全文获取类型
收费全文 | 4827篇 |
免费 | 213篇 |
国内免费 | 9篇 |
专业分类
耳鼻咽喉 | 56篇 |
儿科学 | 129篇 |
妇产科学 | 69篇 |
基础医学 | 552篇 |
口腔科学 | 423篇 |
临床医学 | 265篇 |
内科学 | 1261篇 |
皮肤病学 | 125篇 |
神经病学 | 379篇 |
特种医学 | 119篇 |
外科学 | 563篇 |
综合类 | 22篇 |
一般理论 | 4篇 |
预防医学 | 452篇 |
眼科学 | 105篇 |
药学 | 312篇 |
中国医学 | 15篇 |
肿瘤学 | 198篇 |
出版年
2024年 | 3篇 |
2023年 | 40篇 |
2022年 | 42篇 |
2021年 | 91篇 |
2020年 | 58篇 |
2019年 | 100篇 |
2018年 | 188篇 |
2017年 | 119篇 |
2016年 | 113篇 |
2015年 | 195篇 |
2014年 | 189篇 |
2013年 | 280篇 |
2012年 | 458篇 |
2011年 | 456篇 |
2010年 | 238篇 |
2009年 | 141篇 |
2008年 | 344篇 |
2007年 | 393篇 |
2006年 | 289篇 |
2005年 | 325篇 |
2004年 | 289篇 |
2003年 | 224篇 |
2002年 | 193篇 |
2001年 | 47篇 |
2000年 | 51篇 |
1999年 | 37篇 |
1998年 | 6篇 |
1997年 | 6篇 |
1996年 | 12篇 |
1995年 | 6篇 |
1994年 | 8篇 |
1993年 | 6篇 |
1992年 | 11篇 |
1991年 | 18篇 |
1990年 | 8篇 |
1989年 | 7篇 |
1987年 | 7篇 |
1986年 | 4篇 |
1985年 | 4篇 |
1983年 | 5篇 |
1979年 | 2篇 |
1978年 | 2篇 |
1971年 | 2篇 |
1970年 | 2篇 |
1969年 | 2篇 |
1968年 | 2篇 |
1944年 | 2篇 |
1940年 | 2篇 |
1912年 | 4篇 |
1881年 | 2篇 |
排序方式: 共有5049条查询结果,搜索用时 19 毫秒
21.
do Amaral Leandro Custódio Reis Baltazar Leão Ribeiro-Oliveira Antônio da Silva Santos Thamires Marx Giannetti Alexandre Varella 《Neurosurgical review》2021,44(3):1687-1702
Neurosurgical Review - A preferred treatment for residual/recurrent pituitary adenomas has not been established. The existence of higher complication rates for revision surgeries remains under... 相似文献
22.
Isabel Campos-Varela Oscar Len Ares Villagrasa Ester Márquez-Algaba Juliana Esperalba Cristina Dopazo Ibai Los-Arcos Andrés Antón Lluís Castells 《Transplant international》2021,34(10):1908-1913
Solid organ transplant recipients might be at greater risk for acquisition and mortality because of SARS-CoV-2. There are no data regarding SARS-CoV-2 seroprevalence among liver transplant (LT) recipients, and whether it is different from that of the general population or other immunosuppressed groups. We evaluated the prevalence of IgG SARS-CoV-2 antibodies among LT recipients to estimate the frequency of asymptomatic SARS-CoV-2 infection using serological assays in our outpatient clinic. We conducted a cross-sectional analysis from 10 May to 26 October 2020 of all adult (>18 years) LT recipients that underwent a routine laboratory test for the outpatient clinic follow-up at the Hospital Universitari Vall d’Hebron (Barcelona) in which we included serological testing for SARS-CoV-2. Nine out of 294 LT recipients (3.1%) tested positive for anti-SARS-CoV-2 IgG antibodies. Five of them (55.5%) had suffered clinically symptomatic SARS-CoV-2 infection confirmed by RT-PCR, four (44.4%) had presented compatible symptoms but without microbiological confirmation and only one patient (1/9, 11.1%) tested positive without any previous symptom. SARS-CoV-2 seroprevalence among LT recipients in an area highly affected by the pandemic is lower than in the general population in the same area. These results render the possibility of asymptomatic infection in LT recipients very unlikely. 相似文献
23.
