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M. Sue Kirkman MD Vanessa Jones Briscoe PhD NP CDE Nathaniel Clark MD MS RD Hermes Florez MD MPH PhD Linda B. Haas PHC RN CDE Jeffrey B. Halter MD Elbert S. Huang MD MPH Mary T. Korytkowski MD Medha N. Munshi MD Peggy Soule Odegard BS PharmD CDE Richard E. Pratley MD Carrie S. Swift MS RD BC‐ADM CDE 《Journal of the American Geriatrics Society》2012,60(12):2342-2356
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Lana Fox Lindsey BC Snyder Christoph Mans 《Journal of the American Association for Laboratory Animal Science》2016,55(3):312-316
The objective of this study was to compare isoflurane with a combination of dexmedetomidine and ketamine, administered intramuscularly, for anesthesia in chinchillas (Chinchilla lanigera). In a prospective, complete crossover study, adult chinchillas (n = 8; age, 2 to 5 y) were anesthetized with a combination of dexmedetomidine (0.015 mg/kg IM) and ketamine (4 mg/kg IM). Atipamezole (0.15 mg/kg) was injected subcutaneously 45 min after dexmedetomidine–ketamine administration. For comparison, anesthesia also was induced and maintained with isoflurane in 100% oxygen, delivered by facemask. Anesthetic and physiologic parameters were recorded during each anesthesia, including various reflexes, heart rate, respiratory rate, body temperature, and SpO2. Food intake, fecal output, and body weight were recorded daily for 6 d after each anesthetic trial. Induction time, heart rate, respiratory rate, and body temperature did not differ significantly between the 2 anesthetic protocols. Recovery times were shorter and SpO2 was higher in animals that received isoflurane delivered in 100% oxygen. Food intake and fecal output were reduced in the dexmedetomidine–ketamine group for as long as 3 d after anesthesia, whereas isoflurane had no signifcant effect on food intake or fecal output. Both anesthetic protocols provided effective anesthesia in chinchillas. However, when anesthetized with dexmedetomidine–ketamine, chinchillas received room air and became hypoxemic. Future studies are needed to evaluate the effect of oxygen supplementation on anesthetic recovery and on the recovery of food intake and fecal output in chinchillas.Abbreviation: DK, dexmedetomidine–ketamineChinchillas are used extensively in research to study otitis media, hearing loss, and ototoxicity.1,11,19,25 In addition, chinchillas are becoming increasingly popular as companion animals and, therefore, are more frequently presented for veterinary care. Common diseases of chinchillas include dental disease, gastrointestinal disorders, and ocular disorders.13,14 Chemical immobilization is often required to perform diagnostic (for example, radiography, CT), therapeutic, or experimental procedures.3,5,7,21 Research regarding the efficacy and safety of anesthetic protocols in chinchillas is limited and currently recommended protocols rely largely on extrapolation from other species or anecdotal reports.13,21,27Isoflurane is used routinely in chinchillas for the induction and maintenance of anesthesia. A study investigating the echocardiographic effects of isoflurane in chinchillas found significant effects on several echocardiographic parameters, but no complications or other side effects were reported.12 Isoflurane typically is delivered by facemask to chinchillas, given that endotracheal intubation is technically challenging and therefore not performed routinely.10,21 However, using a facemask increases the risk of exposure of the veterinary staff to waste gases, which is a significant occupational health concern.20,23 Therefore, alternative anesthetic protocols that reduce waste-gas exposure are desired, such as exclusively using injectable anesthetic drugs for induction and maintenance of anesthesia. Intravascular access is challenging to obtain in conscious chinchillas, and thus parenteral, nonvascular protocols provide the most accommodating route for anesthesia induction and maintenance.14 Only one study in chinchillas has investigated the effects of various injectable anesthetics: a combination of medetomidine (0.06 mg/kg) and ketamine (5 mg/kg) was compared with other parenteral protocols.14 Although anesthesia was successful with this protocol, the authors reported respiratory and cardiac depression in the animals. Furthermore, although atipamezole is commonly administered in clinical and research settings to promote rapid recovery and prevent complications, such as hypothermia, it was not used in the cited study.14To our knowledge, no studies have been published that assess the effects of anesthetic protocols on recovery of food intake and fecal output in chinchillas. The objective of this study was to compare the anesthesia induced in chinchillas by using either dexmedetomidine and ketamine or isoflurane and to evaluate the effects of both anesthetic protocols on subsequent food intake, fecal output, and body weight. 相似文献
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We report on neuropsychological testing done with a family in which many members reported severe face recognition impairments. These 10 individuals were high functioning in everyday life and performed normally on tests of low-level vision and high-level cognition. In contrast, they showed clear deficits with tests requiring face memory and judgements of facial similarity. They did not show deficits with all aspects of higher level visual processing as all tested performed normally on a challenging facial emotion recognition task and on a global-local letter identification task. On object memory tasks requiring recognition of particular cars and guns, they showed significant deficits so their recognition impairments were not restricted to facial identity. These results strongly suggest the existence of a genetic condition leading to a selective deficit of visual recognition. 相似文献
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Effectiveness of a Comprehensive Psychoeducational Intervention With Pregnant and Parenting Adolescents: A Pilot Study 总被引:1,自引:0,他引:1
Deborah V. Thomas EdD ARNP BC Stephen W. Looney PhD 《Journal of child and adolescent psychiatric nursing》2004,17(2):66-77
PROBLEM: Little is known about the effectiveness of a comprehensive psychoeducational intervention on depression, self-esteem, and parenting attitudes/beliefs of at-risk pregnant and parenting adolescents. METHODS: Adolescents (N = 41) attending either a residential treatment facility (RTF) or a rural alternative school (RAS) participated in a psychoeducational parenting group using Bavolek's Nurturing Program during Phase I. Phase II included health promotion issues, infant massage, and CPR. FINDINGS: Using the Parenting Semantic Differential and the AAPI-2, there was significant improvement in parenting attitudes and beliefs. No significant change was found in self-esteem. CONCLUSIONS: A comprehensive psychoeducational parenting group can be effective in changing parenting attitudes and beliefs, which suggests an ultimate improvement in health promotion and disease prevention in adolescent women and their children. 相似文献
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