(MDA)、超氧化物歧化酶(SOD)、前列腺素E2(PGE2)等指标。结果:胆胃宁能减轻乙醇所致胃黏膜损伤,抑制溃疡形成,改善胃黏膜组织学损害。胆胃宁尚可有效抑制乙醇损伤胃黏膜所致的SOD和PGE2降低以及MDA升高,且具有剂量依赖性。结论:胆胃宁可有效预防乙醇所致胃黏膜损伤,其机制可能与减轻脂质过氧化,提高抗氧化活力和PGE2水平有关。  相似文献   
994.
The “J shape” curve linking the risk of poor bone health to alcohol intake is now well recognized from epidemiological studies. Ethanol and nonethanol components of alcoholic beverages could influence bone remodeling. However, in the absence of a solid underlying mechanism, the positive association between moderate alcoholic intake and BMD remains questionable because of confounding associated social factors. The objective of this work was to characterize the short‐term effects of moderate alcohol consumption on circulating bone markers, especially those involved in bone resorption. Two sequential blood‐sampling studies were undertaken in fasted healthy volunteers (age, 20–47 yr) over a 6‐h period using beer of different alcohol levels (<0.05–4.6%), solutions of ethanol or orthosilicic acid (two major components of beer), and water ± calcium chloride (positive and negative controls, respectively). Study 1 (24 subjects) assessed the effects of the different solutions, whereas study 2 (26 subjects) focused on ethanol/beer dose. Using all data in a “mixed effect model,” we identified the contributions of the individual components of beer, namely ethanol, energy, low‐dose calcium, and high‐dose orthosilicic acid, on acute bone resorption. Markers of bone formation were unchanged throughout the study for all solutions investigated. In contrast, the bone resorption marker, serum carboxy terminal telopeptide of type I collagen (CTX), was significantly reduced after ingestion of a 0.6 liters of ethanol solution (>2% ethanol; p ≤ 0.01, RM‐ANOVA), 0.6 liters of beer (<0.05–4.6% ethanol; p < 0.02), or a solution of calcium (180 mg calcium; p < 0.001), but only after calcium ingestion was the reduction in CTX preceded by a significant fall in serum PTH (p < 0.001). Orthosilicic acid had no acute effect. Similar reductions in CTX, from baseline, were measured in urine after ingestion of the test solutions; however, the biological variability in urine CTX was greater compared with serum CTX. Modeling indicated that the major, acute suppressive effects of moderate beer ingestion (0.6 liters) on CTX were caused by energy intake in the early phase (~0–3 h) and a “nonenergy” ethanol component in the later phase (~3 to >6 h). The early effect on bone resorption is well described after the intake of energy, mediated by glucagon‐like peptide‐2, but the late effect of moderate alcohol ingestion is novel, seems to be ethanol specific, and is mediated in a non–calcitonin‐ and a non–PTH‐dependent fashion, thus providing a mechanism for the positive association between moderate alcohol ingestion and BMD.  相似文献   
995.
Background  Remarkably, little attention has been paid to the role of intimate partners and their drinking behavior in relation to adolescent alcohol use. In the current study, we examined associations between adolescent alcohol use and romantic partners’ drinking behavior. Methods  A total of 428 families, consisting of both parents and two adolescents (aged 13.4 and 15.2 at Time 1) participated in a prospective study with four annual waves. Correlations and multivariate regressions were used to examine (1) similarity in drinking behaviors of adolescents and intimate partners, (2) whether alcohol use of partners prospectively predicts adolescent alcohol consumption, and (3) whether adolescents who consume alcohol select partners over time who show similar drinking behaviors. Results  (1) Frequency of alcohol consumption of adolescents and of their romantic partners correlated significantly. (2) Alcohol use of partners was not predictive of adolescent alcohol consumption over time, if previous levels of alcohol consumption were taken into account. (3) Adolescents acquired partners with similar drinking behaviors. Gender effects were found; adolescent girls, but not boys, were more likely to become involved with partners who also frequently consumed alcohol. Conclusions  Regarding alcohol consumption, adolescents and their intimate partners were relatively similar in alcohol use. This resemblance is best explained by adolescents’ selection of future partner on the basis of alcohol consumption. Less indication was found for influence effects, perhaps due to the transient nature of most adolescent romantic relationships.
Carmen S. van der ZwaluwEmail:
  相似文献   
996.
Aims:  This study aimed to (i) evaluate the association between Internet addiction and harmful alcohol use, and (ii) evaluate the associated personality characteristics of Internet addiction as well as harmful alcohol use.
Methods:  A total of 2453 college students were invited to complete the Chen Internet Addiction Scale, Behavior Inhibition System and Behavior Approach System Scale(BIS/BAS scale), and the Alcohol Use Disorders Identification Test from May 2005 to May 2006.
Results:  The results demonstrated Internet addiction was associated with harmful alcohol use among college students. College students with Internet addiction had higher scores on the BIS and BAS fun-seeking subscales. However, college students with harmful alcohol use had higher scores on the BAS drive and fun-seeking subscales, and lower scores on the BIS subscale.
Conclusions:  Internet addiction is associated with harmful alcohol use. Furthermore, fun seeking was the shared characteristic of these two problem behaviors and might contribute to the association. However, further studies are necessary to evaluate the underlying mechanisms accounting for the association between Internet addiction and harmful alcohol use.  相似文献   
997.