Cost-effectiveness analysis of hepatitis B vaccination strategies in Catalonia, Spain 总被引:1,自引:0,他引:1
Antoñanzas F Garuz R Rovira J Antón F Trinxet C Navas E Salleras L 《PharmacoEconomics》1995,7(5):428-443
Hepatitis B virus (HBV) infection is an important public health problem all over the world. Vaccination is one way to prevent it, and several strategies can be used depending on endemicity, the main pattern of HBV transmission and the demographic structure of the population. In this study, an economic comparison of 3 vaccination strategies (mass adolescent vaccination, mass infant vaccination and mass combined vaccination) was performed in Catalonia, Spain. Screening pregnant women for HBV infection in combination with these strategies was also evaluated. Epidemiological models to analyse patterns of HBV infection with and without vaccination and to calculate HBV-associated costs were designed. Comparison between strategies was done using cost-effectiveness analysis from the perspective of the healthcare system. Epidemiological model results indicate that implementation of HBV vaccination could prevent as many as 104,778 new acute infections, and avoid up to 5239 chronic infections, 2096 cases of cirrhosis and 419 cases of hepatocarcinoma over a 20-year period in Catalonia. Cost-effectiveness analysis shows that mass adolescent vaccination is the most efficient strategy, with lower costs per avoided case than the other 2 strategies. When any of these strategies is complemented by screening for HBV in pregnant women, the number of avoided cases is always higher and the cost per avoided case decreases or remains unchanged. 相似文献
24.
Oliveira EA Diniz JS Cabral AC Leite HV Colosimo EA Oliveira RB Vilasboas AS 《Pediatric nephrology (Berlin, Germany)》1999,13(9):859-864
With the increasing use of obstetric echography fetal hydronephrosis has been reported more frequently. The purpose of this
study was to identify prognostic factors associated with adverse outcome, such as renal failure and death, in fetal hydronephrosis.
One hundred and forty-eight children with fetal hydronephrosis were admitted, submitted to a systematic protocol, and prospectively
followed. Prognostic factors associated with fetal echography and clinical and laboratory findings on admission were studied.
The median follow-up was 39 months. The analysis was conducted in two steps. In a univariate analysis, variables associated
with adverse outcome were identified by the Kaplan-Meier method. The variables that were significantly associated with adverse
outcome were then included in a multivariate analysis. This analysis, using the multivariate Cox’s model, was performed to
identify variables that were independently associated with a worse prognosis. Only variables that remained independently associated
with adverse outcome were included in the final model. After final adjustment by Cox’s multivariate model, three variables
were identified as independent predictors of adverse outcome: oligohydramnios, prematurity, and glomerular filtration rate
lower than 20 ml/min. Thus, in the presence of oligohydramnios, prematurity, and abnormal renal function, the medical team
must plan appropriate follow-up for infants at health centers prepared to investigate and treat uropathies in newborns.
Received: 24 August 1998 / Revised: 7 December 1998 / Accepted: 11 December 1998 相似文献
25.
N. Hernández-Mesa M. Antón M. Arza-Marqués R. Aneiros-Riba E. Groning-Roque 《Molecular and chemical neuropathology / sponsored by the International Society for Neurochemistry and the World Federation of Neurology and research groups on neurochemistry and cerebrospinal fluid》1996,28(1-3):253-258
CARIBRO was founded in response to the United Nations declaration that the 1990s be designated the Decade of the Brain. The Program of Action is:
- Annual meetings;
- Training courses of the Caribbean School of Neurosciences;
- Network scientific programs;
- Fellowship programs; and
- Dissemination of information on neuroscience.
26.
