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目的:探讨垂体腺瘤中血管生成的程度及其与肿瘤侵袭性的关系.方法:采用免疫组化SP法对47例垂体腺瘤(侵袭性25例、非侵袭性22例)病理标本和4例正常脑垂体标本检测血管内皮细胞生长因子(VEGF)的表达和第Ⅷ因子相关抗原(F8-RA)组化染色行微血管记数(MVC)并作统计学分析.结果:侵袭性垂体腺瘤中VEGF表达及MVC均显著大于非侵袭性腺瘤(P<0.05),VEGF表达强度与MVC两者在垂体腺瘤血管生成中呈正相关(r=0.7625, P<0.01).结论:腺瘤组织中的VEGF的异常表达和MVC能够准确地反映垂体腺瘤血管的生成程度与腺瘤侵袭密切相关,可为临床上评价垂体腺瘤侵袭性及预后提供生物学上的参考指标. 相似文献
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目的 本试验拟通过对胃癌组织中微血管的数量、血管分布方式的检测,探讨其与肝转移的关系。方法 收集胃癌石蜡标本75例,其中肝转移29例,采用兔抗人第Ⅷ因子相关抗体,SABC免疫组化方法,在200倍镜下计数每个病例癌组织中的血管数,以均值作为区分高、低血管组的标准。按血管在癌组织中的分布方式分为:肿瘤内型和间质型。检测,胃癌组织中的微血管数量和分布方式,比较与肝转移的关系。结果 全组病例的微血管数范围 相似文献
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胃癌组织中微血管计数与肝转移的相关性研究 总被引:1,自引:1,他引:0
目的 :应用第Ⅷ因子相关性抗原 ,行SABC免疫组化染色 ,研究胃癌组织中微血管计数及分布方式与肝转移的相关性。方法 :全组 75例胃癌标本 ,制成石蜡切片 ,SABC免疫组化染色后 ,2 0 0倍显微镜下计数 5个血管密度最高区中微血管数及微血管在癌组织内的分布方式。结果 :全部病例癌组织中微血管 (MVC)均值为 16 .70 7± 10 .718,MVC≥ 16者 ,肝转移发生率较MVC <16者明显增加 (P <0 .0 5 )。MVC分布为肿瘤内型者以分化型癌为多 ,较间质型更易发生肝转移。高血管组比低血管组预后差。结论 :胃癌组织中MVC的高低是胃癌预后的一个有用的预测指标。 相似文献
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Calista M. Harbaugh Peng Zhang Brianna Henderson Brian A. Derstine Sven A. Holcombe Stewart C. Wang Carla Kohoyda-Inglis Peter F. Ehrlich 《Journal of pediatric surgery》2018,53(5):1033-1036
Background
The “Cushion Effect,” the phenomenon in which obesity protects against abdominal injury in adults in motor vehicle accidents, has not been evaluated among pediatric patients. This work evaluates the association between subcutaneous fat cross-sectional area, quantified using analytic morphomic techniques and abdominal injury.Methods
This retrospective study includes 119 patients aged 1 to 18 years involved in frontal impact motor vehicle accidents (2003–2015) with computed tomography scans. Subcutaneous fat cross-sectional area was measured and converted to age- and gender-adjusted percentiles from population-based normative data. Multivariable analysis determined the risk of the primary outcome, Maximum Abbreviated Injury Scale (MAIS) 2 + abdominal injury, after adjusting for age, weight, seatbelt status, and impact rating.Results
MAIS 2 + abdominal injuries occurred in 20 (16.8%) of the patients. Subcutaneous fat area percentile was not significantly associated with MAIS 2 + abdominal injury on multivariable logistic regression (adjusted Odds Ratio, 0.86; 95% CI, 0.72–1.03; p = 0.10).Discussion
The “cushion effect” was not apparent among pediatric frontal motor vehicle crash victims in this study. Future work is needed to investigate other analytic morphomic measures. By understanding how body composition relates to injury patterns, there is a unique opportunity to improve vehicle safety design.Level of Evidence
Prognosis Study, Level III. 相似文献7.
BackgroundHypometria is a clinical motor sign in Parkinson's disease. Its origin likely emerges from basal ganglia dysfunction, leading to an impaired control of inhibitory intracortical motor circuits. Some neurorehabilitation approaches include movement imitation training; besides the effects of motor practice, there might be a benefit due to observation and imitation of un-altered movement patterns. In this sense, virtual reality facilitates the process by customizing motor-patterns to be observed and imitated.ObjectiveTo evaluate the effect of a motor-imitation therapy focused on hypometria in Parkinson's disease using virtual reality.MethodsWe carried out a randomized controlled pilot-study. Sixteen patients were randomly assigned in experimental and control groups. Groups underwent 4-weeks of training based on finger-tapping with the dominant hand, in which imitation was the differential factor (only the experimental group imitated). We evaluated self-paced movement features and cortico-spinal excitability (recruitment curves and silent periods in both hemispheres) before, immediately after, and two weeks after the training period.ResultsMovement amplitude increased significantly after the therapy in the experimental group for the trained and un-trained hands. Motor thresholds and silent periods evaluated with transcranial magnetic stimulation were differently modified by training in the two groups; although the changes in the input–output recruitment were similar.ConclusionsThis pilot study suggests that movement imitation therapy enhances the effect of motor practice in patients with Parkinson's disease; imitation-training might be helpful for reducing hypometria in these patients. These results must be clarified in future larger trials. 相似文献
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James Hearn Farrell Cahill David George Behm 《European journal of applied physiology》2009,106(1):139-147
The purpose of this study was to determine if discrepancies exist between upright and inverted seated positions in isometric
maximal voluntary contraction (MVC) elbow flexor force, MVC force produced in the first 100 ms (F100), MVC rate of force development,
electromyographic (EMG) activity of the biceps and triceps as well as heart rate and blood pressure. The results showed significantly
(p < 0.01) higher MVC force (543.6 ± 29.6 vs. 486.5 ± 23.0 N), F100 (328.3 ± 94.5 vs. 274.6 ± 101.8 N), rate of force development
(p = 0.003) (1,851.9 ± 742.2 vs. 1,591.0 ± 719.6 N s−1) and biceps brachii EMG activity (48%, p < 0.01) in the upright versus inverted condition. There were relatively greater co-contractions with the inverted position
(p < 0.01) due to the lack of change in triceps’ EMG and the substantial decrease in biceps’ EMG. There were no significant
changes in trunk EMG activity. With inversion, there were significant decreases in heart rate (16.8%), systolic (11.6%) and
diastolic (12.1%) blood pressures (p < 0.0001). These results illustrate decrements in neuromuscular performance with an inverted seated posture which may be
related to an altered sympathetic response. 相似文献
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