Aims:  A higher prevalence of alcohol use disorders (AUD) among psychiatric patients has been reported previously and the identification rate is relatively low. This study was designed to investigate the prevalence and identification of AUD among acute psychiatric inpatients with severe mental illness in a psychiatric hospital in Taiwan.
Methods:  In a two-phase case identification strategy, the Alcohol Use Disorders Identification Test (AUDIT) was used as the first phase screening tool and the Structured Clinical Interview for DSM-IV-TR as the second phase diagnostic interview. The definition of identification was diagnosis of AUD on medical record at discharge.
Results:  Of 400 respondents, 42 screened positive and 358 screened negative. All screen-positive respondents and 35 screen-negative respondents entered the second phase interview. The weighted lifetime prevalence of alcohol dependence was 8.3% (95% confidence interval [CI]: 4.6–11.9%); alcohol abuse, 1.5% (95%CI: 0.2–2.8%); and AUD, 9.8% (95%CI: 5.7–13.8%). The overall identification rate of AUD by medical staff was 28.2% (0% for alcohol abuse and 33.3% for alcohol dependence). Patients with mood disorders were prone to being undetected as having AUD.
Conclusion:  AUD comorbidity was common among inpatients with severe mental illness in Taiwan and was easily neglected by medical staff. It is necessary to use a validated screening questionnaire, such as AUDIT, to detect high-risk patients and then give appropriate interventions to enhance treatment outcome.  相似文献   
998.
AIMS: To examine the bi-directional associations between providing alcohol-specific rules and adolescents' alcohol use. Further, to explore person-environment interactions, we tested whether Big Five personality traits moderate the assumed association between providing alcohol-specific rules and adolescents' alcohol use. DESIGN: Longitudinal data (three waves in 2 years) from 428 families, consisting of both parents and two adolescents (aged 13-16 years) were used for the analyses. Analyses were conducted on four samples: a group of older adolescents and a group of younger adolescents who already consumed alcohol, and a group of older and younger adolescents who were not drinking at baseline measurement. FINDINGS: In general, results of structural equation modelling showed that providing clear alcohol-specific rules lowers the likelihood of drinking initiation, regardless of the age of the youngsters. Once adolescents have established a drinking pattern, the impact of parental alcohol-specific rules declined or even disappeared. Finally, the Big Five personality traits did not moderate the association between providing alcohol-specific rules and adolescents' alcohol involvement. CONCLUSIONS: In sum, in particular during the initiation phase of drinking, parents could prevent the drinking of their offspring, regardless of the age or personality of their youngsters, by providing clear alcohol-specific rules.  相似文献   
999.
AIMS: The purpose of this paper is to outline alcohol availability, alcohol consumption and related harm, alcohol control policy and prevention programmes in Japan, few of which have been discussed in either the Japanese or English literature. METHODS: Data were collected primarily from the following two sources: statistics and survey results issued by the national government, including surveys funded by the government; and papers published since 2000, identified by searching the MEDLINE and Igaku-Chuo-Zasshi databases. These data were assessed regarding their quality and summarized. Some data presented here were produced specifically for this review. RESULTS: Although per capita alcohol consumption has tended to decline for more than 10 years, it has remained at a high level. Diversification of the drinking population has progressed rapidly, specifically in women, among whom alcohol consumption has increased sharply. Cross-sectional data suggest that alcohol consumption is associated with serious health and social consequences. Existing longitudinal data suggest that alcohol-related problems, especially health problems, have increased steadily over the past several decades, with few exceptions, including alcohol-related fatal road traffic accidents. Alcohol policy and prevention programmes have not developed to a level that can control these problems adequately. Specifically, the high availability of alcoholic beverages, including the lack of restrictions on sales and advertising and decreasing prices, are noted. CONCLUSIONS: This review provides basic information regarding alcohol availability and alcohol consumption and related harm that may facilitate the improvement of existing alcohol control measures in Japan and encourage the development of new alcohol control measures. This research revealed the scarcity of longitudinal data regarding alcohol consumption and its consequences, and the lack of several important variables, such as disability adjusted life years, for improving our understanding of the comprehensive status of alcohol in Japan.  相似文献   
1000.
AIM: To investigate possible interactions between a polymorphism in the monoamine oxidase A (MAO-A) gene promoter, family relations and maltreatment/sexual abuse on adolescent alcohol-related problem behaviour among male adolescents. DESIGN, SETTING AND PARTICIPANTS: A cross-sectional study of a randomized sample of 66 male individuals from a total population of 16- and 19-year adolescents from a Swedish county. Boys, who volunteered to participate answering an alcohol-related problem/behaviour questionnaire, were investigated with regard to interactions between such problems, family function, maltreatment and MAO-A genotype. MEASUREMENTS: MAO-A genotype, family relations history, history of being maltreated or abused and alcohol-related problem behaviour. FINDINGS: Boys with the short (three-repeat) variant of the MAO-A gene, who had been maltreated/abused or came from families with poor relations, showed significantly higher scores of alcohol-related problems. We also found that maltreatment/abuse independently showed the strongest relation to alcohol-related problems among boys in our model. CONCLUSIONS: The results suggest that both maltreatment and MAO-A genotype may be useful for the understanding of male adolescent alcohol-related problem behaviour.  相似文献   
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