Seasonality of diarrhetic shellfish poisoning at a coastal lagoon in Portugal: rainfall patterns and folk wisdom. 总被引:3,自引:0,他引:3
Of the three types of toxicity known so far in Portuguese shellfish, only diarrhetic shellfish poisoning (DSP) and amnesic shellfish poisoning (ASP) are produced by microalgae that seem to have been present in the last decades or centuries. The most important paralytic shellfish poisoning (PSP) producer, Gymnodinium catenatum, is hypothesised to have been introduced quite recently as only in 1976 PSP toxicity was detected for the first time in shellfish from Galicia, NW Iberian Peninsula. While ASP presents very short episodes of contamination, the concentration of DSP toxins in some years surpasses human safety values for much longer periods. It is traditionally stated that shellfish should be consumed in 'months with R' (September-April). A retrospective study of the maximum monthly DSP levels attained in mussels from a coastal lagoon-Ria de Aveiro-between 1994 and 2001, showed that the highest frequency of months with concentrations surpassing the safety level of 2 microg/g digestive glands were found in June-September, followed by May and October. These months correspond with the months of lowest historical average rainfall in the period 1941-1998.Oscillations in the rainfall pattern coincided with earliest (or latest) detection by HPLC of DSP toxins in mussel in the years studied. In a semi-closed lagunar environment prone to in situ growth of DSP-producer microalgae, like Dinophysis acuminata, rainfall affects river output, lowering salinity and disrupting water column stability that favours Dinophysis growth. The seasonality of DSP recurrence may be connected to the folk adage on safety of shellfish consumption, after many years of empirical observations by coastal populations of diarrhoea episodes in summertime. 相似文献
27.
Fidel Cano Juan A. García-Velasco Antón Millet José Remohí Carlos Simón Antonio Pellicer 《Journal of assisted reproduction and genetics》1997,14(5):254-261
Purpose: Our purpose was to assess the endocrine status of women with polycystic ovaries (PCO) undergoing IVF, and to compare oocyte
quality with endocrine markers of the syndrome, in an attempt to define a subpopulation with poor quality oocytes.
Methods: This was a retrospective study. Patients were first endocrinologically analyzed: serum levels of androgens (T, androstenedione,
DHEAS), FSH, and LH as well as glucose and insulin after an oral glucose tolerance test (OGTT) were recorded and are expressed
as absolute values and area under the curve (AUC). Subsequently, they were followed over a 2-year period in which patients
underwent several attempts of IVF as well as serving as oocyte donors. Patients were divided into three groups: group I (n=4)
was women who displayed embryos unable to implant in 15 IVF cycles and 10 ovum donation cycles in which they served as donors;
group II (n=16) was PCO patients in whom IVF (n=38) and/or oocyte donation cycles (n=42) resulted in pregnancies; and group
III (n=13) was IVF patients with normal appearance of the ovaries by ultrasound. The endocrine status was compared with the
IVF results.
Results: There was no difference among groups in the endocrinological parameters tested, except for the OGTT which identified women
in group I as having higher serum glucose and insulin levels than patients in groups II and III. Similarly, the OGTT showed
higher serum glucose values in group II compared to group III. Women in group I were also obese. Patients in group III were
older than PCO patients and needed more gonadotropins to reach an ovarian response which resulted in a reduced number of oocytes
retrieved. Fertilization was also impaired in group I, in which no pregnancy was recorded.
Conclusions: This study shows that there is a particular subgroup of PCO patients with lower fertilization rates and embryos unable to
implant. These patients are obese and nonhyperandrogenic and show derangements of insulin secretion. 相似文献
28.
