收费全文 | 1664篇 |
免费 | 130篇 |
国内免费 | 8篇 |
耳鼻咽喉 | 7篇 |
儿科学 | 41篇 |
妇产科学 | 13篇 |
基础医学 | 263篇 |
口腔科学 | 67篇 |
临床医学 | 103篇 |
内科学 | 442篇 |
皮肤病学 | 47篇 |
神经病学 | 160篇 |
特种医学 | 57篇 |
外科学 | 156篇 |
综合类 | 6篇 |
预防医学 | 66篇 |
眼科学 | 31篇 |
药学 | 161篇 |
中国医学 | 23篇 |
肿瘤学 | 159篇 |
2023年 | 19篇 |
2022年 | 41篇 |
2021年 | 68篇 |
2020年 | 23篇 |
2019年 | 40篇 |
2018年 | 59篇 |
2017年 | 28篇 |
2016年 | 42篇 |
2015年 | 55篇 |
2014年 | 56篇 |
2013年 | 83篇 |
2012年 | 113篇 |
2011年 | 165篇 |
2010年 | 81篇 |
2009年 | 68篇 |
2008年 | 90篇 |
2007年 | 111篇 |
2006年 | 103篇 |
2005年 | 106篇 |
2004年 | 98篇 |
2003年 | 72篇 |
2002年 | 68篇 |
2001年 | 16篇 |
2000年 | 18篇 |
1999年 | 6篇 |
1998年 | 11篇 |
1997年 | 12篇 |
1996年 | 9篇 |
1995年 | 13篇 |
1994年 | 14篇 |
1993年 | 9篇 |
1992年 | 4篇 |
1991年 | 7篇 |
1990年 | 6篇 |
1989年 | 11篇 |
1988年 | 10篇 |
1987年 | 7篇 |
1986年 | 12篇 |
1985年 | 3篇 |
1984年 | 7篇 |
1983年 | 7篇 |
1981年 | 3篇 |
1978年 | 3篇 |
1977年 | 2篇 |
1976年 | 2篇 |
1974年 | 3篇 |
1973年 | 2篇 |
1972年 | 3篇 |
1971年 | 2篇 |
1970年 | 2篇 |
Objective
To determine the influence of the Kuchi-kara Taberu (KT) index on rehabilitation outcomes during hospitalized convalescent rehabilitation.Design
A historical controlled study.Setting and Participants
A rehabilitation hospital.Participants
Patients who were admitted to a convalescent rehabilitation ward from June 2014 to May 2017.Measures
Patients’ background characteristics included age, sex, nutritional status, activities of daily living (ADL) assessed using the Functional Impedance Measure (FIM), dysphagia assessed using the Functional Oral Intake Scale (FOIS), and reasons for rehabilitation. The following values before (control group) and after initiation of the KT index intervention period (intervention group) were compared: gain of FIM, length of stay, accumulated rehabilitation time, discharge destination, gain of FOIS, gain of body weight (BW), and nutritional intake (energy and protein).Results
Mean age was 76.4 ± 12.3 years (n = 233). There were no significant differences in the baseline characteristics of the patients at admission between the control and intervention groups, except for reason of rehabilitation. The intervention group demonstrated statistically higher values for the total (P = .004) and motor FIM gain (P = .003), total (P = .018) and motor FIM efficiency (P = .016), and FOIS gain (P < .001), compared with values in the control group. The proportion of patients returning home was statistically more frequent in the intervention group compared with that in the control group (73.4% vs 85.5%, odds ratio 2.135, 95% confidence interval [CI] 1.108-4.113, P = .022). Multivariate analyses indicated that intervention using the KT index was a significant independent factor for increased FIM gain (β coefficient = 0.163, 95% CI 1.379-8.329, P = .006) and returning home (adjusted odds ratio 2.570, 95% CI 1.154-5.724, P = .021).Conclusions/Implications
A rehabilitation program using the KT index may lead to improvement of inpatient outcomes in post-acute care. Further prospective research is warranted to confirm the efficacy of this program. 相似文献The effects of the water extract of Sinomeni Caulis et Rhizoma (SCR-WE) and its major constituents, sinomenine (SIN) and magnoflorine (MAG), on moderate hemolysis induced by lysophosphatidylcholine (LPC) were investigated in rat erythrocytes and compared with the anti-hemolytic effects of lidocaine (LID) and propranolol (PRO) as reference drugs. LPC caused hemolysis at concentrations above the critical micelle concentration (CMC), and the concentration of LPC producing moderate hemolysis (60 %) was approximately 10 μM. SCR-WE at 1 ng/mL–100 μg/mL significantly inhibited the hemolysis induced by LPC. SIN and MAG attenuated LPC-induced hemolysis in a concentration-dependent manner from very low to high concentrations (1 nM–100 μM and 10 nM–100 μM, respectively). In contrast, the inhibiting effects of LID and PRO on LPC-induced hemolysis were observed at higher concentrations (1–100 μM) but not at lower concentrations (1–100 nM). Neither SIN nor MAG affected micelle formation of LPC, nor, at concentrations of 1 nM–1 μM, did they attenuate the hemolysis induced by osmotic imbalance (hypotonic hemolysis). Similarly, SCR-WE also did not modify micelle formation or hypotonic hemolysis, except at the highest concentration. These results suggest that SIN and MAG potently protect the erythrocyte membrane from LPC-induced damage and contribute to the beneficial action of SCR-WE. The protective effects of SIN and MAG are mediated by some mechanism other than prevention of micelle formation or protection of the erythrocyte membrane against osmotic imbalance.
相似文献![点击此处可从《Pathology international》网站下载免费的PDF全文](/ch/ext_images/free.gif)