全文获取类型
收费全文 | 4768篇 |
免费 | 209篇 |
国内免费 | 20篇 |
专业分类
耳鼻咽喉 | 172篇 |
儿科学 | 227篇 |
妇产科学 | 210篇 |
基础医学 | 677篇 |
口腔科学 | 43篇 |
临床医学 | 288篇 |
内科学 | 1135篇 |
皮肤病学 | 64篇 |
神经病学 | 436篇 |
特种医学 | 96篇 |
外科学 | 289篇 |
综合类 | 38篇 |
一般理论 | 1篇 |
预防医学 | 404篇 |
眼科学 | 86篇 |
药学 | 571篇 |
中国医学 | 12篇 |
肿瘤学 | 248篇 |
出版年
2024年 | 6篇 |
2023年 | 39篇 |
2022年 | 249篇 |
2021年 | 373篇 |
2020年 | 130篇 |
2019年 | 144篇 |
2018年 | 179篇 |
2017年 | 145篇 |
2016年 | 143篇 |
2015年 | 181篇 |
2014年 | 208篇 |
2013年 | 257篇 |
2012年 | 404篇 |
2011年 | 439篇 |
2010年 | 199篇 |
2009年 | 131篇 |
2008年 | 262篇 |
2007年 | 300篇 |
2006年 | 267篇 |
2005年 | 262篇 |
2004年 | 249篇 |
2003年 | 213篇 |
2002年 | 136篇 |
2001年 | 6篇 |
2000年 | 6篇 |
1999年 | 7篇 |
1998年 | 9篇 |
1997年 | 8篇 |
1996年 | 8篇 |
1995年 | 7篇 |
1994年 | 3篇 |
1993年 | 1篇 |
1991年 | 3篇 |
1990年 | 1篇 |
1989年 | 1篇 |
1988年 | 1篇 |
1985年 | 2篇 |
1984年 | 2篇 |
1982年 | 1篇 |
1981年 | 3篇 |
1980年 | 1篇 |
1979年 | 1篇 |
1978年 | 3篇 |
1976年 | 1篇 |
1975年 | 1篇 |
1973年 | 1篇 |
1971年 | 1篇 |
1970年 | 1篇 |
1969年 | 1篇 |
1966年 | 1篇 |
排序方式: 共有4997条查询结果,搜索用时 31 毫秒
991.
Bernadetta Izydorczyk Ha Truong Thi Khanh Magorzata Lipowska Katarzyna Sitnik-Warchulska Sebastian Liziczyk 《Nutrients》2021,13(3)
The aim of this paper is to identify psychological factors which are culture specific or common predictors for restrictive and bulimic behaviors towards eating for young women raised in different cultures. The study included 661 young women from Poland (n = 233) and Vietnam (n = 428). Subjects filled-in the Eating Disorders Inventory (EDI-3) and the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS), and body measurements were collected to calculate anthropometric indices. Women form Vietnam were less satisfied with their appearance than were their Polish peers, but Vietnamese showed a lower level of preoccupation with being overweight and fear of obesity. Intercultural differences indicate that Vietnamese women show greater intensities for psychological variables, connected with restrictive and bulimic eating behaviors, verified in the research model: low self-esteem, personal alienation, interpersonal insecurity, interpersonal alienation, emotional dysregulation, interoceptive deficits, perfectionism and asceticism, and anxiety. 相似文献
992.
993.
Katarzyna Badora-Musiał Anna Sagan Alicja Domagała Iwona Kowalska-Bobko 《Health policy (Amsterdam, Netherlands)》2021,125(2):185-190
Numerous official reports have highlighted insufficient provision of preventive services within primary health care (PHC) in Poland. Other identified weaknesses include inappropriate referrals to ambulatory care that contribute to long waiting times for specialist consultations. Since mid-2018, a new model of PHC organization has been piloted and can be seen as an attempt to address some of these weaknesses. It draws on the Primary Health Care Act of 2017 and puts much more emphasis on disease prevention and health promotion within PHC as well as shifts management of common chronic conditions to multidisciplinary PHC teams. The implementation of this model has been supported by a range of financial and non-financial measures, including a special grant that helps PHC practices to adapt their IT systems to the requirements of the pilot. Yet, the overall requirements were prohibitive to most PHC practices and only 42 were eventually included in the pilot. In this paper, we describe the content of this model, the difficulties in its implementation and how they were addressed and discuss its possible effects on PHC and the health system more broadly. 相似文献
994.
