全文获取类型
收费全文 | 161664篇 |
免费 | 10343篇 |
国内免费 | 1219篇 |
专业分类
耳鼻咽喉 | 2268篇 |
儿科学 | 3030篇 |
妇产科学 | 3747篇 |
基础医学 | 24059篇 |
口腔科学 | 3345篇 |
临床医学 | 15262篇 |
内科学 | 30856篇 |
皮肤病学 | 4348篇 |
神经病学 | 12061篇 |
特种医学 | 8096篇 |
外科学 | 21918篇 |
综合类 | 2165篇 |
现状与发展 | 5篇 |
一般理论 | 81篇 |
预防医学 | 9730篇 |
眼科学 | 4312篇 |
药学 | 13646篇 |
中国医学 | 1602篇 |
肿瘤学 | 12695篇 |
出版年
2023年 | 991篇 |
2022年 | 2740篇 |
2021年 | 4831篇 |
2020年 | 2494篇 |
2019年 | 3590篇 |
2018年 | 4408篇 |
2017年 | 3240篇 |
2016年 | 4192篇 |
2015年 | 5643篇 |
2014年 | 6914篇 |
2013年 | 8373篇 |
2012年 | 12654篇 |
2011年 | 12302篇 |
2010年 | 7250篇 |
2009年 | 6071篇 |
2008年 | 9266篇 |
2007年 | 9132篇 |
2006年 | 8387篇 |
2005年 | 7985篇 |
2004年 | 7123篇 |
2003年 | 6188篇 |
2002年 | 5373篇 |
2001年 | 4377篇 |
2000年 | 4027篇 |
1999年 | 3264篇 |
1998年 | 1310篇 |
1997年 | 990篇 |
1996年 | 950篇 |
1995年 | 863篇 |
1994年 | 751篇 |
1993年 | 642篇 |
1992年 | 1572篇 |
1991年 | 1569篇 |
1990年 | 1355篇 |
1989年 | 1236篇 |
1988年 | 1154篇 |
1987年 | 1031篇 |
1986年 | 1010篇 |
1985年 | 883篇 |
1984年 | 644篇 |
1983年 | 563篇 |
1982年 | 400篇 |
1981年 | 377篇 |
1980年 | 338篇 |
1979年 | 519篇 |
1978年 | 407篇 |
1977年 | 388篇 |
1976年 | 342篇 |
1974年 | 358篇 |
1973年 | 327篇 |
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
21.
22.
Dong Kyu Lim Changyeun Mo Dong-Kyu Lee Nguyen Phuoc Long Jongguk Lim Sung Won Kwon 《Yao wu shi pin fen xi = Journal of food and drug analysis.》2018,26(1):260-267
The authenticity determination of white rice is crucial to prevent deceptive origin labeling and dishonest trading. However, a non-destructive and comprehensive method for rapidly discriminating the geographical origins of white rice between countries is still lacking. In the current study, we developed a volatile organic compound based geographical discrimination method using headspace solid-phase microextraction coupled to gas chromatography–mass spectrometry (HS-SPME/GC–MS) to discriminate rice samples from Korea and China. A partial least squares discriminant analysis (PLS-DA) model exhibited a good classification of white rice between Korea and China (accuracy = 0.958, goodness of fit = 0.937, goodness of prediction = 0.831, and permutation test p-value = 0.043). Combining the PLS-DA based feature selection with the differentially expressed features from the unpaired t-test and significance analysis of microarrays, 12 discriminatory biomarkers were found. Among them, hexanal and 1-hexanol have been previously known to be associated with the cultivation environment and storage conditions. Other hydrocarbon biomarkers are novel, and their impact on rice production and storage remains to be elucidated. In conclusion, our findings highlight the ability to rapidly discriminate white rice from Korea and China. The developed method maybe useful for the authenticity and quality control of white rice. 相似文献
23.
