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Background

The traditional classification of COPD, which relies solely on spirometry, fails to account for the complexity and heterogeneity of the disease. Phenotyping is a method that attempts to derive a single or combination of disease attributes that are associated with clinically meaningful outcomes. Deriving phenotypes entails the use of cluster analyses, and helps individualize patient management by identifying groups of individuals with similar characteristics. We aimed to systematically review the literature for studies that had derived such phenotypes using unsupervised methods.

Methods

Two independent reviewers systematically searched multiple databases for studies that performed validated statistical analyses, free of definitive pre-determined hypotheses, to derive phenotypes among patients with COPD. Data were extracted independently.

Results

9156 citations were retrieved, of which, 8 studies were included. The number of subjects ranged from 213 to 1543. Most studies appeared to be biased: patients were more likely males, with severe disease, and recruited in tertiary care settings. Statistical methods used to derive phenotypes varied by study. The number of phenotypes identified ranged from 2 to 5. Two phenotypes, with poor longitudinal health outcomes, were common across multiple studies: young patients with severe respiratory disease, few cardiovascular co-morbidities, poor nutritional status and poor health status, and a phenotype of older patients with moderate respiratory disease, obesity, cardiovascular and metabolic co-morbidities.

Conclusions

The recognition that two phenotypes of COPD were often reported may have clinical implications for altering the course of the disease. This review also provided important information on limitations of phenotype studies in COPD and the need for improvement in future studies.

Electronic supplementary material

The online version of this article (doi:10.1186/s12931-015-0208-4) contains supplementary material, which is available to authorized users.  相似文献   
84.
钩藤属植物中吲哚生物碱的研究进展   总被引:2,自引:0,他引:2  
本文对钩藤属植物中吲哚生物碱类成分的植物来源、骨架结构、波谱学特征及生物活性研究进展进行了综述,希望为药理学、天然药物化学、中药化学等领域的研究者提供参考。  相似文献   
85.
复习基因工程的内容时,抓住怎样培育抗虫棉这一核心进行多方位多角度的联想,将联想到的内容编写成相应的问题,从而在引出、深入、延伸核心问题等层面上展开复习,以求达到精雕思维,提升素养的目的。  相似文献   
86.
用FTA采样卡和普通定性滤纸采集藏绵羊血样,采用NaOH法提取血液基因组DNA,利用设计的一对引物对DRB1基因第三外显子进行扩增,通过PCR产物琼脂糖凝胶检测,对普通定性滤纸与FTA采样卡的两种提取DNA的方法进行比较,结果认为采用普通定性滤纸-NaOH法提取血液基因组DNA,NaOH的最佳洗涤浓度是25 mmol/L,采用FTA-NaOH法提取血液基因组DNA,NaOH的最佳洗涤浓度是20 mmol/L,但普通定性滤纸法提取血液基因组DNA平均成本远低于FTA采样卡,普通定性滤纸法提取血液基因组DNA具有快速、便捷、经济及高效的特点.  相似文献   
87.
Mossakowski D  Dormann W 《ZooKeys》2011,(100):273-286
The evaluation of ecological field data can be done by an increasing number of quantitative methods. The application of these methods often is often blind against two kinds of problems: (i) the data often do not meet the requirements of a method, e.g., as an ultra-metric structure of the data in the case of hierarchical cluster analysis. In such cases, the result will be misleading because the presentation of results is ultra-metric independent on the structure of the data. (ii) Most of the animals are able to move actively or may drift passively by wind, etc. Therefore, species occurring by accident like vagrants have to be eliminated from the assemblage of animals at a particular site before a quantitative method is applied. In addition, the result of a quantitative analysis has to be checked for its ecological plausibility. This is a qualitative step, which can only be done by taking into account the known data on biology and ecology of the species.Some pitfalls of an exclusive application of quantitative methods will be demonstrated in this paper using a data set of salt marsh Carabidae.  相似文献   
88.
Anichtchenko A 《ZooKeys》2011,(155):1-50
Species of the genus Singilis Rambur, 1837 (Phloeozeteus Peyron, 1856, syn. n., Agatus Motschulsky, 1845, syn. n.), occurring in the Middle East and Central Asia are reviewed, with 24 species now recognized in the region, including ten species described as new: Singilis makarovi sp. n. (Tajikistan), Singilis jedlickai sp. n. (Afghanistan), Singilis kolesnichenkoi sp. n. (Iran), Singilis kabakovi sp. n. (Afghanistan, Iran), Singilis timuri sp. n. (Uzbekistan), Singilis klimenkoi sp. n. (Iran), Singilis saeedi sp. n. (Iran), Singilis felixi sp. n. (UAE), Singilis kryzhanovskii sp. n. (Iran, Turkmenistan), and Singilis timidus sp. n. (Iran); Singilis libani (Sahlberg, 1913) is recognized as a valid species; and Singilis solskyi nom. n. is proposed as a replacement name for Agatus bicolor (Solsky, 1874, not Rambur 1837), now placed in Singilis as junior homonym. New synonymies include: Singilis cingulatus (Gebler, 1843) = Singilis jakeschi Jedlička, 1967, syn. n.; Singilis mesopotamicus Pic, 1901 = Singilis apicalis Jedlička, 1956, syn. n. A key to species is provided. Habitus and aedeagal illustrations are provided for all species. Distributional data include many new country records.  相似文献   
89.
Compared with the application of mathematical models to study human diseases, models that describe animal responses to pathogen challenges are relatively rare. The aim of this review is to explain and show the role of mathematical host-pathogen interaction models in providing underpinning knowledge for improving animal health and sustaining livestock production. Existing host-pathogen interaction models can be assigned to one of three categories: (i) models of the infection and immune system dynamics, (ii) models that describe the impact of pathogen challenge on health, survival and production and (iii) models that consider the co-evolution of host and pathogen. State-of-the-art approaches are presented and discussed for models belonging to the first two categories only, as they concentrate on the host-pathogen dynamics within individuals. Models of the third category fall more into the class of epidemiological models, which deserve a review by themselves. An extensive review of published models reveals a rich spectrum of methodologies and approaches adopted in different modelling studies, and a strong discrepancy between models concerning diseases in animals and models aimed at tackling diseases in humans (most of which belong to the first category), with the latter being generally more sophisticated. The importance of accounting for the impact of infection not only on health but also on production poses a considerable challenge to the study of host-pathogen interactions in livestock. This has led to relatively simplistic representations of host-pathogen interaction in existing models for livestock diseases. Although these have proven appropriate for investigating hypotheses concerning the relationships between health and production traits, they do not provide predictions of an animal's response to pathogen challenge of sufficient accuracy that would be required for the design of appropriate disease control strategies. A synthesis between the modelling methodologies adopted in categories 1 and 2 would therefore be desirable. The progress achieved in mathematical modelling to study immunological processes relevant to human diseases, together with the current advances in the generation and analysis of biological data related to animal diseases, offers a great opportunity to develop a new generation of host-pathogen interaction models that take on a fundamental role in the study and control of disease in livestock.  相似文献   
90.
Identifying the factors that influence the citation of articles helps authors improve the impact and reach of their research. Analysis of publications in the Journal of Fish Biology between 2008 and 2021 revealed that variables such as the number of keywords, abstract length, number of authors, and page length were associated with higher impact papers. These trends applied to both review and regular papers. These findings suggest that papers that are more informative, have higher numbers of authors, and have more keywords are more likely to be cited. Adoption of some simple “best-practice” behaviors can improve the likelihood that a paper is cited.  相似文献   
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