Social work, general practice and evidence-based policy in the collaborative care of older people: current problems and future possibilities 总被引:1,自引:0,他引:1
Kalpa Kharicha BA MHSc Enid Levin BA Dip Soc Ant Steve Iliffe BSc MRCGP Barbara Davey BSc MSc 《Health & social care in the community》2004,12(2):134-141
While collaborative (or joint) working between social services and primary healthcare continues to rise up the policy agenda, current policy is not based on sound evidence of benefit to either patients or the wider community. Both sets of practitioners report benefits for their own work from adopting new arrangements for collaboration. The underlying assumption behind much of this activity is that a greater degree of integration provides benefits to both users and their carers, a perspective that at times obscures the issue of resource availability, especially in the form of practical community services such as district nursing and home help. At the present time there is insufficient evidence to demonstrate that formal arrangements for collaborative working (CW) are better than those forged informally between committed individuals or teams. Furthermore, arrangements for CW have not hitherto been widely evaluated in systematic studies with a comparative design and focus on outcomes for users and carers rather than on processes. In this paper we propose a number of process measures for future evaluation of CW: (1) study populations must be comparable; (2) details of how services are actually delivered must be obtained and colocation should not be assumed to mean collaboration; (3) care packages in areas of comparable resources should be examined; (4) both destinational outcomes and user‐defined evaluations of benefit should be considered; (5) possible disadvantages of integrated care also need to be actively considered; (6) evaluations should include an economic analysis. Those implementing new policies in Primary Care Trusts have, at present, little sound evidence to guide them in their innovative work. However, they should take the opportunity to rigorously test the advantages and disadvantages of collaboration. 相似文献
29.
Javier Sastre Eugenio Marcuello Bartomeu Masutti Matilde Navarro Silvia Gil Antonio Antón Albert Abad Enrique Aranda Joan Maurel Manuel Valladares Inmaculada Maestu Alfredo Carrato José María Vicent Eduardo Díaz-Rubio 《Journal of clinical oncology》2005,23(15):3545-3551
PURPOSE: Elderly patients constitute a subpopulation with special characteristics that differ from those of the nonelderly and have been underrepresented in clinical trials. This study was performed to determine the efficacy and safety of irinotecan (CPT-11) in combination with fluorouracil (FU) administered as a 48-hour continuous infusion twice a month in elderly patients. PATIENTS AND METHODS: Patients > or = 72 years old with metastatic colorectal cancer, Eastern Cooperative Oncology Group performance status of 0 to 1, no geriatric syndromes, and no prior treatment were treated every 2 weeks with CPT-11 180 mg/m2 plus FU 3,000 mg/m2 in a 48-hour continuous infusion. RESULTS: By intent-to-treat analysis, in 85 assessable patients, the objective response rate was 35% (95% CI, 25% to 46%), and stable disease was 33% (95% CI, 23% to 44%). Median time to progression was 8.0 months (95% CI, 6.0 to 10.0 months), and median overall survival time was 15.3 months (95% CI, 13.8 to 16.9 months). Toxicity was moderate. Grade 3 and 4 neutropenia, diarrhea, and asthenia were observed in 21%, 17%, and 13% of patients, respectively. Only one case of neutropenic fever occurred. There were two toxic deaths, one was a result of grade 4 diarrhea and acute kidney failure, and the other was a result of massive intestinal hemorrhage in the first cycle. The study of prognostic factors did not reveal any predictive factor of response. Response to treatment and baseline lactate dehydrogenase were the main factors conditioning progression-free and overall survival. CONCLUSION: Twice a month continuous-infusion CPT-11 combined with FU is a valid therapeutic alternative for elderly patients in good general condition. 相似文献
30.
Fernando Moreno Antón Javier Sastre Valera Belén Loboff de León Sara López-Tarruella Luis Ortega Medina Eduardo Díaz-Rubio 《Clinical & translational oncology》2005,7(7):321-323
Metastastic tumours involving the epididymis are rare and most often found in patients with disseminated disease. It is even more unusual when the metastasis of the epididymis is the first sign of tumour recurrence. We report a case of an asymptomatic recurrent colon carcinoma presenting as metastasis in the epididymis. Although metastatic cancer presenting as an intra-scrotal mass is extremely rare, it should be considered as a possibility in patients who present with a mass involving the testicle or epididymis. 相似文献