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   190篇
  免费   7篇
  国内免费   1篇
耳鼻咽喉   1篇
儿科学   3篇
妇产科学   7篇
基础医学   18篇
口腔科学   22篇
临床医学   11篇
内科学   32篇
神经病学   5篇
特种医学   3篇
外国民族医学   1篇
外科学   31篇
综合类   22篇
预防医学   9篇
药学   15篇
中国医学   9篇
肿瘤学   9篇
  2023年   1篇
  2022年   4篇
  2021年   6篇
  2020年   2篇
  2019年   21篇
  2018年   14篇
  2017年   12篇
  2016年   3篇
  2015年   6篇
  2014年   15篇
  2013年   11篇
  2012年   12篇
  2011年   3篇
  2010年   7篇
  2009年   14篇
  2008年   14篇
  2007年   4篇
  2006年   4篇
  2005年   7篇
  2004年   2篇
  2003年   2篇
  2002年   4篇
  2001年   5篇
  2000年   4篇
  1999年   1篇
  1998年   2篇
  1997年   4篇
  1994年   1篇
  1993年   2篇
  1991年   1篇
  1990年   2篇
  1989年   2篇
  1987年   2篇
  1984年   1篇
  1981年   1篇
  1979年   1篇
  1978年   1篇
排序方式: 共有198条查询结果,搜索用时 15 毫秒
1.
人精浆酸性磷酸酶对小鼠T淋巴细胞产生IL-2的影响   总被引:2,自引:1,他引:2  
本文研究了从正常人精浆中分离纯化的酸性磷酸酶(ACP)对BALB/c小鼠脾脏细胞来源的T淋巴细胞产生IL-2的影响。本文采用MTT生物学测定法测IL-2活性。实验证明:人糖浆ACP对小鼠T淋巴细胞产生IL-2有明显的抑制作用(P<0.05),并且抑制作用随ACP剂量的增加而增强。这说明了精浆中大量ACP是构成精浆免疫抑制功能的重要组成成份之一。  相似文献   
2.
Endometrial cancer is one of the most common malignancy affecting women in developed countries. Resection uterus or lesion area is usually the first option for a simple and efficient therapy. Therefore, it is necessary to find a new therapeutic drug to reduce surgery areas to preserve fertility. Anticancer peptides (ACP) are bioactive amino acids with lower toxicity and higher specificity than chemical drugs. This study is to address an ACP, herein named Q7, which could downregulate 24-Dehydrocholesterol Reductase (DHCR24) to disrupt lipid rafts formation, and sequentially affect the AKT signal pathway of HEC-1-A cells to suppress their tumorigenicity such as proliferation and migration. Moreover, lipo-PEI-PEG-complex (LPPC) was used to enhance Q7 anticancer activity in vitro and efficiently show its effects on HEC-1-A cells. Furthermore, LPPC-Q7 exhibited a synergistic effect in combination with doxorubicin or paclitaxel. To summarize, Q7 was firstly proved to exhibit an anticancer effect on endometrial cancer cells and combined with LPPC efficiently improved the cytotoxicity of Q7.  相似文献   
3.
李翠萍  黄霞  李焱  朱颖飞 《河南中医》2007,27(12):25-27
目的:探讨更年乐水丸治疗摘除卵巢所致雌性大鼠骨质疏松的作用机理。方法:选用55只3月龄SD雌性大鼠随机分为假手术组、模型对照组、阳性对照组、更年乐水丸低剂量组、更年乐水丸高剂量组。后4组摘除双侧卵巢,于造模后第2天开始中药灌胃,连续45 d,处死动物后,取动物左侧股骨,测定骨密度;测定血清E2、PTH、IL-6、Alp、Acp的水平。结果:更年乐水丸能增加大鼠骨密度及提高血清E2水平,降低Alp、Acp、PTH、IL-6含量。结论:更年乐水丸可改变绝经后早期骨代谢高转换状态。  相似文献   
4.

Objective

To characterize the end-of-life care of all international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015.

Patients and Methods

We performed a retrospective review of all adult international patients who died at a global destination medical center from January 1, 2005, through December 31, 2015.

