全文获取类型
收费全文 | 1684篇 |
免费 | 92篇 |
国内免费 | 20篇 |
专业分类
耳鼻咽喉 | 19篇 |
儿科学 | 47篇 |
妇产科学 | 77篇 |
基础医学 | 132篇 |
口腔科学 | 60篇 |
临床医学 | 99篇 |
内科学 | 380篇 |
皮肤病学 | 35篇 |
神经病学 | 28篇 |
特种医学 | 71篇 |
外国民族医学 | 2篇 |
外科学 | 485篇 |
综合类 | 16篇 |
一般理论 | 2篇 |
预防医学 | 67篇 |
眼科学 | 47篇 |
药学 | 82篇 |
中国医学 | 3篇 |
肿瘤学 | 144篇 |
出版年
2024年 | 1篇 |
2023年 | 28篇 |
2022年 | 27篇 |
2021年 | 90篇 |
2020年 | 63篇 |
2019年 | 83篇 |
2018年 | 112篇 |
2017年 | 68篇 |
2016年 | 58篇 |
2015年 | 57篇 |
2014年 | 87篇 |
2013年 | 105篇 |
2012年 | 153篇 |
2011年 | 176篇 |
2010年 | 101篇 |
2009年 | 71篇 |
2008年 | 74篇 |
2007年 | 66篇 |
2006年 | 52篇 |
2005年 | 65篇 |
2004年 | 69篇 |
2003年 | 54篇 |
2002年 | 46篇 |
2001年 | 8篇 |
2000年 | 12篇 |
1999年 | 4篇 |
1998年 | 4篇 |
1997年 | 3篇 |
1996年 | 6篇 |
1995年 | 2篇 |
1994年 | 2篇 |
1991年 | 2篇 |
1989年 | 3篇 |
1988年 | 5篇 |
1987年 | 1篇 |
1986年 | 7篇 |
1985年 | 9篇 |
1984年 | 7篇 |
1983年 | 3篇 |
1982年 | 3篇 |
1981年 | 1篇 |
1980年 | 2篇 |
1977年 | 2篇 |
1976年 | 1篇 |
1968年 | 1篇 |
1965年 | 2篇 |
排序方式: 共有1796条查询结果,搜索用时 31 毫秒
1.
Amr Abdelhamid AbouZeid Sherif Elhussiny Ibrahim Shaimaa Abdelsattar Mohammad Ahmed Bassiouny Radwan Mohamed Eldebeiky Ahmed Medhat Zaki 《Journal of pediatric surgery》2019,54(3):471-478
Purpose
To identify anatomical aberrations following PSARP procedure by using MRI, while correlating MRI findings to clinical outcome.Patients and methods
Between January 2014 and December 2017, we conducted our study on male patients with rectourethral fistula who underwent PSARP. Postoperative pelvic MRI studies were performed and correlated to their clinical continence scores (Rintala, and Krickenbeck classification).Results
The study included 31 patients. Fourteen patients were retrieved from the hospital records and accepted to participate in the study; while the remaining 17 were collected from the fecal incontinence clinic. Their age ranged from 40 to 156?months (mean 83) We divided patients in the study into two groups according to their Rintala continence scores: (Group A) 15 patients with low scores (10 or less); and (Group B) 16 patients with higher scores (more than 10). We detected wider pelvic hiatus (hiatus/PC ratio) and more obtuse anorectal angle in group A than B.Conclusion
Several anatomical alterations can be detected by MRI following the PSARP procedure that include abnormalities in the striated muscle sphincter (attenuation/deficiency), deviated neorectum, and presence of excessive perirectal fat. A widened pelvic hiatus and/or obtuse anorectal angle may correlate with poor fecal continence in these patients.Level of Evidence
This is a case control study (level III evidence). 相似文献2.