Quality of Life Research - We aim to compare the psychometric properties of the EQ-5D-5L questionnaire with the EQ-5D-3L version and EQ VAS, based on a survey conducted in a sample representing the... 相似文献
995.
Benyam Muluneh Kaitlyn Buhlinger Allison M. Deal Joshua F. Zeidner Matthew C. Foster Katarzyna Joanna Jamieson Jill Bates Hendrik W. Van Deventer 《Clinical Lymphoma, Myeloma & Leukemia》2018,18(1):e13-e18
Background
Salvage regimens for patients with relapsed/refractory acute myeloid leukemia (rrAML) lack comparative data for superiority. Thus, we conducted a retrospective analysis of clofarabine-based (GCLAC; granulocyte colony-stimulating factor [filgrastim], clofarabine, high-dose cytarabine) versus cladribine-based (CLAG; cladribine, cytarabine, granulocyte colony-stimulating factor [filgrastim]) regimens in rrAML.Patients and Methods
We identified 41 consecutive patients with rrAML who had received either GCLAC or CLAG from 2011 to 2014. The primary outcome measure was the complete remission (CR) rate defined according to the International Working Group criteria. The secondary outcomes included the proportion of patients who underwent allogenic stem cell transplantation and the rate of relapse-free survival and overall survival.Results
We found no significant differences in the baseline characteristics of the patients treated with GCLAC (n = 22) or CLAG (n = 19). The outcomes with these 2 regimens were not significantly different. Patients treated with GCLAC had a CR/CR with incomplete blood count recovery rate of 64% compared with 47% for the patients treated with CLAG (P = .36). Of the GCLAC patients, 45% underwent allogeneic stem cell transplantation compared with 26% of the CLAG patients (P = .32). The median relapse-free survival after GCLAC and CLAG was 1.59 years and 1.03 years, respectively (P = .75). The median overall survival after GCLAG and CLAG was 1.03 years and 0.70 years, respectively (P = .08). The drug costs were significantly different for GCLAC versus CLAG. Using an average wholesale price, the cost per patient per cycle was $60,821.60 for GCLAC and $4910.60 for CLAG.Conclusion
A single-institutional retrospective analysis found no significant differences in the outcomes between GCLAC and CLAG for rrAML patients, although formal comparisons should be performed in a randomized clinical trial. The cost of GCLAC was greater than that of CLAG, which should be considered when evaluating the choice for the salvage chemotherapy options. 相似文献996.
