全文获取类型
收费全文 | 29748篇 |
免费 | 7241篇 |
国内免费 | 97篇 |
专业分类
耳鼻咽喉 | 400篇 |
儿科学 | 735篇 |
妇产科学 | 853篇 |
基础医学 | 2308篇 |
口腔科学 | 1628篇 |
临床医学 | 7510篇 |
内科学 | 6602篇 |
皮肤病学 | 924篇 |
神经病学 | 3699篇 |
特种医学 | 968篇 |
外国民族医学 | 5篇 |
外科学 | 3662篇 |
综合类 | 142篇 |
现状与发展 | 2篇 |
一般理论 | 14篇 |
预防医学 | 3678篇 |
眼科学 | 676篇 |
药学 | 978篇 |
中国医学 | 24篇 |
肿瘤学 | 2278篇 |
出版年
2024年 | 143篇 |
2023年 | 1363篇 |
2022年 | 408篇 |
2021年 | 897篇 |
2020年 | 1314篇 |
2019年 | 715篇 |
2018年 | 1778篇 |
2017年 | 1870篇 |
2016年 | 1869篇 |
2015年 | 1937篇 |
2014年 | 2244篇 |
2013年 | 2381篇 |
2012年 | 1552篇 |
2011年 | 1581篇 |
2010年 | 1547篇 |
2009年 | 1874篇 |
2008年 | 1362篇 |
2007年 | 1135篇 |
2006年 | 1163篇 |
2005年 | 969篇 |
2004年 | 887篇 |
2003年 | 836篇 |
2002年 | 764篇 |
2001年 | 543篇 |
2000年 | 384篇 |
1999年 | 445篇 |
1998年 | 458篇 |
1997年 | 443篇 |
1996年 | 420篇 |
1995年 | 344篇 |
1994年 | 269篇 |
1993年 | 234篇 |
1992年 | 276篇 |
1991年 | 215篇 |
1990年 | 201篇 |
1989年 | 216篇 |
1988年 | 196篇 |
1987年 | 186篇 |
1986年 | 147篇 |
1985年 | 157篇 |
1984年 | 131篇 |
1983年 | 101篇 |
1982年 | 69篇 |
1981年 | 67篇 |
1980年 | 60篇 |
1979年 | 74篇 |
1978年 | 80篇 |
1974年 | 66篇 |
1973年 | 65篇 |
1971年 | 68篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
61.
David A Todd MSc PhD John Kennedy FRACO † Sharyn Roberts RN Jane Watts RN Kim Psaila RN BApplSc Elizabeth John MD FRACP 《Clinical & experimental ophthalmology》1994,22(1):19-23
From January 1986 to December 1991 we examined the eyes of 206 infants born at Westmead Hospital, Neonatal Intensive Care Unit who were less than 29 weeks' gestation at birth to determine the incidence of retinopathy of prematurity. Eighty-five infants (41.3%) had no retinopathy of prematurity (ROP) in either eye, 82 infants had stages 1 or 2 ROP (39.8%), 29 had stage 3 ROP (14.1%) and 11 had stage 4 ROP (5.3%). Of these, cryotherapy was performed in 18; six now have bilateral retinal detachment and are blind The more severe stages of ROP were significantly associated with an increase in the number of days of oxygen supplementation, an increase in the number of days of mechanical ventilation and the presence of patent ductus arteriosus. Infants receiving steroids for mechanical ventilator dependence had a significantly greater chance of requiring cryotherapy (11 or 22 receiving steroids versus seven of 43 without steroids; P < 0.01). 相似文献
62.
Gregor McWalter MA MSc Hugh Toner MA DipCouns MSc CPsychol Alison Corser BSc MPhil CPsychol Jenny Eastwood MBChB DipSocMed FRCPsych Mary Marshall MA DSA DASS Tony Turvey BSc MAppSci CPsychol 《Health & social care in the community》1994,2(4):213-219
The concept of need and the practice of needs assessment are both subject to a wide range of interpretations, to the likely detriment of individual assessments and to multidisciplinary working. Clear definition is important for individual assessment, for the development of multidisciplinary tools and in gathering planning information. The concept of need is clarified, firstly by distinguishing between need and the difficulties that engender it, and secondly through a taxonomy of need. These assist clear definitions of both need and needs assessment when linked with a consideration of the current help a person receives and a specification of the type of help required by a person to meet their needs. Such definitions have implications for the role of needs assessment in individual assessment, service evaluation, service management and planning and in the development of multidisciplinary needs assessment tools. 相似文献
63.
We examine the relationships between glycemic carbohydrate and its effects on short-term satiety and food intake. Both high- and low-glycemic carbohydrates have an impact on satiety, but their effects have different time courses. High-glycemic carbohydrates are associated with a reduction in appetite and food intake in the short term (e.g., one hour), whereas the satiating effects of lower-glycemic carbohydrates appear to be delayed (e.g., 2 to 3 hours). There is no consistent evidence that an increase in blood glucose, either acute or sustained, is the primary determinant of their effects on food intake and satiety. Many other preabsorptive and postabsorptive signals for satiety exist and may be the determining factors. Further studies are needed to delineate the role of glycemic carbohydrates and their mechanisms of action in determining satiety. 相似文献
64.
65.