We investigate the survival distribution of the patients who have survived over a certain time period. This is called a conditional survival distribution. In this paper, we show that one-sample estimation, two-sample comparison and regression analysis of conditional survival distributions can be conducted using the regular methods for unconditional survival distributions that are provided by the standard statistical software, such as SAS and SPSS. We conduct extensive simulations to evaluate the finite sample property of these conditional survival analysis methods. We illustrate these methods with real clinical data. 相似文献
24.
Protein transduction domains (PTDs) have been shown to promote the delivery of therapeutic proteins or peptides into the living cells. In a previous study, we showed that the double mutant of TCTP-PTD 13, TCTP-PTD 13M2, was more effective in the delivery of insulin than the wild-type TCTP-PTD 13. In this study, we applied this approach to the nasal delivery of a different peptide, exendin-4, using as carriers, several modified TCTP-PTDs, such as TCTP-PTD 13M1, 13M2, and 13M3. Nasal co-administration of TCTP-PTD 13M2 with exendin-4 showed the highest exendin-4 uptake among the three analogs in normal rats, and also decreased blood glucose levels by 43.3% compared with that of exendin-4 alone and by 18.6% compared with that of exendin-4 plus TCTP-PTD 13 in diabetic mice. We also designed an additional covalently linked conjugate of TCTP-PTD 13M2 and exendin-4 and evaluated its hypoglycemic effect after subcutaneous or intranasal delivery. Subcutaneous administration of exendin-4 that its C-terminus is covalently linked to TCTP-PTD 13M2 showed hypoglycemic effect of 42.2% compared to that in untreated group, whereas intranasal delivery was not successful in diabetic mice. We conclude that a simple mixing TCTP-PTD 13M2 with peptide/protein drugs can be potentially a generally applicable approach for intranasal delivery into animals. 相似文献
25.
Aisha F. Badr Sawsan Kurdi Samah Alshehri Claire McManus Jeannie Lee 《Saudi Pharmaceutical Journal》2018,26(8):1204-1207
Background
Hospitalization can contribute to insomnia in many patients and is usually treated symptomatically. However, sedative/hypnotic misuse is associated with complications in this population, especially in the elderly. Such complications include dizziness, falls and over-sedation. Due to the implicit dangers, widespread use of these drugs for insomnia, particularly in older patients, has been discouraged by many hospitals. The aim of this study was to review and evaluate prescribing patterns and to optimize the use of the sedative/hypnotic agents through daily pharmacy interventions at a community hospital.Methods
This was a biphasic before and after study. Data on sedative/hypnotic use was collected retrospectively for a 2-month period and a sample of 100 patients was randomly selected for analysis. A 2-month prospective phase followed, in which daily orders were reviewed by one pharmacy resident and recommendations made to discontinue any unnecessary, newly prescribed sedative/hypnotic orders when appropriate. Finally, results of both phases were compared for any differences in patient demographics, being prescribed more than one sedative/hypnotic, and complications documented.Results
During the prospective phase, pharmacist interventions led to the discontinuation of 25% of a total of 97 sedative/hypnotic orders in 97 patients. The number of patients receiving more than one sedative/hypnotic agents in the intervention group was significantly lower than the retrospective control group (15 Vs. 34, P?=?0.0026). The incidence of complications was not significantly different between the control and intervention groups for the following: over-sedation, falls and delirium (p?=?0.835, p?=?0.185, p?=?0.697, respectively).Conclusion
This study suggests that the use of sedative/hypnotics in the inpatient units (excluding the critical care unit), is somewhat prevalent, and many patients may be on more than one sedative/hypnotic, which could potentially cause cumulative harm. During the intervention phase, 25% of the total in-hospital orders for sedative/hypnotics were discontinued following recommendations made by a pharmacist, and significantly lower number of patients receiving duplicate sedative/hypnotics was noted. Further efforts should be implemented to avoid unnecessary sedative/hypnotic initiation in hospitalized patients, and to ensure monitoring by pharmacists is optimized. 相似文献26.
Evaluation of the Present‐on‐Admission Indicator among Hospitalized Fee‐for‐Service Medicare Patients with a Pressure Ulcer Diagnosis: Coding Patterns and Impact on Hospital‐Acquired Pressure Ulcer Rates 下载免费PDF全文
27.
