收费全文 | 68917篇 |
免费 | 4786篇 |
国内免费 | 171篇 |
耳鼻咽喉 | 562篇 |
儿科学 | 2312篇 |
妇产科学 | 2204篇 |
基础医学 | 8749篇 |
口腔科学 | 1323篇 |
临床医学 | 10809篇 |
内科学 | 12965篇 |
皮肤病学 | 1093篇 |
神经病学 | 6560篇 |
特种医学 | 1393篇 |
外国民族医学 | 33篇 |
外科学 | 6441篇 |
综合类 | 777篇 |
一般理论 | 88篇 |
预防医学 | 8807篇 |
眼科学 | 821篇 |
药学 | 4308篇 |
1篇 | |
中国医学 | 191篇 |
肿瘤学 | 4437篇 |
2023年 | 444篇 |
2022年 | 580篇 |
2021年 | 1479篇 |
2020年 | 961篇 |
2019年 | 1590篇 |
2018年 | 1914篇 |
2017年 | 1348篇 |
2016年 | 1511篇 |
2015年 | 1739篇 |
2014年 | 2208篇 |
2013年 | 3476篇 |
2012年 | 5009篇 |
2011年 | 5270篇 |
2010年 | 2716篇 |
2009年 | 2478篇 |
2008年 | 4432篇 |
2007年 | 4870篇 |
2006年 | 4659篇 |
2005年 | 4508篇 |
2004年 | 4338篇 |
2003年 | 4064篇 |
2002年 | 3825篇 |
2001年 | 591篇 |
2000年 | 461篇 |
1999年 | 561篇 |
1998年 | 746篇 |
1997年 | 596篇 |
1996年 | 542篇 |
1995年 | 431篇 |
1994年 | 418篇 |
1993年 | 413篇 |
1992年 | 377篇 |
1991年 | 310篇 |
1990年 | 319篇 |
1989年 | 248篇 |
1988年 | 255篇 |
1987年 | 271篇 |
1986年 | 233篇 |
1985年 | 254篇 |
1984年 | 290篇 |
1983年 | 254篇 |
1982年 | 313篇 |
1981年 | 298篇 |
1980年 | 232篇 |
1979年 | 168篇 |
1978年 | 142篇 |
1977年 | 158篇 |
1976年 | 130篇 |
1975年 | 111篇 |
1974年 | 105篇 |
Methods: We reviewed medical records of patients who had a positive serological test for Toxoplasma gondii-specific IgM Ab. Their clinical data, including history, demographic characteristics, laboratory findings, clinical findings, treatment outcomes, and recurrences, were reviewed retrospectively.
Results: Of 2919 uveitis patients who underwent a serological test for suspected ocular toxoplasmosis (OT), 18 presented with positive Ig M results. All 18 patients (100.0% specificity) were clinically diagnosed with OT. None had any retinochoroidal scar at the initial visit, indicating the OT was a recent and primary infection. However, 15 patients (83.3%) had no history suspected to account for the Toxoplasma transmission.
Conclusions: The T. gondii IgM serum Ab is a specific biomarker for diagnosis of primary OT. Epidemiological studies are warranted to investigate the non-classic transmission routes of T. gondii in OT. 相似文献
Objectives
Although hospital clinicians strive to effectively refer patients who require post-acute care (PAC), their discharge planning processes often vary greatly, and typically are not evidence-based.Design
Quasi-experimental study employing pre-/postdesign. Aimed at improving patient-centered discharge processes, we examined the effects of the Discharge Referral Expert System for Care Transitions (DIRECT) algorithm that provides clinical decision support (CDS) regarding which patients to refer to PAC and to what level of care (home care or facility).Setting and participants
Conducted in 2 hospitals, DIRECT data elements were collected in the pre-period (control) but discharging clinicians were blinded to the advice and provided usual discharge care. During the postperiod (intervention), referral advice was provided within 24 hours of admission to clinicians, and updated twice daily. Propensity modeling was used to account for differences between the pre-/post patient cohorts.Measures
Outcomes compared between the control and the intervention periods included PAC referral rates, patient characteristics, and same-, 7-, 14-, and 30-day readmissions or emergency department visits.Results
Although 24%–25% more patients were recommended for PAC referral by DIRECT algorithm advice, the proportion of patients receiving referrals for PAC did not significantly differ between the control (3302) and intervention (5006) periods. However, the characteristics of patients referred for PAC services differed significantly and inpatient readmission rates decreased significantly across all time intervals when clinicians had DIRECT CDS compared with without. There were no differences observed in return emergency department visits. Largest effects were observed when clinicians agreed with the algorithm to refer (yes/yes).Conclusions/Implications
Our findings suggest the value of timely, automated, discharge CDS for clinicians to optimize PAC referral for those most likely to benefit. Although overall referral rates did not change with CDS, the algorithm may have identified those patients most in need, resulting in significantly lower inpatient readmission rates. 相似文献Compare mothers’ reports of injuries for infants and toddlers sleeping with crib-bumpers/mesh-liners/no-barriers and reasons for these sleep environment choices.
MethodsA cross-sectional survey of mothers subscribing to a parenting magazine and using crib bumpers (n?=?224), mesh liners (n?=?262), and no barriers (n?=?842). Analyses of four possible injuries (face-covered, climb-out/fall, slat-entrapment, hit-head) including multivariate logistic regression adjusted for missing data/demographics and Chi squared analyses of reasons for mothers’ choices.
ResultsMaternal reports of finding infants/toddlers with face covered had 3.5 times higher adjusted odds (aOR) for crib bumper versus mesh liner use. Breathing difficulties and wedgings were reported for infants/toddlers using crib bumpers but not mesh liners. Climb-outs/falls showed no significant difference in aORs for crib bumpers versus no-barriers and mesh liners versus no barriers. Reports of slat-entrapment were less likely for mothers using crib bumpers and mesh liners than using no barrier (aOR?=?.28 and .32). Reports of hit-heads were less likely for crib bumpers vs no barrier (aOR?=?.38) with no significant difference between mesh liners versus no barrier use. Mothers using crib bumpers and mesh liners felt their choice prevented slat-entrapment (89%, 91%); 93.5% of crib bumper users felt their choice prevented hit-heads. Significantly more mesh liner than crib bumper users chose them because “There is no suffocation risk” (64.1% vs. 40.6%), while 83.6% of no-barrier users chose them because “I was concerned about suffocation risk.”
Conclusions for PracticeMothers appeared to be more concerned about preventing minor risks than suffocation. Understanding reasons for mothers’ use of barriers/no-barriers is important in tailoring counseling for mothers with infants/toddlers.
相似文献