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91.
OBJECTIVES--To determine the symptomatic and urodynamic outcome of elective prostatectomy and to establish whether the outcome is influenced or can be predicted by preoperative urodynamic measurements. DESIGN--Prospective non-randomised study with follow up at a mean of 11 months after operation. Most men were assessed jointly by a urologist and a general practitioner. SETTING--Department of urology in a teaching hospital serving a large district population. PATIENTS--253 Men listed for elective prostatectomy because of symptoms and low urinary flow rates (less than 15 ml/s) and excluding those already on a waiting list or with acute urinary retention, clinically apparent prostatic cancer, and neurological or cerebrovascular disease; 217 (86%) were followed up. INTERVENTION--Elective prostatectomy. MAIN OUTCOME MEASURE--Classification on the basis of relief of symptoms assessed by patients and urologist and general practitioner and of symptom scores obtained by questionnaire. RESULTS--Of the 217 men followed up, 171 (79%) had a satisfactory subjective review and 155 (72%) had a satisfactory review and also low symptom scores. An unsatisfactory outcome was associated with preoperative symptoms of urge incontinence, small prostatic size and resected weight, low voiding pressures, and low urethral resistance. Preoperative maximum urinary flow rates did not predict outcome. Men with poor outcome could be classified into two groups: those with irritative symptoms who were more likely before operation to have had urge incontinence and detrusor instability and men with symptoms of poor urinary flow who were more likely before operation to have had a small prostate, low voiding pressures, and low urethral resistance. In patients in the second group flow rates or voiding pressures improved little after operation. Men with stable detrusors and either low urethral resistance or low voiding pressures were less likely to do well after prostatectomy, but despite these associations preoperative urodynamic measurements were unable to predict outcome accurately. CONCLUSIONS--Prostatectomy was satisfactory in relieving symptoms and improving urodynamic measurements in most men, but even in those with classic symptoms and low urinary flow rates a substantial minority experienced little improvement afterwards and urodynamic measurements did not accurately predict outcome in individual patients.  相似文献   
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Ovarian response to hCG treatment during the oestrous cycle in heifers   总被引:2,自引:0,他引:2  
The aims of this study were to investigate whether treatment with a single ovulatory dose of hCG, between the day of oestrus and the end of the luteal phase, could induce extra ovulations in heifers and whether the presence of an existing corpus luteum (CL) affected the response. Heifers (N = 32) were injected with 1500 i.u. hCG or saline on a given day of the oestrous cycle. Treatments were repeated during subsequent cycles to provide a total of 71 observations, 57 of which followed an injection of hCG, given between Day 0 (oestrus) and Day 16, and 14 of which followed saline injections as controls. Ovulatory responses were noted by laparoscopy 2 days after hCG treatment. No heifers injected with saline produced additional CL. Of the hCG-treated cycles, 23 resulted in the formation of an additional CL, and this was significantly affected by the stage of the oestrous cycle when hCG was given; a greater response was observed during the early (Days 4-7) and late (Days 14-16) stages of the luteal phase than at the mid-luteal phase of the oestrous cycle. Two heifers were also treated with hCG on Days 17 or 18 of the oestrous cycle, but before oestrus; both had induced CL. There were no significant differences between the left-right orientation of the existing CL or the hCG-induced CL. These results demonstrate that the large, luteal-phase follicle of the cow is capable of ovulating in response to hCG and that the induced CL is not affected by the presence of an existing CL.  相似文献   
96.
A Folta  I G Joshua  R C Webb 《Life sciences》1989,45(26):2627-2635
Endothelin has been characterized as a potent constricting factor. The purpose of this study was to investigate possible dilator effects of this peptide and to examine whether dilator responses occur through an endothelium-mediated mechanism in guinea pig coronary resistance vessels and isolated aortic rings. Changes in perfusion pressure after bolus injections of endothelin were measured using a constant-flow modified Langendorff preparation with a transducer between the flow pump and the heart. An immediate fall in perfusion pressure, averaging 6 mmHg, was observed after injection of endothelin (10(-14)-10(-12) moles). This effect was maximal at 1 minute and tended to return toward baseline levels within 4 minutes. In response to endothelin (10(-9) M), isolated aortic rings relaxed 35% after being contracted with prostaglandin F2 alpha (10(-7) M). In both preparations, dilation was converted to constriction after endothelium damage by oxygen radicals or endothelium removal (mechanical rubbing). Dilator responses to endothelin were blocked by pretreatment for 30 minutes with indomethacin (14 microM) in the presence of an intact endothelium in coronary resistance vessels, whereas in the abdominal aorta they were not. We conclude that endothelin has significant dilator properties and that this effect is opposed by its constrictor action at higher doses. In addition, dilator responses to endothelin require an intact endothelium in both coronary vessels and abdominal aorta. Finally, endothelin-induced dilation in coronary resistance vessels appears to occur through a cyclooxygenase product-mediated mechanism.  相似文献   
97.
Predation on Protozoa: its importance to zooplankton   总被引:34,自引:0,他引:34  
Protozoa are an important component of both the nano- and microplanktonin marine and freshwater environments and are preyed upon byzooplankton, including suspension-feeding cope pods, some gelatinouszoopiankters and some first-feeding fish larvae. The clearancerates of suspension-feeding zooplankton for ciliates, in particular,are higher than for most phytoplankton. For at least some suspension-feedingzooplankton, protozoans are calculated to be quantitativelyan important component of the diet during certain seasons. Inlaboratory studies, protozoan components in the diet appearto enhance growth and survival of certain life-history stagesor enhance fecundity. These data suggest that protozoans arequalitatively as well as quantitatively important in the dietsof marine zooplankton. Most studies of predation on Protozoahave focused on the euphotic zone in nearshore waters. Predationon Protozoa is expected, however, to be particularly importantboth quantitatively and qualitatively in marine environmentsand seasons in which primary production is dominated by cells<5 µm in size, such as nearshore environments afterthe spring phytoplankton bloom, in oligotrophic waters, andin environments dominated by detritus-dominated food webs, suchas the deep sea. In detritus-dominated food webs, Protozoa maybe a source of essential nutrients and may thus facilitate utilizationof bacterial and detrital carbon by metazoan plankton.  相似文献   
98.
