全文获取类型
收费全文 | 5280篇 |
免费 | 464篇 |
国内免费 | 11篇 |
专业分类
耳鼻咽喉 | 39篇 |
儿科学 | 181篇 |
妇产科学 | 78篇 |
基础医学 | 800篇 |
口腔科学 | 59篇 |
临床医学 | 553篇 |
内科学 | 1346篇 |
皮肤病学 | 116篇 |
神经病学 | 650篇 |
特种医学 | 299篇 |
外国民族医学 | 1篇 |
外科学 | 595篇 |
综合类 | 96篇 |
一般理论 | 1篇 |
预防医学 | 364篇 |
眼科学 | 109篇 |
药学 | 265篇 |
1篇 | |
中国医学 | 2篇 |
肿瘤学 | 200篇 |
出版年
2021年 | 49篇 |
2020年 | 43篇 |
2019年 | 67篇 |
2018年 | 78篇 |
2017年 | 53篇 |
2016年 | 60篇 |
2015年 | 75篇 |
2014年 | 105篇 |
2013年 | 141篇 |
2012年 | 239篇 |
2011年 | 264篇 |
2010年 | 158篇 |
2009年 | 124篇 |
2008年 | 215篇 |
2007年 | 213篇 |
2006年 | 197篇 |
2005年 | 235篇 |
2004年 | 195篇 |
2003年 | 188篇 |
2002年 | 176篇 |
2001年 | 185篇 |
2000年 | 197篇 |
1999年 | 163篇 |
1998年 | 62篇 |
1997年 | 71篇 |
1996年 | 50篇 |
1995年 | 47篇 |
1994年 | 48篇 |
1993年 | 40篇 |
1992年 | 146篇 |
1991年 | 127篇 |
1990年 | 152篇 |
1989年 | 123篇 |
1988年 | 110篇 |
1987年 | 103篇 |
1986年 | 105篇 |
1985年 | 95篇 |
1984年 | 84篇 |
1983年 | 61篇 |
1982年 | 54篇 |
1981年 | 50篇 |
1980年 | 38篇 |
1979年 | 77篇 |
1978年 | 56篇 |
1977年 | 52篇 |
1976年 | 45篇 |
1975年 | 37篇 |
1974年 | 37篇 |
1973年 | 52篇 |
1970年 | 40篇 |
排序方式: 共有5755条查询结果,搜索用时 31 毫秒
1.
Victoria L. Zhou Frances S. Shofer Nikita G. Desai Ilona S. Lorincz Nikhil K. Mull David H. Adler John C. Greenwood 《The Journal of emergency medicine》2019,56(2):127-134
Background
The resuscitation and critical care unit is a novel emergency department–intensive care unit designed to provide early critical care to emergency department patients for ≤24 h.Objectives
This study sought to identify clinical variables associated with short intensive care unit (ICU) stays in patients with diabetic ketoacidosis (DKA), who commonly require ICU-level care.Methods
We conducted a retrospective, single-center, cross-sectional study of DKA patients ≥18 years of age who presented to an academic, urban hospital emergency department over 16 months. Patient demographics and clinical variables extracted from medical records were compared between prolonged ICU stay patients of ≥24 h versus short ICU stay patients (SSPs) of <24 h. ICU care was defined as treatment in the resuscitation and critical care unit or inpatient ICU.Results
One hundred sixty-eight emergency department visits with a primary diagnosis of DKA were analyzed. There were 53 prolonged ICU stay patients, 58 SSPs, and 57 patients required no ICU time. SSPs had significantly higher initial serum bicarbonate (13.0 vs. 9.0 mEq/L, p = 0.01) and shorter anion gap closure time (9.8 vs. 14.4 hours, p = 0.003). Medication nonadherence was a significantly more frequent precipitant in SSPs (67.2% vs. 47.2%, p = 0.03). Initial anion gap, glucose, beta-hydroxybutyrate, and severity of illness scores were not significantly different between groups. After multivariate logistic regression adjusting for variables significant from univariate analysis, higher initial bicarbonate (p = 0.04) and medication nonadherence (p = 0.03) remained significantly associated with SSPs.Conclusions
Patients with DKA with short ICU stays have higher initial bicarbonate levels and are more likely to have medication nonadherence than patients requiring prolonged critical care. These variables may identify patients with DKA who are best treated in an emergency department–intensive care unit to potentially reduce inpatient ICU use. 相似文献2.