Sania Amr Magdy Garas Dina N. K. Boulos Doa’a A. Saleh Irene A. Jillson Christopher A. Loffredo 《Journal of substance use》2019,24(3):341-345
Background: Egyptian street youth use substances including tobacco, illicit drugs, and pharmaceutical drugs. To understand the circumstances, including adverse childhood experiences, that place adolescents at risk for engaging in substance use, we conducted in-depth interviews among a sample of Egyptian street children. Methods: From youth residing at or attending Caritas, a non-profit organization, which provides shelter and education to street youth, seven girls and twelve boys, aged 12–18 years, participated in open-ended, in-depth interviews. Results: Eight out of the 19 participants reported family history (early exposure) to substance use; and seven of them were initiated by either a family member (sibling), friend or coworker. Most of the participants reported a history of conflict with or abuse (verbal or physical) by their parents or siblings, or stressful situations at home; they used substance(s) to alleviate their stress. Few attended school, and some were forced to work and help their family. Conclusions: Among Egyptian youth, adverse childhood experiences, such as poverty, child abuse, and family substance use, challenge somewhat susceptible youths and lead them to the path of substance use and addiction. Prevention intervention should be multifaceted, culturally adaptable, and primarily targeting the social environment during childhood. 相似文献
3.
Sahar El-Kadeem Shaymaa El Nemr Doaa El Amrousy Amr Zoair 《Journal of the Saudi Heart Association》2019,31(4):188-197
ObjectivePerimembranous ventricular septal defect (pmVSD) is a common congenital heart disease (CHD) usually treated with either catheter or surgical closure. Superiority of one procedure over the other in children is still a matter of debate. We performed this meta-analysis to compare the clinical outcomes and cost of transcatheter and surgical closure of pmVSD in children.Materials and methodsWe searched seven databases (MEDLINE, PubMed, EMBASE, Google Scholar, CENTRAL, CINHAL, and Cochrane library) and literature references for articles published in the past 10 years (between January 2008 and January 2018) comparing closure of pmVSD by both procedures in children. The outcomes of interest were success rate, residual shunt, need for blood transfusion, complications especially complete atrioventricular block, length of hospital stay, and cost.ResultsA total of 1750 articles were identified. However, only five studies fulfilled the inclusion criteria. As regards success rate, no significant difference was found between surgical and catheter closure. Residual shunt was significantly lower in catheter closure than surgical closure [risk ratio (RR) = 0.44; 95% confidence interval (CI), 0.23–0.83, p = 0.01). The need for blood transfusion and the length of hospital stay were significantly lower in the catheter closure compared to surgical closure (RR = 0.02; 95% CI, 0.01–0.08; p < 0.00001), (RR = ?4.81; 95% CI, ?7.76 to ?1.86; p = 0.001), respectively. However, overall complications, complete atrioventricular block, and the cost were comparable in both procedures.ConclusionTranscatheter closure of pmVSD in children was as effective as surgical closure with a lower residual shunt and need for blood transfusion, and shorter hospital stay. 相似文献
4.
Randomized Pilot Study of 20 Gy in 5 Fractions versus 27 Gy in 3 Fractions Radiotherapy for Treating Painful Bone Metastases: A Single Institution Experience 下载免费PDF全文
Amr SakrWedad Bassam HashemNadia EbrahimKarim Nabil Mashhour 《Asian Pacific journal of cancer prevention》2020,21(6):1807-1811
Purpose: Radiotherapy is a very effective tool in the treatment of painful bone metastases. The aim of this study was to compare the palliative effect of radiotherapy between the standard fractionation schedule 20 Gy over 5 fractions (20Gy/5fr) and the high biological dose schedule 27 Gy over 3 fractions (27Gy/3fr) which is frequently used in Stereotactic body radio-surgery (SBRT). Methods: Patients were randomized to receive (20Gy/5fr)or (27Gy/3fr). The primary aim of the study was pain relief using the numeric rating scale (NRS), after three months of radiation therapy. Secondary end points include pain relief immediately after finishing radiation therapy (within one week), and narcotic relief after three months of radiation therapy. Results: Twenty-two patients with painful bone metastases were included. 12 patients received (20Gy/5fr) and 10 patients received (27Gy/3fr). Male patients were predominant on both arms (81.8%) with a mean age of 58 years [ranging between 19-72 years]. For pain relief after three months of radiation therapy, partial pain relief was documented in 9 patients (75%) with (20Gy/5fr) and in 8 patients (80%) with (27Gy/3fr) with a p- value of 0.6. Additionally, narcotic relief after three months was equal for both groups. For immediate pain relief, partial pain relief was seen in one patient (8%) with (20Gy/5fr) versus seven patients (70%) with (27Gy/3fr) with a p value of 0.06. The increase in immediate pain relief in the 27Gy arm was numerically but not statistically significant. Conclusion: SBRT and standard fractionation radiation therapy had equal effectiveness for pain relief, when the assessment was done after three months of radiation therapy. Interestingly, SBRT had a better immediate pain relief. 相似文献
5.