Genetic variances, heritabilities, and genetic correlations of floral traits were measured in the monocarpic perennial Ipomopsis aggregata (Polemoniaceae). A paternal half-sib design was employed to generate seeds in each of four years, and seeds were planted back in the field near the parental site. The progeny were followed for up to eight years to estimate quantitative genetic parameters subject to natural levels of environmental variation over the entire life cycle. Narrow-sense heritabilities of 0.2–0.8 were detected for the morphometric traits of corolla length, corolla width, stigma position, and anther position. The proportion of time spent by the protandrous flowers in the pistillate phase (“proportion pistillate”) also exhibited detectable heritability of near 0.3. In contrast, heritability estimates for nectar reward traits were low and not significantly different from zero, due to high environmental variance between and within flowering years. The estimates of genetic parameters were combined with phenotypic selection gradients to predict evolutionary responses to selection mediated by the hummingbird pollinators. One trait, corolla width, showed the potential for a rapid response to ongoing selection through male function, as it experienced both direct selection, by influencing pollen export, and relatively high heritability. Predicted responses were lower for proportion pistillate and corolla length, even though these traits also experienced direct selection. Stigma position was expected to respond positively to indirect selection of proportion pistillate but negatively to selection of corolla length, with the net effect sensitive to variation in the selection estimates. Anther position also was not directly selected but could respond to indirect selection of genetically correlated traits.  相似文献   
99.
The helminth fauna of Litoria genimaculata, a rainforest frog from northern Queensland, was quantified from 53 adult male frogs collected at monthly intervals between April 1990 and March 1991. The helminth fauna of this species was depauperate (6 species: Mesocoelium sp., Parapolystoma bulliense, Austraplectana sp., Onchocercidae gen. sp., Cosmocerca sp. and an unidentified nematode larva). The most commonly encountered species was P. bulliense, but the intestinal infracommanity was dominated by the digenean Mesocoelium sp. Fifty-five per cent of frogs were infected with only 1 helminth species and only 1 frog had more than 2 species, resulting in low diversity values. These results support previous studies which indicate that amphibians have depauperate helminth communities.  相似文献   
100.
A succession of Sirius Group glacigene sediments which crop out along the western margins of the Beardmore valley between Cherry Icefall and Hewson Glacier, below The Cloudmaker, is designated as the stratotype of the Cloudmaker Formation. This new formation overlies a multiply glaciated pavement (Dominion Erosion Surface) cut into the Precambrian Goldie Formation, and is disconformably overlain by the Meyer Desert Formation (Sirius Group). The Cloudmaker Formation comprises bedded and massive diamictons, bedded sands and silts, and laminated clays. Assemblages of foraminifera occur throughout the Cloudmaker Formation and indicate that these basal Sirius Group sediments were deposited in brackish glacial marine environments. The general absence of diatoms suggest these marine waters were ice-covered. Similar marine assemblages are also present in basal Sirius Group sediments at Oliver Bluffs, Dominion Range. Recycled marine diatom assemblages in the Sirius Group at the latter locality indicate that the host sediments have an age of < 3.8 Ma (Pliocene). The Cloudmaker Formation is placed in the Pliocene, although a latest Miocene age for the basal sediments cannot be ruled out.Stratigraphie, sedimentologic, and paleontologic evidence suggests that Beardmore valley was occupied by a fjord and tidewater glacier system that extended at least 165 km through the Transantarctic Mountains from the southwestern Ross Sea. The stratigraphy of The Cloudmaker Formation consists of a succession of members separated by disconformities. It is hypothesised that these strata were deposited by a dynamic valley glacier system that underwent a history of glacier advance and grounding alternating with glacier retreat and flotation over a marine water column. A combination of fjord basin sediment filling and sea-level oscillations may also have influenced the pattern of glacier ice advance and retreat within Beardmore Paleofjord. The marine Cloudmaker Formation is overlain by the terrestrial diamicton dominated Meyer Desert Formation. At Oliver Bluffs, the Meyer Desert Formation diamictons are interbedded with fluvial, and lacustrine sediments; successions that contain in situ vascular plant fossils (principally the Southern Beech Nothofagus), mosses, and beetle remains. A Magellanic-type flora and fauna occupied the coastal margins of the Beardmore Paleofjord. The vertical transition from the basal marine Cloudmaker Formation to terrestrial Meyer Desert Formation provides a sea-level datum that can be used to assess the extent of post-Sirius Group tectonic uplift. Uplift rates at the Cloudmaker section, 90 km inland from the Transantarctic Mountain front or rift shoulder margin in the Queen Alexandra Mountain block are determined to be ~ 429 or ~ 350 m/Myr. This assumes a total uplift of 1331 m for the uppermost marine sediments of the Cloudmaker Formation, and maximum diatom-based ages for the Sirius Group of < 3.1 Ma or < 3.8 Ma. Gross similarities in stratigraphy and interpreted paleoenvironments are apparent between The Cloudmaker succession (Beardmore Paleofjord) and the upper Miocene-Pliocene successions at the mouth of Taylor Paleofjord, 800 km to the north. Contrasting present day elevational settings for these two widely separated marine successions indicates the post-Sirius rate of tectonic uplift for the Transantarctic Mountains has been significantly greater in the Queen Alexandra block.  相似文献   
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