Results

Eighty-two international patients from 25 countries and 5 continents died during the study period (median age, 59.5 years; 59% male). Of the study cohort, 11% (n=9) completed an advance directive, 61% (n=50) died in the intensive care unit, 26% (n=21) had a full code order at the time of death, and 73% (n=19 of 26) receiving cardiopulmonary resuscitation did not survive the resuscitation process.

Conclusion

Seriously ill international patients who travel to receive health care in the United States face many barriers to receiving high-quality end-of-life care. Seriously ill international patients are coming to the United States in increasing numbers, and little is known about their end-of-life care. There are many unique needs in the care of this complex patient population, and further research is needed to understand how to provide high-quality end-of-life care to these patients.  相似文献   
5.
ObjectivesThis dual-center study sought to demonstrate the utility and safety of intracardiac echocardiography (ICE) in providing adequate imaging guidance as an alternative to transesophageal echocardiography (TEE) during Amplatzer Cardiac Plug device implantation.BackgroundOver 90% of intracardiac thrombi in atrial fibrillation originate from the left atrial appendage (LAA). Patients with contraindications to anticoagulation are potential candidates for LAA percutaneous occlusion. TEE is typically used to guide implantation.MethodsICE-guided percutaneous LAA closure was performed in 121 patients to evaluate the following tasks typically achieved by TEE: assessment of the LAA dimension for device sizing; guidance of transseptal puncture; verification of the delivery sheath position; confirmation of location and stability of the device before and after release and continuous monitoring to detect procedural complications. In 51 consecutive patients, we compared the measurements obtained by ICE and fluoroscopy to choose the size of the device.ResultsThe device was successfully implanted in 117 patients, yielding a technical success rate of 96.7%. Procedural success was achieved in 113 cases (93.4%). Four major adverse events (3 cardiac tamponades and 1 in-hospital transient ischemic attack) occurred. There was significant correlation in the measurements for device sizing assessed by angiography and ICE (r = 0.94, p < 0.0001).ConclusionsICE imaging was able to perform the tasks typically provided by TEE during implantation of the Amplatzer Cardiac Plug device for LAA occlusion. Therefore, we provide evidence that the use of ICE offered accurate measurements of LAA dimension in order to select the correct device sizes.  相似文献   
6.
Background and Objectives This study was aimed at evaluating the feasibility of the ACP215 closed‐system cell processor for preparing washed platelet concentrates. Material and Methods Platelet washing was performed with either the ACP215 system or the manual technique with M‐sol. Plasma protein removal and platelet recovery were estimated, and the washed platelet concentrates were stored for 5 days. Samples were collected after washing and on days 1, 3 and 5 of storage to determine the effects of the washing methods on the in vitro platelet qualities (platelet count, platelet volume, pH, glucose and lactate concentrations, hypotonic shock response, aggregation response and CD62P expression level). Results Platelet recovery was 86·9 ± 2·1% and 85·9 ± 1·9% (P = 0·305), and plasma protein removal was 95·8 ± 0·9% and 96·9 ± 0·7% (P = 0·016) after washing with the ACP215 system and manual technique, respectively. No statistically significant differences in the in vitro platelet qualities were observed between the washing methods. Conclusion The ACP215 system is a feasible alternative to manual, labour‐intensive, techniques for preparing washed platelet concentrates.  相似文献   
7.
Tuberculosis (TB) is described as lethal disease in the world. Resistant to TB drugs is the main reason to have unfavourable outcomes in the treatment of TB. Therefore, new agents to replace existing drugs are urgently needed. Previous reports suggested that InhA inhibitors, an enoyl-ACP-reductase, might provide auspicious candidates which can be developed into novel antitubercular agents. In this review, we explain the role of InhA in the resistance of isoniazid. Furthermore, five classes of InhA inhibitors, which display novel binding modes and deliver evidence of their prosperous target engagement, have been debated.  相似文献   
8.

Background/Objectives

Acute pancreatitis (AP) is one of the most common gastrointestinal disorders often requiring hospitalization. Frequent aetiologies are gallstones and alcohol abuse. In contrast to chronic pancreatitis (CP) few robust genetic associations have been described. Here we analysed whether common variants in the CLDN2-MORC4 and the PRSS1-PRSS2 locus that increase recurrent AP and CP risk associate with AP.

