全文获取类型
收费全文 | 8946篇 |
免费 | 579篇 |
国内免费 | 7篇 |
专业分类
耳鼻咽喉 | 55篇 |
儿科学 | 420篇 |
妇产科学 | 280篇 |
基础医学 | 903篇 |
口腔科学 | 39篇 |
临床医学 | 1540篇 |
内科学 | 1321篇 |
皮肤病学 | 158篇 |
神经病学 | 843篇 |
特种医学 | 202篇 |
外科学 | 831篇 |
综合类 | 71篇 |
一般理论 | 8篇 |
预防医学 | 1460篇 |
眼科学 | 80篇 |
药学 | 470篇 |
中国医学 | 3篇 |
肿瘤学 | 848篇 |
出版年
2024年 | 14篇 |
2023年 | 89篇 |
2022年 | 85篇 |
2021年 | 185篇 |
2020年 | 129篇 |
2019年 | 248篇 |
2018年 | 223篇 |
2017年 | 185篇 |
2016年 | 193篇 |
2015年 | 215篇 |
2014年 | 313篇 |
2013年 | 471篇 |
2012年 | 686篇 |
2011年 | 762篇 |
2010年 | 408篇 |
2009年 | 344篇 |
2008年 | 648篇 |
2007年 | 683篇 |
2006年 | 610篇 |
2005年 | 615篇 |
2004年 | 573篇 |
2003年 | 520篇 |
2002年 | 477篇 |
2001年 | 52篇 |
2000年 | 48篇 |
1999年 | 51篇 |
1998年 | 107篇 |
1997年 | 75篇 |
1996年 | 66篇 |
1995年 | 69篇 |
1994年 | 41篇 |
1993年 | 47篇 |
1992年 | 31篇 |
1991年 | 28篇 |
1990年 | 22篇 |
1989年 | 18篇 |
1988年 | 14篇 |
1987年 | 14篇 |
1986年 | 21篇 |
1985年 | 18篇 |
1984年 | 16篇 |
1983年 | 11篇 |
1982年 | 14篇 |
1981年 | 16篇 |
1980年 | 14篇 |
1979年 | 4篇 |
1978年 | 5篇 |
1977年 | 10篇 |
1973年 | 5篇 |
1972年 | 6篇 |
排序方式: 共有9532条查询结果,搜索用时 15 毫秒
81.
82.
Prada Diddier Baccarelli Andrea A. Terry Mary Beth Valdéz Leonora Cabrera Paula Just Allan Kloog Itai Caro Haydee García-Cuellar Claudia Sánchez-Pérez Yesennia Cruz Rodrigo Diaz-Chávez Jose Cortés Carlo Pérez Delia Meneses-García Abelardo Cantú-de-León David Herrera Luis A. Bargalló Enrique 《Breast cancer research and treatment》2021,187(2):525-533
Breast Cancer Research and Treatment - Many patients seek breast reconstruction following mastectomy. Debate exists regarding the best reconstructive option. The authors evaluate outcomes comparing... 相似文献
83.
84.
OBJECTIVE: To estimate how preventive services and counseling differ for women seen by general medical physicians and gynecologists, and whether seeing both types of physicians had a greater impact on delivery of gender-specific and gender-neutral preventive care than by either type of physician alone. METHODS: Using data from the 2000 National Health Interview Survey, we studied the association of provider type with Pap tests, tobacco use screening, and exercise and diet counseling among women 18-64 years (n=7,317), and these services along with clinical breast examinations, mammograms, and colon cancer screening among women aged 50-64 years (n=1,551). We modeled care using multivariable logistic regression and used propensity score techniques to limit selection bias from choice of provider. RESULTS: In the study sample, 15% were seen by general medical physicians, 62% by gynecologists, and 23% by both. Overall rates of gender-specific services (Pap test, clinical breast examination, mammography) were high (88-95%), whereas gender-neutral services were low (23-53%). Patients of gynecologists only were more likely to have Pap tests (adjusted relative risk [RR] 1.26, 95% confidence interval [CI] 1.24-1.27), tobacco use screening (adjusted RR 1.08, 95% CI 1.02-1.14), mammography (adjusted RR 1.25, 95% CI 1.20-1.28), and clinical breast examination (adjusted RR 1.25, 95% CI 1.19-1.29). In general, combined gynecologist and general care did not increase the likelihood of preventive care. Propensity score analyses confirmed these results. CONCLUSION: Patients of gynecologists receive more preventive services compared with patients of general medical physicians, although rates of gender-neutral services were low regardless of provider type. These findings validate gynecologists' roles as providers of basic preventive care services but demonstrate that considerable room exists to improve delivery of preventive care to women. 相似文献
85.
86.
The authors compare perspectives of intimate partner violence (IPV) survivors and emergency department (ED) nurses on types of social support IPV victims need at different stages of readiness to disclose and leave a relationship. Qualitative interviews (16 IPV survivors, 10 ED nurses) center on women's responses to vignettes that illustrate different stages of readiness. Survivors mention fear as a barrier for action, whereas nurses are more likely to say that the woman is in denial. Survivors emphasize emotional support and respect, whereas nurses emphasize informational and instrumental support. IPV victims desire appropriate, respectful responses by nurses, suitable to their stage of readiness. Nurses need more insight into women's decisions to disclose and leave a relationship and skills to provide emotional support. 相似文献
87.