Ulrike?Garske-RománEmail author Mattias?Sandstr?m Katarzyna?Fr?ss Baron Lars?Lundin Per?Hellman Staffan?Welin Silvia?Johansson Tanweera?Khan Hans?Lundqvist Barbro?Eriksson Anders?Sundin Dan?Granberg 《European journal of nuclear medicine and molecular imaging》2018,45(6):970-988
Purpose
Peptide receptor radionuclide therapy in patients with neuroendocrine tumours has yielded promising results. This prospective study investigated the feasibility of dosimetry of the kidneys and bone marrow during therapy and its impact on efficacy and outcome.Methods
The study group comprised 200 consecutive patients with metastasized somatostatin receptor-positive neuroendocrine tumours progressing on standard therapy or not suitable for other therapeutic options. A treatment cycle consisted of 7.4 GBq 177Lu-DOTA-octreotate with co-infusion of a mixed amino acid solution, and cycles were repeated until the absorbed dose to the kidneys reached 23 Gy or there were other reasons for stopping therapy. The Ki-67 index was ≤2% in 47 patients (23.5%), 3–20% in 121 (60.5%) and >20% in 16 (8%).Results
In 123 patients (61.5%) the absorbed dose to the kidneys reached 23 Gy with three to nine cycles during first-line therapy; in no patient was a dose to the bone marrow of 2 Gy reached. The best responses (according to RECIST 1.1) were a complete response (CR) in 1 patient (0.5%), a partial response (PR) in 47 (23.5%), stable disease (SD) in 135 (67.5%) and progressive disease (PD) in 7 (3.5%). Median progression-free survival was 27 months (95% CI 22–30 months) in all patients, 33 months in those in whom the absorbed dose to the kidneys reached 23 Gy and 15 months in those in whom it did not. Median overall survival (OS) was 43 months (95% CI 39–53 months) in all patients, 54 months in those in whom the absorbed dose to the kidneys reached 23 Gy and 25 months in those in whom it did not. Median OS was 60 months in patients with a best response of PR or CR, 42 months in those with SD and 16 months in those with PD. Three patients (1.5%) developed acute leukaemia, 1 patient (0.5%) chronic leukaemia (unconfirmed) and 30 patients (15%) grade 3 or 4 bone marrow toxicity. Eight patients (4%) developed grade 2 kidney toxicity and one patient (0.5%) grade 4 kidney toxicity.Conclusions
Dosimetry-based therapy with 177Lu-DOTA-octreotate is feasible. Patients in whom the absorbed dose to the kidneys reached 23 Gy had a longer OS than those in whom it did not. Patients with CR/PR had a longer OS than those with SD. Bone marrow dosimetry did not predict toxicity.997.
Atypical chronic myeloid leukaemia: A case of an orphan disease—A multicenter report by the Polish Adult Leukemia Group
下载免费PDF全文
![点击此处可从《Hematological oncology》网站下载免费的PDF全文](/ch/ext_images/free.gif)
Joanna Drozd‐Sokołowska Krzysztof Mądry Anna Waszczuk‐Gajda Przemysław Biecek Paweł Szwedyk Katarzyna Budziszewska Magdalena Raźny Magdalena Dutka Agata Obara Ewa Wasilewska Krzysztof Lewandowski Agnieszka Piekarska Grażyna Bober Helena Krzemień Beata Stella‐Hołowiecka Katarzyna Kapelko‐Słowik Waldemar Sawicki Małgorzata Paszkowska‐Kowalewska Rafał Machowicz Jadwiga Dwilewicz‐Trojaczek 《Hematological oncology》2018,36(3):570-575
Atypical chronic myeloid leukaemia (aCML) belongs to myelodysplastic/myeloproliferative neoplasms. Because of its rarity and changing diagnostic criteria throughout subsequent classifications, data on aCML are very scarce. Therefore, we at the Polish Adult Leukemia Group performed a nationwide survey on aCML. Eleven biggest Polish centres participated in the study. Altogether, 45 patients were reported, among whom only 18 patients (40%) fulfilled diagnostic criteria. Among misdiagnosed patients, myelodysplastic/myeloproliferative syndrome unclassifiable and chronic myelomonocytic leukaemia were the most frequent diagnoses. Thirteen patients were male, median age 64.6 years (range 40.4‐80.9). The median parameters at diagnosis were as follows: white blood cell count 97 × 109/L (23.8‐342) with immature progenitors amounting at 27.5% (12‐72), haemoglobin 8.6 g/dL (3.9‐14.9), and platelet count 66 × 109/L (34‐833). Cytoreductive treatment was used in all patients, and 2 patients underwent allogeneic hematopoietic stem cell transplantation. The median overall survival was 14.1 months (95% CI, 7.2), with median acute myeloid leukaemia‐free survival of 13.3 months (95% CI, 3.6‐22.6). Cumulative incidence of acute myeloid leukaemia transformation after 1 year in aCML group was 12.5% (95% CI, 0%‐29.6%). To conclude, aCML harbours a poor prognosis. Treatment options are limited, with allogeneic hematopoietic stem cell transplantation being the only curative method at present, although only a minority of patients are transplant eligible. Educational measures are needed to improve the quality of diagnoses. 相似文献
998.