Methods

We screened 1462 AP patients and 3999 controls with melting curve analysis for SNPs rs10273639 (PRSS1-PRSS2), rs7057398 (RIPPLY), and rs12688220 (MORC4). Calculations were performed for the overall group, aetiology, and gender sub-groups. To examine genotype-phenotype relationships we performed several meta-analyses.

Results

Meta-analyses of all AP patients depicted significant (p-value?<?0.05) associations for rs10273639 (odds ratio (OR) 0.88, 95% confidence interval (CI) 0.81–0.97, p-value 0.01), rs7057398 (OR 1.27, 95% CI 1.07–1.5, p-value 0.005), and rs12688220 (OR 1.32, 95% CI 1.12–1.56, p-value 0.001). For the different aetiology groups a significant association was shown for rs10273639 (OR 0.76, 95% CI 0.63–0.92, p-value 0.005), rs7057398 (OR 1.43, 95% CI 1.07–1.92, p-value 0.02), and rs12688220 (OR 1.44, 95% CI 1.07–1.93, p-value 0.02) in the alcoholic sub-group only.

Conclusions

The association of CP risk variants with different AP aetiologies, which is strongest in the alcoholic AP group, might implicate common pathomechanisms most likely between alcoholic AP and CP.  相似文献   
9.

Objectives

This study sought to evaluate the feasibility, safety, and efficacy of intracardiac echocardiography (ICE)–guided versus transesophageal echocardiography (TEE)–guided left atrial appendage occlusion (LAAO) by the use of Amplatzer Cardiac Plug or Amulet devices included in a large Italian registry.

Background

TEE is widely used for LAAO procedure guidance. ICE may be a potential alternative imaging modality in LAAO.

Methods

Data from 604 LAAO procedures performed in 16 Italian centers were reviewed. ICE-guided LAAO was performed in 187 patients, whereas TEE was used in 417 patients. Procedural success was defined as LAAO without occurrence of pericardial tamponade, stroke, systemic embolism with end organ damage, major bleeding, and device embolization. Stroke, transient ischemic attack, major bleeding, overall and cardiovascular death were analyzed.

Results

CHA2DS2-VASc (congestive heart failure, hypertension, age ≥75 years, diabetes mellitus, prior stroke or transient ischemic attack or thromboembolism, vascular disease, age 65 to 74 years, sex category) and HAS-BLED (hypertension, abnormal renal and liver function, stroke, bleeding, labile international normalized ratio, elderly, drugs or alcohol) scores were similar between the ICE and TEE groups. TEE implied lower procedural (delta 12 min) and fluoroscopy time (delta 5 min) when compared with ICE. Procedural success was similarly high (≥94%) between the TEE and ICE groups with a complication rate of 6.5% for TEE versus 4.2% for ICE (odds ratio: 1.468; 95% confidence interval: 0.681 to 3.166; p = 0.327). At median follow-up of 451 days (interquartile range: 162 to 899 days), the rate of cerebral ischemic events was similar between TEE-guided and ICE-guided procedures.

Conclusions

ICE-guided LAAO by means of Amplatzer devices may represent a second alternative imaging modality after an appropriate learning curve and bearing in mind that pre-procedural computed tomography imaging is mandatory. When comparing ICE with TEE, TEE remains the gold standard.  相似文献   
10.
张静  张晨 《地方病通报》2006,21(2):8-10
目的观察吸烟对小鼠睾丸酶活性的影响,探讨吸烟致睾丸损伤的可能机制。方法用分光光度法检测睾丸组织匀浆中酸性磷酸酶(ACP)、乳酸脱氢酶(LDH)和一氧化氮合成酶(NOS)的活性。结果长时间吸烟可引起睾丸组织匀浆中酸性磷酸酶(ACP)、乳酸脱氢酶(LDH)的活性显著下降,一氧化氮合成酶(NOS)的活性显著升高。结论吸烟对睾丸中一些酶活性的影响可能是其引起雄性生殖损伤的机制之一。  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