Neil Scott Gordon MSc Dip Coun Dip N Cert Ed RCNT RNT RMN Peter Wimpenny RGN BSc Cert Ed RNT 《Journal of advanced nursing》1996,23(3):479-486
This paper, written by two male nurse teachers, describes and analyses their experience of working in a nurse education culture permeated by the philosophy of business management The introduction of business management practices to nurse education is discussed as a reflection of the current political hegemony of market forces and individualism The authors discuss the implications for nurse teachers of being continually exposed to these politically motivated forces which increasingly provide the paradigm for service developments within the United Kingdom health services In discussing the impact of this exposure it is argued that at the personal level individual teachers are experiencing a degree of apathy and personal dissonance which undermines their professional value system, resulting in emotional distress and a crisis of identity It provides a critical reflection on the way organizational dynamics and power relations influence the subjective sense-making of individuals The authors use a multiplicity of perspectives, including those provided by individual psychology, power relations, feminism and personhood, to argue for the need to develop an alternative paradigm which is characterized by the valuing of individual persons, empathic sensitivity and the fostering of creativity been important to us from a personal and professional 相似文献
66.
BACKGROUND: Patient education is integral part of any diabetes therapy in Germany, but elderly patients are not able to follow the variety of topics comprising standard treatment and teaching programmes (TTP), primarily due to impaired neuropsychological function. This leads to deficits in diabetes knowledge and hindered ability for diabetes self-management. AIM: To evaluate structured TTP for geriatric patients with impaired cognitive function. PATIENTS AND METHODS: A neuropsychological examination was performed on all patients over 54 years [n=102, age 68.6 +/- 8.7 years, diabetes duration 10.3 (0.03-35.4) years, HbA1c 10.3 +/- 1.7% (HPLC, Diamat, NR 4.5-6.3%), cognitive function 87.7 +/- 12.3 IQ points] who took part in TTP for insulin therapy. Patients with impaired cognitive function participated either in the standard TTP of Berger [n = 35, age 67.6 +/- 8.9 years, diabetes duration 9.9 (0.04-35.4) years, HbA1c 10.3 +/- 2.0%] or in the specialized structured geriatric DICOF-TTP [n=33, age 70.4 +/- 8.2 years, diabetes duration 10.4 (0.03-24.9) years, HbA1c 10.7 +/- 1.8%]. RESULTS: After TTP there were no differences in knowledge and ability for diabetes self-management (standard/DICOF: knowledge 11.0 +/- 2.6 vs. 12.2 +/- 2.7 points, P = 0.11; handling 14.9 +/- 3.3 vs. 15.9 +/- 2.5 points, P = 0.18). However, patients who took part in the DICOF programme showed better scores in satisfaction with the education programme [standard/DICOF 44.7 (31-57) vs. 52.5 (45-59) points, P < 0.001]. Six months later the DICOF participants showed better results regarding diabetes self-management (standard/DICOF: handling 12.5 +/- 4.1 vs. 15.9 +/- 3.1 points, P = 0.001). Both groups showed HbA1c decrease (8.3 +/- 1.4 vs. 8.5 +/- 1.3%, P=0.62) and similar incidence of acute complications. CONCLUSIONS: Elderly patients with impaired cognitive function should take part in specialized structured TTP. This leads to both better satisfaction with the education programme and an improved ability for diabetes self-management. 相似文献
67.
Influence of Electromagnetic Fields on Function of Automated External Defibrillators 总被引:3,自引:2,他引:1
Roman Fleischhackl MD Florian Singer MD Wolfgang Nitsche PhD MSc Eng Guenther Gamperl MSc Engineering Bernhard Roessler MD Jasmin Arrich MD Sabine Fleischhackl MD Heidrun Losert MD Fritz Sterz MD Martina Mittlboeck PhD MSc Klaus Hoerauf PhD MD 《Academic emergency medicine》2006,13(1):1-6
Objectives: In this study, the authors tested whether electromagnetic interference (EMI) is able to impair correct electrocardiogram analysis and produce false‐positive shock advice from automated external defibrillators (AEDs) when the true rhythm is sinus. Methods: Nineteen healthy subjects were used to test five AEDs available on the Austrian market in a prospective, open, and sequence‐randomized study. The primary outcome variable was the absolute number of shocks advised in the presence of EMI. The secondary outcome was the number of impaired analyses caused by incorrectly detected patient movements or electrode failure. Results: Of 760 tests run, 18 (2.37%) cases of false‐positive results occurred, and two of five AEDs recommended shocks in the presence of sinus rhythm. Of 760 tests run, no electrode failures occurred. There were 27 occurrences (3.55%) of motion detected by an AED in the presence of strong electromagnetic fields. Conclusions: AED models differ in their response to EMI; it may be useful to consider specific safety requirements for areas with such fields present. Working personnel and emergency medical services staff should be informed about potential risks and the possible need for patient evacuation before AEDs are attached and shock recommendations are followed. 相似文献
68.
69.
70.
Christopher L. Knight MD Henry A. Sakowski MD Bruce L. Houghton MD Mary B. Laya MD MPH Dawn E. DeWitt MD MSc 《Journal of general internal medicine》2004,19(5P2):594-598
The World Wide Web creates new challenges and opportunities for medical educators. Prominent among these are the lack of consistent standards by which to evaluate web-based educational tools. We present the instrument that was used to review web-based innovations in medical education submissions to the 2003 Society of General Internal Medicine (SGIM) national meeting, and discuss the process used by the SGIM web-based clinical curriculum interest group to develop the instrument. The 5 highest-ranked submissions are summarized with commentary from the reviewers. 相似文献