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311.
OBJECTIVE: To provide updated, evidence-based recommendations for health care professionals concerning the effects of regular physical activity on the prevention and control of hypertension in otherwise healthy adults. OPTIONS: People may engage in no, sporadic or regular physical activity that may be of low, moderate or vigorous intensity. For sedentary people with hypertension, the options are to undertake or maintain regular physical activity and to avoid or moderate medication use; to use another lifestyle modification technique; to commence or continue antihypertensive medication; or to take no action and remain at increased risk of cardiovascular disease. OUTCOMES: The health outcomes considered were changes in blood pressure and in morbidity and mortality rates. Because of insufficient evidence, no economic outcomes were considered. EVIDENCE: A MEDLINE search was conducted for the period 1966-1997 with the terms exercise, exertion, physical activity, hypertension and blood pressure. Both reports of trials and review articles were obtained. Other relevant evidence was obtained from the reference lists of these articles, from the personal files of the authors and through contacts with experts. The articles were reviewed, classified according to study design and graded according to level of evidence. VALUES: A high value was placed on avoidance of cardiovascular morbidity and premature death caused by untreated hypertension. BENEFITS, HARMS AND COSTS: Physical activity of moderate intensity involving rhythmic movements with the lower limbs for 50-60 minutes, 3 or 4 times per week, reduces blood pressure and appears to be more effective than vigorous exercise. Harm is uncommon and is generally restricted to the musculoskeletal injuries that may occur with any repetitive activity. Injury occurs more often with jogging than with walking, cycling or swimming. The costs include the costs of appropriate shoes, garments and equipment, but these were not specifically measured. RECOMMENDATIONS: (1) People with mild hypertension should engage in 50-60 minutes of moderate rhythmic exercise of the lower limbs, such as brisk walking or cycling, 3 or 4 times per week to reduce blood pressure, (2) Exercise should be prescribed as an adjunctive therapy for people who require pharmacologic therapy for hypertension, especially those who are not receiving beta-blockers. (3) People who do not have hypertension should participate in regular exercise as it will decrease blood pressure and reduce the risk of coronary artery disease, although there is no direct evidence that it will prevent hypertension. VALIDATION: These recommendations agree with those of the World Hypertension League, the American College of Sports Medicine, the report of the US Surgeon General on physical activity and health, and the US National Institutes of Health Consensus Development Panel on Physical Activity and Cardiovascular Health. These guidelines have not been clinically tested. SPONSORS: The Canadian Hypertension Society, the Canadian Coalition for High Blood Pressure Prevention and Control, the Laboratory Centre for Disease Control at Health Canada, and the Heart and Stroke Foundation of Canada. 相似文献
312.
Carl N. Skinner Jack H. Burk Michael G. Barbour Ernesto Franco-Vizcaíno Scott L. Stephens 《Journal of Biogeography》2008,35(8):1436-1451
Aim To identify the influence of interannual and interdecadal climate variation on the occurrence and extent of fires in montane conifer forests of north‐western Mexico. Location This study was conducted in Jeffrey pine (Pinus jeffreyi Grev. & Balf.)‐dominated mixed‐conifer forests in the central and northern plateau of the Sierra San Pedro Mártir, Baja California, Mexico. Methods Fire occurrence was reconstructed for 12 dispersed sites for a 290‐year period (1700–1990) from cross‐dated fire‐scarred samples extracted from live trees, snags and logs. Superposed epoch analysis was used to examine the relationships of tree‐ring reconstructions of drought, the El Niño/Southern Oscillation (ENSO) and the Pacific Decadal Oscillation (PDO) with fire occurrence and extent. Results Years with no recorded fire scars were wetter than average. In contrast, years of widespread fires were dry and associated with phase changes of the PDO, usually from positive (warm) to negative (cold). The influence of the PDO was most evident during the La Niña phase of the ENSO. Widespread fires were also associated with warm/wet conditions 5 years before the fire. We hypothesize that the 5‐year lag between warm/wet conditions and widespread fires may be associated with the time necessary to build up sufficient quantity and continuity of needle litter to support widespread fires. Two periods of unusually high fire activity (1770–1800 and 1920–1950) were each followed by several decades of unusually low fire activity. The switch in each case was associated with strong phase changes in both PDO and ENSO. Main conclusions Climate strongly influences fire regimes in the mountains of north‐western Mexico. Wet/warm years are associated with little fire activity. However, these years may contribute to subsequent fire years by encouraging the production of sufficient needle litter to support more widespread fires that occur in dry/cool years. 相似文献
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One-dimensional isoelectric focusing followed by immunoblotting and development of the immunoblots with the monoclonal antibody HC-10, raised against denatured HLA class I heavy chains, was used to demonstrate biochemical variation in cattle MHC (BoLA) class I molecules. The bands obtained correlated well with BoLA-A specificities. Two or three bands were identified for the specificities w7, w8, w16, w18, w21, cph43 and cph49, whereas no bands were observed for the specificity w2. Two serologically indistinguishable subtypes of specificity w18 were identified. 相似文献
315.
