全文获取类型
收费全文 | 1741篇 |
免费 | 300篇 |
国内免费 | 8篇 |
专业分类
耳鼻咽喉 | 2篇 |
儿科学 | 58篇 |
妇产科学 | 281篇 |
基础医学 | 77篇 |
口腔科学 | 27篇 |
临床医学 | 846篇 |
内科学 | 166篇 |
皮肤病学 | 51篇 |
神经病学 | 14篇 |
特种医学 | 235篇 |
外科学 | 48篇 |
综合类 | 56篇 |
预防医学 | 87篇 |
眼科学 | 5篇 |
药学 | 44篇 |
肿瘤学 | 52篇 |
出版年
2024年 | 4篇 |
2023年 | 43篇 |
2022年 | 2篇 |
2021年 | 7篇 |
2020年 | 34篇 |
2019年 | 18篇 |
2018年 | 57篇 |
2017年 | 90篇 |
2016年 | 76篇 |
2015年 | 98篇 |
2014年 | 100篇 |
2013年 | 97篇 |
2012年 | 36篇 |
2011年 | 58篇 |
2010年 | 100篇 |
2009年 | 99篇 |
2008年 | 40篇 |
2007年 | 44篇 |
2006年 | 36篇 |
2005年 | 21篇 |
2004年 | 15篇 |
2003年 | 29篇 |
2002年 | 20篇 |
2001年 | 34篇 |
2000年 | 10篇 |
1999年 | 46篇 |
1998年 | 93篇 |
1997年 | 109篇 |
1996年 | 105篇 |
1995年 | 93篇 |
1994年 | 63篇 |
1993年 | 48篇 |
1992年 | 21篇 |
1991年 | 23篇 |
1990年 | 9篇 |
1989年 | 32篇 |
1988年 | 31篇 |
1987年 | 18篇 |
1986年 | 26篇 |
1985年 | 29篇 |
1984年 | 13篇 |
1983年 | 13篇 |
1982年 | 18篇 |
1981年 | 12篇 |
1980年 | 15篇 |
1979年 | 4篇 |
1978年 | 16篇 |
1977年 | 15篇 |
1976年 | 13篇 |
1975年 | 13篇 |
排序方式: 共有2049条查询结果,搜索用时 15 毫秒
91.
Marcus Eng Hock Ong MBBS MPH Tom P. Aufderheide MD MS Graham Nichol MD MPH FRCP Bentley J. Bobrow MD Leo Bossaert MD Peter Cameron MBBS MD Judith Finn PhD RN RM ICCert FRCNA Ian Jacobs PhD FRCNA Rudolph W. Koster MD PhD Bryan McNally MD MPH Yih Yng Ng MBBS MPH MBA Sang Do Shin MD MPH PhD George Sopko MD MPH Hideharu Tanaka MD PhD Taku Iwami MD PhD Mark Hauswald MD 《Academic emergency medicine》2013,20(12):1297-1303
At the 2013 Academic Emergency Medicine global health consensus conference, a breakout session to develop a research agenda for resuscitation was held. Two articles are the result of that discussion. This second article addresses data collection, management, and analysis and regionalization of postresuscitation care, resuscitation programs, and research examples around the world and proposes a strategy to strengthen resuscitation research globally. There is a need for reliable global statistics on resuscitation, international standardization of data, and development of an electronic standard for reporting data. Regionalization of postresuscitation care is a priority area for future research. Large resuscitation clinical research networks are feasible and can give valuable data for improvement of service and outcomes. Low‐cost models of population‐based research, and emphasis on interventional and implementation studies that assess the clinical effects of programs and interventions, are needed to determine the most cost‐effective strategies to improve outcomes. The global challenge is how to adapt research findings to a developing world situation to have an effect internationally. 相似文献
92.
93.
AG Eller TF Porter P Soisson RM Silver 《BJOG : an international journal of obstetrics and gynaecology》2009,116(5):648-654
Objective To determine which interventions for managing placenta accreta were associated with reduced maternal morbidity.
