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11.
Gaurav Chikara Pramod Kumar Sharma Pradeep Dwivedi Jaykaran Charan Sneha Ambwani Surjit Singh 《Indian journal of clinical biochemistry : IJCB》2018,33(2):121-131
Prevalence of diabetes mellitus, a chronic metabolic disease characterized by hyperglycemia, is growing worldwide. The majority of the cases belong to type 2 diabetes mellitus (T2DM). Globally, India ranks second in terms of diabetes prevalence among adults. Currently available classes of therapeutic agents are used alone or in combinations but seldom achieve treatment targets. Diverse pathophysiology and the need of therapeutic agents with more favourable pharmacokinetic-pharmacodynamics profile make newer drug discoveries in the field of T2DM essential. A large number of molecules, some with novel mechanisms, are in pipeline. The essence of this review is to track and discuss these potential agents, based on their developmental stages, especially those in phase 3 or phase 2. Unique molecules are being developed for existing drug classes like insulins, DPP-4 inhibitors, GLP-1 analogues; and under newer classes like dual/pan PPAR agonists, dual SGLT1/SGLT2 inhibitors, glimins, anti-inflammatory agents, glucokinase activators, G-protein coupled receptor agonists, hybrid peptide agonists, apical sodium-dependent bile acid transporter (ASBT) inhibitors, glucagon receptor antagonists etc. The heterogeneous clinical presentation and therapeutic outcomes in phenotypically similar patients is a clue to think beyond the standard treatment strategy. 相似文献
12.
R. Kumar R. Kapoor B. Mittal A. Kumar R. D. Mittal 《Indian journal of clinical biochemistry : IJCB》2003,18(2):209-215
Metabolic abnormalities were investigated in 44 stone patients with first time (group 1) and 56 with 2 times stone formation
(group 2), and in 25 normal individuals. 24hr urine was analysed spectrophotometrically for oxalate, calcium, magnesium, citrate,
uric acid, phosphate and creatinine. Hypocitraturia and hyperoxaluria were the common abnormalities in the stone formers.
Stone patients had significantly higher urinary oxalate, calcium and uric acid and lower phosphate than normal individuals.
Citrate/calcium and magnesium/calcium ratio were significantly high in normal individuals than stone formers. Patients in
group 2 excreted significantly higher urinary calcium and lower citrate that patients in group 1. Citrate/calcium ratio was
higher in group 1 than group 2. Hypocitraturia, hyperoxaluria, hypercalciuria and increased citrate/calcium and magnesium/calcium
ratio seem to be an essential risk factor for stone formation. Patients with recurrent stone formation could be distinguished
from patients with first time stone formation on the basis of urinary calcium and citrate. 相似文献
13.
R. Kumar S. B. Pachori G. K. Senger Satyanand L. D. Joshi 《Indian journal of clinical biochemistry : IJCB》1994,9(2):72-74
Aim of present study was to compare the adenosine deaminase (ADA) activity in various types of arthritis conditions with synovial
effusion. No. significant difference was observed in ADA activity in serum of control and study groups but results have shown
a definite pattern of ADA activity in synovial fluid in various arthritic conditions. The highest value of ADA activity was
observed in synovial fluid of patients with tubercular arthritis followed by rheumatoid, septic, osteo and post traumatic
arthritis. Thus measurement of ADA activity in synovial fluid can be used as a parameter of differential diagnosis of arthritis
specially tubercular in initial stages. 相似文献
14.
In this study, a simple roller burnishing tool was made to operate burnishing processes on A356/5%SIC metal matrix composite fabricated by electromagnetic stir casting under different parameters. The effects of burnishing speed, burnishing force and number of burnishing passes on the surface roughness and tribological properties were measured. Scanning electron microscopy (SEM) graphs of the machined surface with PCD (insert-10) tool and roller burnished surface with tungsten carbide (WC) roller were taken into consider- ation to observe the surface finish of metal matrix composites. The mechanical properties (tensile strength, hardness, duc- tility) of A356/5%SIC metal matrix composites were studied for both unburnished samples and burnished samples. The results revealed that the roller burnished samples of A356/ 5%SIC led to the improvement in tensile strength, hardness and ductility. In order to find out the effects of roller bur- nishing process parameters on the surface roughness of A356/ 5%SIC metal matrix composite, response surface methodol- ogy (RSM) (Box-Behnken design) was used and a prediction model was developed relevant to average surface roughness using experimental data. In the range of process parameters, the result shows that roller burnishing speed increases, and surface roughness decreases, but on the other hand roller burnishing force and number of passes increase, and surface roughness increases. Optimum values of burnishing speed (1.5 m/s), burnishing force (50 N) and number of passes (2) during roller burnishing of A356/5%SIC metal matrix com- posite to minimize the surface roughness (predicted 1.232 μm) have been found out. There was only 5.03% error in the experimental and modeled results of surface roughness. 相似文献
15.
Marian Reiff Meeta Kumar Batsirai Bvunzawabaya Soumya Madabhushi Alaina Spiegel Benjamin Bolnick 《Journal of College Student Psychotherapy》2019,33(2):107-130
Addressing the need for suicide prevention on campus, I CARE training, developed and facilitated by counseling center clinicians, trains students, staff, and faculty to provide support to students experiencing distress or mental health problems. We assessed its impact using a mixed-methods approach. Quantitative analyses demonstrated significant increases in knowledge of intervention skills and readiness to intervene from pretraining to posttraining. Knowledge and readiness remained significantly higher than preworkshop for the entire follow-up evaluation period, extending 15 months posttraining. Qualitative analyses revealed the value of experiential activities and emotional processing in increasing participants’ comfort and preparedness to intervene in challenging situations. 相似文献
16.