Mazaki-Tovi S Romero R Kusanovic JP Erez O Pineles BL Gotsch F Mittal P Than NG Espinoza J Hassan SS 《Seminars in perinatology》2007,31(3):142-158
Recurrent preterm birth is frequently defined as two or more deliveries before 37 completed weeks of gestation. The recurrence rate varies as a function of the antecedent for preterm birth: spontaneous versus indicated. Spontaneous preterm birth is the result of either preterm labor with intact membranes or preterm prelabor rupture of the membranes. This article reviews the body of literature describing the risk of recurrence of spontaneous and indicated preterm birth. Also discussed are the factors which modify the risk for recurrent spontaneous preterm birth (a short sonographic cervical length and a positive cervicovaginal fetal fibronectin test). Patients with a history of an indicated preterm birth are at risk not only for recurrence of this subtype, but also for spontaneous preterm birth. Individuals of black origin have a higher rate of recurrent preterm birth. 相似文献
88.
Lancaster JM Powell CB Kauff ND Cass I Chen LM Lu KH Mutch DG Berchuck A Karlan BY Herzog TJ;Society of Gynecologic Oncologists Education Committee 《Gynecologic oncology》2007,107(2):159-162
Women with germline mutations in the cancer susceptibility genes, BRCA1 or BRCA2, associated with Hereditary Breast/Ovarian Cancer syndrome, have up to an 85% lifetime risk of breast cancer and up to a 46% lifetime risk ovarian cancer. Similarly, women with mutations in the DNA mismatch repair genes, MLH1, MSH2 or MSH6, associated with the Lynch/Hereditary Non-Polyposis Colorectal Cancer (HNPCC) syndrome, have up to a 40-60% lifetime risk of both endometrial and colorectal cancer as well as a 9-12% lifetime risk of ovarian cancer. Genetic risk assessment enables physicians to provide individualized evaluation of the likelihood of having one of these gynecologic cancer predisposition syndromes, as well the opportunity to provide tailored screening and prevention strategies such as surveillance, chemoprevention, and prophylactic surgery that may reduce the morbidity and mortality associated with these syndromes. Hereditary cancer risk assessment is a process that includes assessment of risk, education and counseling conducted by a provider with expertise in cancer genetics, and may include genetic testing after appropriate consent is obtained. This commentary provides guidance on identification of patients who may benefit from hereditary cancer risk assessment for Hereditary Breast/Ovarian Cancer and the Lynch/Hereditary Non-Polyposis Colorectal Cancer syndrome. 相似文献
89.
Karam AK Santillan A Bristow RE Giuntoli R Gardner GJ Cass I Karlan BY Li AJ 《Gynecologic oncology》2007,104(2):377-380
OBJECTIVES: Studies of tertiary cytoreductive surgery (TCS) in recurrent epithelial ovarian cancer are limited, and appropriate patient selection remains a clinical challenge. We sought to evaluate the impact of TCS on survival and to determine predictors of optimal tertiary resection. METHODS: Between January 1997 and July 2004, 47 women with recurrent epithelial ovarian cancer underwent TCS at two institutions. All patients received initial platinum and taxane-based chemotherapy following primary cytoreductive surgery. Clinico-pathologic factors and survival were retrospectively abstracted from medical records. Optimal TCS was defined as microscopic residual disease. RESULTS: Thirty of 47 (64%) patients underwent optimal TCS. Size of tumor implants<5 cm on preoperative imaging was the only significant predictor of achieving optimal TCS. Overall survival after TCS was statistically longer in patients with microscopic versus macroscopic residual disease (24 versus 16 months, p=0.03). After controlling for age, time to progression and optimal TCS, only the presence of diffuse disease at tertiary exploration remained a significant poor predictor of survival. However, in a cohort of patients with limited disease implants, multivariate analysis indicated that optimal TCS retained prognostic significance as a positive predictor of survival. Twelve patients (26%) experienced severe postoperative complications, including six with pulmonary embolism, four with fistulae and two with postoperative myocardial infarctions. CONCLUSIONS: Size of disease implants on preoperative imaging may guide the selection of candidates for TCS. In those patients with limited disease implants at laparotomy, optimal TCS is associated with improved survival. 相似文献
90.
Plasma adiponectin concentrations in non-pregnant, normal and overweight pregnant women 总被引:1,自引:0,他引:1
Nien JK Mazaki-Tovi S Romero R Erez O Kusanovic JP Gotsch F Pineles BL Gomez R Edwin S Mazor M Espinoza J Yoon BH Hassan SS 《Journal of perinatal medicine》2007,35(6):522-531
AIMS: Adiponectin is an adipokine that has anti-diabetic, anti-atherogenic, anti-inflammatory and angiogenic properties. This hormone has been implicated in both the physiological adaptation to normal pregnancy and in obstetrical complications. The aims of this study were to determine normal maternal plasma concentrations of adiponectin throughout gestation and to explore the relationships between plasma adiponectin concentration, pregnancy, and maternal overweight. METHODS: A cross-sectional study was designed to include normal pregnant (normal weight and overweight; 11-42 weeks of gestation), and non-pregnant women. Plasma adiponectin concentration was determined by immunoassay. Non-parametric statistics were used for analysis. RESULTS: (1) Adiponectin was detectable in the plasma of all patients; (2) there was no significant differences in the median adiponectin concentration between pregnant and non-pregnant women; (3) plasma adiponectin concentrations were negatively correlated with gestational age only among normal weight pregnant women; and (4) overweight patients had significantly lower plasma adiponectin concentrations than normal weight women. CONCLUSIONS: Consistent with the increased insulin resistance and weight gain that occur in pregnancy, adiponectin concentrations were negatively correlated with gestational age. The results of this study and the nomogram herein presented, can serve as the basis to explore the relationship between adiponectin and pregnancy complications and facilitate the clinical use of this important adipokine. 相似文献