Raymond F. Burk 《Biochimica et Biophysica Acta (BBA)/General Subjects》1983,757(1):21-28
GSH is an important cellular defense against oxidant injury. Its effect in the rat liver microsomal lipid peroxidation system has been examined. Incubation of fresh rat liver microsomes with ascorbic acid and ADP-chelated iron leads to the peroxidation of microsomal lipids (production of thiobarbituric acid-reactive substances and destruction of polyunsaturated fatty acids) following a 2 to 5 min lag. Addition of 0.1 mM GSH to the system lengthened the lag period by 5 to 15 min without affecting the rate or the extent of lipid peroxidation. GSH could not be replaced in prolonging the lag by cysteine, mercaptoethanol, dithiothreitol, propylthiouracil, or GSSG. The GSH effect on the lag was abolished by heating or trypsin digestion of the microsomes, indicating that microsomal protein is required for its expression. Progressively longer lags were observed as the GSH concentration was increased from 0.1 to 5 mM, but there was no evidence of GSH oxidation as a consequence of the protection against lipid peroxidation. GSH protected against heat inactivation of the microsomal protein responsible for the GSH effect. Experiments with an oxygen electrode revealed that the GSH protection did not alter the ratio of O2 consumed to thiobarbituric acid-reactive substances produced. This implicated free radical scavenging as the mechanism of protection. These results indicate the existence of a GSH-dependent rat liver microsomal protein which scavenges free radical. This protein may be an important defense against free radical injury to the microsomal membrane. 相似文献
316.
Selenoprotein P is a newly characterized selenoprotein. It is the first protein described to contain multiple selenocysteines.
It is secreted by the liver into the plasma and turns over rapidly. Its concentration is sensitive to the selenium status
of the animal. Its function is unknown. 相似文献
317.
Binding of simultaneously administered inorganic selenium and mercury to a rat plasma protein 总被引:1,自引:0,他引:1
318.
ORSOLYA SZOKOLÓCZI RICHÁRD SCHWAB ISTVÁN PETÁK LÁSZLÓ ÖRFI ÁKOS PAP ALEX N. EBERLE 《Journal of receptor and signal transduction research》2013,33(4-6):217-235
TT-232 is a structural analogue of somatostatin exhibiting strong and selective growth-inhibitory effects, inhibition of neurogenic inflammation, as well as general anti-inflammatory and analgesic potential without the wide-ranging endocrine side effects of the parent hormone and its “traditional” analogues. The anti-inflammatory action of TT-232 is mediated through the SSTR4 receptor, and its antitumor activity is mediated through the SSTR1 receptor and by the tumor-specific isoform of pyruvate kinase. Its mechanism of action is in line with a new era of molecular medicine called signal transduction therapy, where “false” intracellular or intercellular communication is inhibited or corrected without interfering with basic cell functions and machinery. TT232 has passed phase I clinical trials without toxicity and significant side effects, and phase II studies are running for oncological and anti-inflammatory indications, respectively. This compound has the perspective to become the first drug in molecularly targeted therapy of inflammation where a combined effect of anti-inflammatory, analgesic, and neurogenic inflammation-inhibiting activity can be achieved. 相似文献
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