Amitabha Ray Anil Kumar Bahadur S. L. Dayalu Naik Bhuvnesh Kumar Sharma 《Indian journal of clinical biochemistry : IJCB》2001,16(2):199-202
Endogenous oestrogens are thought to be involved in breast cancer, but few studies could show the direct relationship between
hormones and pathological process of the disease. In the present study, oestradiol was estimated in the serum of pre-and postmenopausal
breast cancer patients along with normal healthy controls and patients with carcinoma of the uterine cervix which is not dependent
on oestrogens. Premenopausal patients with breast cancer showed higher levels of oestradiol as compared to premenopausal control
women as well as cervical cancer patients. Whereas, no statistically significant differences were observed in serum oestradiol
levels amongst postmenopausal groups of breast cancer, cervical cancer and normal women. The result of the study reflects
the association of oestradiol as well as its difference in the pathological events of pre and postmenopausal breast cancer. 相似文献
17.
Gupta S Verma M Gupta AK Kaur A Kaur V Singh K 《Indian journal of clinical biochemistry : IJCB》2011,26(2):178-181
Thyroid function tests are very important for the diagnosis and monitoring of patients with thyroid dysfunction. The guidelines
recommend serum thyroid stimulating hormone (TSH) as the single most reliable test to diagnose all common forms of hypothyroidism
and hyperthyroidism. The aim of this study was to analyze the ordering pattern for thyroid function tests by physicians and
the analysis of results based on the clinical history. The mean age of the patients was 32.5 ± 6.5 years. Majority of samples
(87.7% of total) were received from the departments of Medicine and Gynae. Thyroid profiles (47.5%) were ordered more frequently
as compared to TSH only (46%). There was no significant difference in the percentage of normal reports for both types of tests.
77.8% of TFT and 76.6% of TSH samples had results within the reference range. The percentage of abnormal results was 13.7%
in the patients who were screened for thyroid disorders. There is a need to redefine the case definition for thyroid dysfunction
and order the appropriate test in a rational and cost effective manner. 相似文献
18.
Suneesh Kumar Pachathundikandi Earaly Thomas Varghese 《Indian journal of clinical biochemistry : IJCB》2006,21(2):114-117
Blood zinc protoporphyrin (ZPP), serum total protein (TP), and total cholesterol (TC) levels in automobile workshop workers
in relation to lead toxicity were analysed. In the present study, automobile workshop workers (healthy male workers at an
age between 28 and 35 from four major automobile workshops in Kottayam, Kerala State, India) and the control (male healthy
adults at an age between 28 and 35 residing at Aymanam, a distant village at Kottayam District, Kerala having reduced or no
chance of lead exposure) displayed significant difference in blood lead (BPb) and blood ZZP (BZPP) level. The mean value of
BPb in automobile workshop workers was 15.76±0.33 μg/dl, while in the control it was 8.20±0.15 μg/dl. In automobile workshop
workers, the mean value of BZPP was 34.2±0.62 μg/dl. The control group exhibited a mean of 11.5±0.22 μg/dl. Automobile workshop
workers exhibited significant increase in BZPP was corresponding to the increase in BPb level. The total protein levels estimated
in automobile workshop workers showed significant decrease compared to control individuals, but was within the reference range
of healthy individuals. The mean value of TP level in automobile workshop workers and control was 6.9±0.13 g/dl and 7.71±0.18
g/dl, respectively. There was no significant difference in blood haemoglobin (BHb) level among the automobile workshop workers
and control. The serum TC level in automobile workshop workers showed significant decrease compared to the control individuals,
but was with in the reference range of healthy individuals. The mean level of serum TC in automobile workshop workers was
162.00±3.44 mg/dl and the same in control was 172.86±4.32 mg/dl. The present study affirms occupational lead toxicity in automobile
workshop workers and its effect on serum protein and cholesterol levels. 相似文献
19.
Traditionally the kinetics of a chemical reaction has been studied as a set of coupled ordinary differential equations. The law of mass action, a tried and tested principle for reactions involving macroscopic quantities of reactants, gives rise to deterministic equations in which the variables are species concentrations. In recent years, though, as smaller and smaller systems – such as an individual biological cell, say – can be studied quantitatively, the importance of molecular discreteness in chemical reactions has increasingly been realized. This is particularly true when the system is far from the ‘thermodynamic limit’ when the numbers of all reacting molecular species involved are several orders of magnitude smaller than Avogadro’s number. In such situations, each reaction has to be treated as a probabilistic ‘event’ that occurs by chance when the appropriate reactants collide. Explicitly accounting for such processes has led to the development of sophisticated statistical methods for simulation of chemical reactions, particularly those occurring at the cellular and sub-cellular level. In this article, we describe this approach, the so-called stochastic simulation algorithm, and discuss applications to study the dynamics of model regulatory networks. 相似文献
20.
This study investigated the effect of Pen-Point and Powerbook computers on solving a multiple step chemistry (molaritý) problem among White, Afro-American and Hispanic students (N=60) at the high school level. The screens on both computers were partitioned into a work field and a reasoning field. Both computers were programmed to record the time spent in each field, the number of entries made, and a copy of the entries made. Statistical analysis of data showed that more of the White and Afro-American Pen-Point computer users solved the problem correctly than did students using the Powerbook computer. All three ethnic groups made fewer entries, and took less time using the Pen-Point computer than the Powerbook. Attitude survey results of all ethnic groups showed that more Pen-Point computer users felt comfortable working with computers. Over all, the results suggest that the Pen-Point computer has a more positive effect on the problem solving performance and attitude of students towards computers than the Powerbook computer. 相似文献