Start Amanda R. Amiya Rachel M. Dixon Alexis C. Britt Thomas W. Toblin Robin L. Adler Amy B. 《Prevention science》2020,21(6):784-794
Prevention Science - The LINKS curriculum, adapted from Britt et al. (2018a), was designed to improve unit climate, knowledge, and attitudes about mental health treatment seeking in military... 相似文献
3.
Amos Adler Na'ama Sturlesi Noga Fallach Deniz Zilberman-Barzilai Omar Hussein Shlomo E. Blum Eyal Klement Mitchell J. Schwaber Yehuda Carmeli 《Journal of clinical microbiology》2015,53(11):3515-3521
Our objectives were to study the prevalence, risk factors for carriage, and transmission dynamics of extended-spectrum-β-lactamase (ESBL)-producing Enterobacteriaceae (ESBLPE) in a national survey of cattle. This was a point prevalence study conducted from July to October 2013 in Israel. Stool samples were collected from 1,226 cows in 123 sections on 40 farms of all production types. ESBLPE were identified in 291 samples (23.7%): 287 contained Escherichia coli and 4 contained Klebsiella pneumoniae. The number of ESBLPE-positive cows was the highest in quarantine stations and on fattening farms and was the lowest on pasture farms (P = 0.03). The number of ESBLPE-positive cows was the lowest in sections containing adult cows (age, >25 months) and highest in sections containing calves (age, <4 months) (P < 0.001). Infrastructure variables that were significant risk factors for ESBLPE carriage included crowding, a lack of manure cleaning, and a lack of a cooling (P < 0.001 for each), all of which were more common in sections containing calves. Antimicrobial prophylaxis was given almost exclusively to calves and was associated with a high number of ESBLPE carriers (P < 0.001). The 287 E. coli isolates were typed into 106 repetitive extragenic palindromic (REP)-PCR types and mostly harbored blaCTX-M-1 or blaCTX-M-9 group genes. The isolates on the six farms with ≥15 isolates of ESBLPE were of 4 to 7 different REP-PCR types, with one dominant type being harbored by about half of the isolates. Fourteen types were identified on more than one farm, with only six of the farms being adjacent to each other. The prevalence of ESBLPE carriage is high in calves in cowsheds where the use of antimicrobial prophylaxis is common. ESBLPE disseminate within cowsheds mainly by clonal spread, with limited intercowshed transmission occurring. 相似文献
4.
5.
William R. Walter Christopher J. Burke Ronald S. Adler 《Journal of ultrasound in medicine》2019,38(7):1899-1906
Scapulothoracic pain is a common ailment, but the underlying cause can be difficult to diagnose in a timely manner, and treatment options are limited. We retrospectively review our experience using ultrasound‐guided therapeutic scapulothoracic interval steroid injections to treat scapulothoracic pain and review correlative magnetic resonance imaging findings over a 5‐year period. Although a variety of structural causes are known to cause scapulothoracic pain, in our experience, most cases lack correlative imaging findings. Ultrasound‐guided scapulothoracic interval injections provide a safe, easily performed diagnostic and therapeutic tool for treating patients with periscapular pain, providing at least short‐term symptom relief. 相似文献
6.
7.
8.
9.
Prof. Dr. A. Wichelhaus L. Brauchli Q. Song G. Adler G. Bode 《Journal of orofacial orthopedics》2011,72(3):187-195
Background
Helicobacter pylori (HP) infection usually occurs in childhood. While there are various studies on the prevalence of HP in dental plaque, ours is the first to analyze its prevalence during orthodontic therapy and its interaction with competitive bacteria in adolescents.Subjects and methods
The prevalence of HP was examined before and during the first 12?weeks of orthodontic therapy with fixed appliances in 11?patients with a mean age of 12.7?years. A total of 93?plaque samples were analyzed using PCR. The data acquired at every consultation were the following: PCR analysis of dental plaque and 13C urea breath tests for HP, quantitative analyses of saliva for Lactobacilli and Streptococcus mutans, the interproximal plaque index (API), and sulcus bleeding index (SBI).Results
The prevalence of HP in plaque was 82% before orthodontic therapy, dropping to 54% during therapy (t test, p??0.05). In contrast to HP??s prevalence, the Lactobacilli count rose (p??0.05). The number of Streptococcus mutans bacteria in saliva decreased during orthodontic therapy (p??0.05).Conclusion
The prevalence of HP in dental plaque amounted to 82%. Orthodontic treatment did not reduce its prevalence. The prevalence of Lactobacilli was inversely proportional to that of HP. 相似文献10.