Arjun K. Venkatesan Robert B. Reed Sungyun Lee Xiangyu Bi David Hanigan Yu Yang James F. Ranville Pierre Herckes Paul Westerhoff 《Bulletin of environmental contamination and toxicology》2018,100(1):120-126
Single particle inductively coupled plasma mass spectrometry (spICP-MS) was used to detect Ti-containing particles in heavily-used bathing areas of a river (Salt River) and five swimming pools. Ti-containing particle concentrations in swimming pools ranged from 2.8?×?103 to 4.4?×?103 particles/mL and were an order of magnitude lower than those detected in the Salt River. Measurements from the Salt River showed an 80% increase in Ti-containing particle concentration over baseline concentration during peak recreational activity (at 16:00 h) in the river. Cloud point extraction followed by transmission electron microscopy with energy dispersive X-ray analysis confirmed presence of aggregated TiO2 particles in river samples, showing morphological similarity to particles present in an over-the-counter sunscreen product. The maximum particle mass concentration detected in a sample from the Salt River (659 ng/L) is only slightly lower than the predicted no effect concentration for TiO2 to aquatic organisms (<?1 μg/L). 相似文献
28.
This study includes a comparison analysis of how community resilience and its influence factor of community attachment were changed before and after the closing of the hospital in the rural community. In order to analyze the influence factors of healthcare and medical vulnerability on community resilience, as well as the mean difference from before and after the closing of the hospital, this study conducted matching sample t test, hierarchical regression analysis, difference in differences (DID) analysis. The results indicate that community attachment consists of such factors as closeness, preference, affective bond, and identity, and they showed significance in confidence. It showed that resilience and community attachment are lower after closing than before closing. Moreover, as a result of DID analysis where the variation of community attachment affects community resilience, closeness together with closeness had an influence on the community resilience. It needs to expand public projects to improve the settlement environment of the basic local government, and in particular, it should consider various support measures to overcome vulnerabilities in the healthcare and medical sector. 相似文献
29.
30.
Vitchan Kim Sora Yeom Yejin Lee Hyoung-Goo Park Myung-A Cho Harim Kim 《Journal of toxicology and environmental health. Part A》2018,81(12):493-501
Humans possess three cytochrome P450 enzymes in the 2A subfamily (2A6, 2A7, and 2A13). P450 2A13 is mainly expressed in the human trachea and lung, whereas P450 2A6 is found in human liver. The P450 2A13 enzyme may be considered as the primary enzyme responsible for metabolic activation of many tobacco-specific carcinogens. Genetic variations significantly influence the toxicological consequences attributed to tobacco smoking. The aim of this study was to examine the in vitro functional activities of five P450 2A13 genetic variations (R257C, 133_134insT, R101Q, I331T, and R257C/I331T) in P450 2A13*2, *3, *4, and *10 alleles. Mutant clones were constructed and their recombinant enzymes were expressed in Escherichia coli. P450 2A13 mutants containing R257C, 133_134insT, I331T, and R257C/I331T displayed P450 holoenzyme spectra. The R101Q mutant was not apparently expressed. P450 2A13 enzymes displayed the typical type I binding spectra to coumarin and the calculated binding affinities of R257C, R257C/I331T, and 133_134insT mutants were decreased approximately three- to sevenfold. In catalytic analyses of purified mutant enzymes for coumarin and nicotine, the R257C and I331T mutants exhibited lower kcat values with catalytic efficiencies reduced up to approximately 20%. The double mutation of R257C/I331T induced increased Km values and diminished kcat values that resulted in >50% decrease in catalytic efficiencies. For 133_134insT mutant, catalytic activities were not markedly saturated but the measured rates at the highest concentrations were significantly lower than those of the wild-type or other mutant enzymes. Functional analysis of these variations in P450 2A13 allelic variants may help to understand the consequences of P450 2A13 polymorphism in bioactivation of many tobacco-derived carcinogens. 相似文献