Design Retrospective cohort study.
Setting Two tertiary care teaching hospitals in Utah.
Population All identified cases of placenta accreta from 1996 to 2008.
Methods Cases of placenta accreta were identified using standard ICD-9 codes for placenta accreta, placenta praevia, and caesarean hysterectomy. Medical records were then abstracted for maternal medical history, hospital course, and maternal and neonatal outcomes. Maternal and neonatal complications were compared according to antenatal suspicion of accreta, indications for delivery, preoperative preparation, attempts at placental removal before hysterectomy, and hypogastric artery ligation.
Main outcome measures Early morbidity (prolonged maternal intensive care unit admission, large volume of blood transfusion, coagulopathy, ureteral injury, or early re-operation) and late morbidity (intra-abdominal infection, hospital re-admission, or need for delayed re-operation).
Results Seventy-six cases of placenta accreta were identified. When accreta was suspected, scheduled caesarean hysterectomy without attempting placental removal was associated with a significantly reduced rate of early morbidity compared with cases in which placental removal was attempted (67 versus 36%, P = 0.038). Women with preoperative bilateral ureteric stents had a lower incidence of early morbidity compared with women without stents (18 versus 55%, P = 0.018). Hypogastric artery ligation did not reduce maternal morbidity.
Conclusions Scheduled caesarean hysterectomy with preoperative ureteric stent placement and avoiding attempted placental removal are associated with reduced maternal morbidity in women with suspected placenta accreta. 相似文献
Design Retrospective cohort study.
Setting Two tertiary care teaching hospitals in Utah.
Population All identified cases of placenta accreta from 1996 to 2008.
Methods Cases of placenta accreta were identified using standard ICD-9 codes for placenta accreta, placenta praevia, and caesarean hysterectomy. Medical records were then abstracted for maternal medical history, hospital course, and maternal and neonatal outcomes. Maternal and neonatal complications were compared according to antenatal suspicion of accreta, indications for delivery, preoperative preparation, attempts at placental removal before hysterectomy, and hypogastric artery ligation.
Main outcome measures Early morbidity (prolonged maternal intensive care unit admission, large volume of blood transfusion, coagulopathy, ureteral injury, or early re-operation) and late morbidity (intra-abdominal infection, hospital re-admission, or need for delayed re-operation).
Results Seventy-six cases of placenta accreta were identified. When accreta was suspected, scheduled caesarean hysterectomy without attempting placental removal was associated with a significantly reduced rate of early morbidity compared with cases in which placental removal was attempted (67 versus 36%, P = 0.038). Women with preoperative bilateral ureteric stents had a lower incidence of early morbidity compared with women without stents (18 versus 55%, P = 0.018). Hypogastric artery ligation did not reduce maternal morbidity.
Conclusions Scheduled caesarean hysterectomy with preoperative ureteric stent placement and avoiding attempted placental removal are associated with reduced maternal morbidity in women with suspected placenta accreta. 相似文献
94.
95.
Sarah Lake MN RN Cheryle Moss PhD RN Jan Duke PhD RN RM 《International journal of nursing practice》2009,15(5):376-388
Every day in clinical settings, nurses practise in complex and dynamic situations. Nurses work to achieve emergent order in these situations through nursing prioritization of the patient need for care. As direct research on nursing prioritization had not been reported, a study, using critical realism as method, was designed to discern the profession's embedded understanding from within the clinical decision-making literature. The research synthesizes a tacit knowledge on nursing prioritization of the patient need for care from key international literature (from 1966 to 2003). Nursing prioritization was discerned in both education and practice literatures; interrelationships between these and theoretical approaches were also identified. Nursing prioritization of the patient need for care was revealed both as a non-sequential decision-making process throughout unfolding patient situations and as an advanced skill of nursing practice. Increasing confidence with this skill is the hallmark of developing expertise. 相似文献
96.
Depression recognition and capacity for self‐report among ethnically diverse nursing homes residents: Evidence of disparities in screening 下载免费PDF全文
97.