Katarzyna Mizia-Stec Marek Elżbieciak Maciej T. Wybraniec Monika Różewicz Artur Bodys Wojciech Braksator Zbigniew Gąsior Piotr Gościniak Tomasz Hryniewiecki Jarosław Kasprzak Andrzej Wojtarowicz Barbara Zdziarska Edyta Płońska-Gościniak 《Medical oncology (Northwood, London, England)》2018,35(1):14
The cardiotoxicity of chemotherapy (CTx) for non-Hodgkin’s lymphomas is not well recognized. In order to facilitate individual risk counseling for patients, we analyzed the effect of CTx on echocardiographic indices in regard to clinical data in patients treated for non-Hodgkin’s lymphoma (NHL). A prospective multicenter ONCO-ECHO trial included 67 patients with NHL (45 patients with DLBCL (diffuse large B cell lymphoma) and 22 with non-DLBCL). Patients received standard CTx, primarily R-CHOP, CHOP, R-COP and COP regimens. Clinical data and echocardiographic indices were obtained at baseline, 3-, 6- and 12-month follow-up. The primary end point representing CTx cardiotoxicity was defined as a ≥ 10% decrease in the left ventricular ejection fraction (LVEF) during 12-month observation. In a 12-month follow-up five (7.5%) deaths occurred, while no clinical manifestations of heart failure were reported. There was an increase in left ventricular end-systolic diameter (p = 0.002) and E/e′ index (p = 0.036) in 12-month observation. Preexisting coronary artery disease was associated with significant decrease in the ΔLVEF (p = 0.008), increase in ΔLVEDV (p = 0.03) and ΔLVESV (p = 0.02) and increase in the Δ left atrium diameter (p = 0.02); while history of arterial hypertension was related to significant decrease in the ΔLVEF (p = 0.039), diabetes mellitus was related to significant increase in the ΔE/e′ index (p = 0.002). The primary end point was reported in ten (14.9%) patients. There were no independent risk factors for cardiotoxicity in the study population. Chemotherapy administered to NHL patients may induce dilatation and impaired LV diastolic function. Standard cardiovascular risk factors may predispose patients to negative LV remodeling. 相似文献
999.
Adriana Ziółkowska Katarzyna Glińska Sylwia Szymańska Sergiusz Jóźwiak 《Pediatria polska》2017,92(3):294-302
Neurofibromatosis type 1 (NF1) is a relatively frequent genetic disorder inherited in an autosomal dominant fashion and the most common phakomatosis. The disease can affect many organs and systems, mainly the skin, bones and nervous system, but manifestations are extremely variable, even within a family. Patients have an increased risk of benign and malignant tumor formation. Because of the great clinical heterogeneity, patients may present to different specialists; therefore, the diagnosis may be difficult and delayed. A multidisciplinary specialist care is recommended throughout the lifetime of the patient. The purpose of the article is a review of up-to-date recommendations on NF1 and demonstration of the latest discoveries in this area.In this review, we describe benign and malignant features of NF1, diagnostic strategies, monitoring and treatment of disorders associated with NF1. 相似文献
1000.
Andrzej Emeryk Zbigniew Doniec Henryk Mazurek Katarzyna Krenke Michał Pirożyński Tomasz Sosnowski Emil Florkiewicz 《Pediatria polska》2017,92(3):288-293
Experts of four scientific societies and the independent experts described the position paper concerning the role of inhalation chambers in inhalation therapy in children. This document is directed to all paediatricians and family doctors. We have reviewed the most important original and review papers, together with an analysis of the holding chambers market in the country. Recommendations containing indications and principles of the selection as well as methods of inhalation from these devices in children at different age were pointed out. 相似文献