6.
Shabnam Sood Gilbert Ramos Nancy Van Der Veer Curt Bay B. Rose Kaur Amr Nasef Napatkamon Ayutyanot 《Psychiatry, Psychology and Law》2020,27(4):637
We have noticed an increase in the number of patients who go through the court-ordered evaluation (COE) process but are not placed on a court-ordered treatment, and who then return to the hospital on another COE petition within one year from their initial discharge. The aim of this study is to examine what factors might be involved in rehospitalization in this population of psychiatric patients. The records of 146 readmitted patients and 146 randomized patients not readmitted were compared for various risk factors. Data were analyzed using univariate and mutivariate procedures. All patients who had diagnoses of substance-induced mood or psychotic disorders were readmitted within one year. Other risk factors included younger age, seriously mentally ill (SMI) status, longer length of stay and having a psychotic or schizophrenia spectrum disorder. Substance-induced mood or psychotic disorder may play significant roles for patients who are rehospitalized within a year of initial COE.Key words: Civil commitment, court mandated, involuntary treatment, rehospitalization, risk factors, seriously mentally ill 相似文献
7.
Amr M. Elnaghy Shaymaa E. Elsaka Alaa H. Elshazli 《Australian endodontic journal : the journal of the Australian Society of Endodontology Inc》2020,46(2):226-233
This study evaluated the dynamic cyclic and torsional fatigue resistance of recently introduced TruNatomy instruments (TRN) and compare with HyFlex CM (HFC), Vortex Blue (VB) and FlexMaster (FM) instruments. Size 20, 0.04 taper of TRN, HFC, VB and FM instruments was tested for dynamic cyclic and torsional fatigue resistance. Dynamic cyclic fatigue resistance was evaluated using an artificial canal with a radius of 5 mm and a 90° angle of curvature. The number of cycles to failure (NCF) was calculated. The dynamic torsional fatigue resistance was evaluated by holding a 5 mm of the tip of each instrument in a metal block with composite resin. Torsional fatigue resistance was recorded by counting the number of load applications before fracture for each instrument. The HFC instruments had greater fatigue resistance than VB, TRN and FM. FM had a higher resistance to torsional stress than TRN, HFC and VB instruments. 相似文献
8.
9.
Free functioning gracilis transplantation for reconstruction of elbow and hand functions in late obstetric brachial plexus palsy 下载免费PDF全文
Tarek A. El‐Gammal M.D. Amr El‐Sayed M.D. Mohamed M. Kotb M.D. Waleed Riad Saleh M.D. Yasser Farouk Ragheb M.D. Omar Refai M.D. Mohamed Mohamed Morsy M.D. 《Microsurgery》2015,35(5):350-355
Background: In late obstetric brachial plexus palsy (OBPP), restoration of elbow and hand functions is a difficult challenge. The use of free functioning muscle transplantation in late OBPP was very scarcely reported. In this study, we present our experience on the use of free functioning gracilis transfer for restoration of elbow and hand functions in late cases of OBPP. Patients and Methods: Eighteen patients with late OBPP underwent free gracilis transfer for reconstruction of elbow and/or hand functions. The procedure was indicated when there was no evidence of reinnervation on EMG and in the absence of local donors. Average age at surgery was 102.5 months. Patients were evaluated using the British Medical Research Council (MRC) grading system and the Toronto Active Movement Scale. Hand function was evaluated by the Raimondi scoring system. Results: The average follow‐up was 65.8 ± 41.7 months. Contraction of the transferred gracilis started at an average of 4.5 ± 1.03 months. Average range of elbow flexion significantly improved from 30 ± 55.7 to 104 ± 31.6 degrees (P <0.001). Elbow flexion power significantly increased with an average of 3.8 grades (P = 0.000147). Passive elbow range of motion significantly decreased from an average of 147 to 117 degrees (P = 0.003). Active finger flexion significantly improved from 5 ± 8.3 to 63 ± 39.9 degrees (P < 0.001). Finger flexion power significantly increased with an average 2.7 grades (P < 0.001). Only 17% achieved useful hand (grade 3) on Raimondi hand score. Triceps reconstruction resulted in an average of M4 power and 45 degrees elbow extension. Conclusion: Free gracilis transfer may be a useful option for reconstruction of elbow and/or hand functions in late OBPP. © 2015 Wiley Periodicals, Inc. Microsurgery 35:350–355, 2015. 相似文献
10.