98.
99.
Virginia Schmied PhD MA RM Sarah Beake MA RM RN Athena Sheehan PhD MN RM Christine McCourt PhD BA Fiona Dykes PhD MA RM 《分娩》2011,38(1):49-60
Abstract: Background: Both peer and professional support have been identified as important to the success of breastfeeding. The aim of this metasynthesis was to examine women’s perceptions and experiences of breastfeeding support, either professional or peer, to illuminate the components of support that they deemed “supportive.” Methods: The metasynthesis included studies of both formal or “created” peer and professional support for breastfeeding women but excluded studies of family or informal support. Qualitative studies were included as well as large‐scale surveys if they reported the analysis of qualitative data gathered through open‐ended responses. Primiparas and multiparas who initiated breastfeeding were included. Studies published in English, in peer‐reviewed journals, and undertaken between January 1990 and December 2007 were included. After assessment for relevance and quality, 31 studies were included. Meta‐ethnographic methods were used to identify categories and themes. Results: The metasynthesis resulted in four categories comprising 20 themes. The synthesis indicated that support for breastfeeding occurred along a continuum from authentic presence at one end, perceived as effective support, to disconnected encounters at the other, perceived as ineffective or even discouraging and counterproductive. A facilitative approach versus a reductionist approach was identified as contrasting styles of support that women experienced as helpful or unhelpful. Conclusions: The findings emphasize the importance of person‐centered communication skills and of relationships in supporting a woman to breastfeed. Organizational systems and services that facilitate continuity of caregiver, for example continuity of midwifery care or peer support models, are more likely to facilitate an authentic presence, involving supportive care and a trusting relationship with professionals. (BIRTH 38:1 March 2011) 相似文献
100.
Marie Tarrant RN MPH PhD Kendra M. Wu BSc MSc MMedSc Daniel Y. T. Fong PhD Irene L. Y. Lee RN RM MHA MPHC Emmy M. Y. Wong RN MN PhD Alice Sham RN RM MSc MBA Christine Lam RN RM MMW IBCLC Joan E. Dodgson RN MPH PhD 《分娩》2011,38(3):238-245
Abstract: Background: The World Health Organization (WHO) developed the Baby‐Friendly Hospital Initiative to improve hospital maternity care practices that support breastfeeding. In Hong Kong, although no hospitals have yet received the Baby‐Friendly status, efforts have been made to improve breastfeeding support. The aim of this study was to examine the impact of Baby‐Friendly hospital practices on breastfeeding duration. Methods: A sample of 1,242 breastfeeding mother‐infant pairs was recruited from four public hospitals in Hong Kong and followed up prospectively for up to 12 months. The primary outcome variable was defined as breastfeeding for 8 weeks or less. Predictor variables included six Baby‐Friendly practices: breastfeeding initiation within 1 hour of birth, exclusive breastfeeding while in hospital, rooming‐in, breastfeeding on demand, no pacifiers or artificial nipples, and information on breastfeeding support groups provided on discharge. Results: Only 46.6 percent of women breastfed for more than 8 weeks, and only 4.8 percent of mothers experienced all six Baby‐Friendly practices. After controlling for all other Baby‐Friendly practices and possible confounding variables, exclusive breastfeeding while in hospital was protective against early breastfeeding cessation (OR: 0.61; 95% CI: 0.42–0.88). Compared with mothers who experienced all six Baby‐Friendly practices, those who experienced one or fewer Baby‐Friendly practices were almost three times more likely to discontinue breastfeeding (OR: 3.13; 95% CI: 1.41–6.95). Conclusions: Greater exposure to Baby‐Friendly practices would substantially increase new mothers’ chances of breastfeeding beyond 8 weeks postpartum. To further improve maternity care practices in hospitals, institutional and administrative support are required to ensure all mothers receive adequate breastfeeding support in accordance with WHO guidelines. (BIRTH 38:3 September 2011) 相似文献