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从体制角度研究规避我国社会医疗保险中道德风险的对策   总被引:1,自引:0,他引:1  
从体制角度规避我国社会医疗保险中道德风险。总体思路是:在吸取国内外规避道德风险的经验教训的基础上,在保证我国社会医疗保险的保障功能的前提下,根据我国的实际情况,从医患双方入手,采取一系列制度性的举措,以遏制道德风险的蔓延。  相似文献   
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背部循经推拿对39例心理性亚健康患者的调治作用   总被引:1,自引:0,他引:1  
目的观察背部循经推拿对心理性亚健康的临床疗效。方法将80例心理性亚健康患者随机分为观察组和对照组各40例。观察组采用背部循经推拿调治,对照组则根据具体情况有针对性地开展心理行为指导和支持性心理治疗。观察两组的临床疗效,并对两组患者治疗前后主要症状量表及汉密尔顿抑郁量表24项(HAMD-24)积分进行统计分析。结果观察组总有效率为92.30%,对照组为56.76%,两组比较差异有统计学意义(P0.01)。两组治疗后主要症状量表积分及观察组治疗后HAMD-24积分均较本组治疗前明显改善(P0.01),且观察组改善程度优于对照组(P0.01)。结论背部循经推拿可以有效改善心理性亚健康的主要症状。  相似文献   
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The effects of stigma, social support, and depressive symptoms on health‐related quality of life are well documented in the literature, but how these psychological factors interact with each other, and the combined effects when taken together on the health‐related quality of life for people living with HIV, remain unclear. This cross‐sectional study investigated 114 people living with HIV who were taking antiretroviral medication using the HIV/AIDS‐related Stigma Scale (Chinese version), the Social Support Rating Scale, the Center for Epidemiological Studies Depression Scale, and the Medical Outcomes Study–HIV health survey. Multiple linear regression analyses were used to examine the mediation effect of the psychosocial factors on health‐related quality of life. Results showed that stigma and social support did not have direct effects, but indirect effects on health‐related quality of life through a full mediation effect of depressive symptoms. The results indicate that interventions targeting depression might be the most effective approach to improving health‐related quality of life among people living with HIV who are taking antiretroviral medication in China.  相似文献   
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检测PSCA和Oct-4蛋白在乳腺癌早期诊断的临床意义   总被引:1,自引:0,他引:1  
目的研究前列腺干细胞抗原(PSCA)和Oct-4蛋白在乳腺良性增生性疾病和乳腺癌组织中的表达及临床意义。方法利用免疫组织化学技术检测乳腺浸润性导管癌、纤维囊性乳腺病和导管内乳头状瘤组织中PSCA和Oct-4蛋白的表达。结果PSCA和Oct-4蛋白阳性信号主要位于细胞质和细胞膜;乳腺浸润性导管癌和纤维囊性乳腺病组织中PSCA和Oct-4蛋白的阳性率和阳性表达强度明显高于导管内乳头状瘤;2种蛋白在乳腺浸润性导管癌和纤维囊性乳腺病组织中的阳性率和阳性表达强度未见明显差异;PSCA和Oct-4蛋白的阳性表达强度与乳腺浸润性导管癌的组织学分级无关。结论高表达PSCA和Oct-4蛋白的细胞可能是“癌干细胞”,可能主要参与乳腺癌的发生,检测乳腺良性增生性病变中PSCA和/或Oct-4蛋白的表达水平对预防和早期发现乳腺癌可能有较重要临床价值。  相似文献   
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目的:研究不同白术样品中两种白术内酯的变化,为白术的质量控制提供依据。方法:HPLC法。结果:不同采收时期白术含两种白术内酯的含量变化无明显规律,在不同提取方法实验中以甲醇超声波提取最优,不同产地实验中以湖南平江白术两种白术内酯含量最高。结论:白术药材中两种白术内酯含量受产地和提取方法的影响较大,与采收时期无明显相关性。  相似文献   
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BackgroundEffective triage is an important part of high quality emergency care, yet is frequently lacking in resource-limited settings. The South African Triage Scale (SATS) is designed for these settings and consists of a numeric score (triage early warning score, TEWS) and a list of clinical signs (known as discriminators). Our objective was to evaluate the implementation of SATS at a new teaching hospital in Haiti.MethodsA random sample of emergency department charts from October 2013 were retrospectively reviewed for the completeness and accuracy of the triage form, correct calculation of the triage score, and final patient disposition. Over and under triage were calculated. Comparisons were evaluated with chi-squared analysis.ResultsOf 390 charts were reviewed, 385 contained a triage form and were included in subsequent analysis. The final triage color was recorded for 68.4% of patients, clinical discriminators for 48.6%, and numeric score for 96.1%. The numeric score was calculated correctly 78.3% of the time; in 13.2% of patients a calculation error was made that would have changed triage priority. In 23% of cases, chart review identified clinical discriminators should have been circled but were not recorded. Overtriage and undertriage were 75.6% and 7.4% respectively.ConclusionThis study demonstrates that with limited structured training, SATS was widely adopted, but the clinical discriminators were used less commonly than the numeric score. This should be considered in future implementations of SATS.  相似文献   
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HIV prevalence among Chinese men who have sex with men has rapidly increased in recent years. In this randomized, controlled study, we tested the feasibility and efficacy of motivational interviewing to reduce high‐risk sexual behaviors among this population in Changsha, China. Eighty men who have sex with men were randomly assigned to either the intervention group, in which participants received a three‐session motivational interviewing intervention over 4 weeks, or the control group, in which participants received usual counseling from peer educators. High‐risk behavior indicators and HIV knowledge level were evaluated at baseline and 3 months after the intervention. Motivational interviewing significantly improved consistent anal condom use. However, there was no significant change in consistent condom use for oral sex or in the number of sexual partners over time. HIV knowledge scores improved equally in both groups. This study demonstrated that an intervention using motivational interviewing is feasible and results in increased condom use during anal sex for Chinese men who have sex with men. However, further work must be done to increase the use of condoms during oral sexual encounters.  相似文献   
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