全文获取类型
收费全文 | 35747篇 |
免费 | 3192篇 |
国内免费 | 88篇 |
专业分类
耳鼻咽喉 | 333篇 |
儿科学 | 1182篇 |
妇产科学 | 1121篇 |
基础医学 | 5161篇 |
口腔科学 | 459篇 |
临床医学 | 4370篇 |
内科学 | 6722篇 |
皮肤病学 | 683篇 |
神经病学 | 3151篇 |
特种医学 | 1139篇 |
外科学 | 4037篇 |
综合类 | 551篇 |
一般理论 | 42篇 |
预防医学 | 4579篇 |
眼科学 | 504篇 |
药学 | 2463篇 |
中国医学 | 32篇 |
肿瘤学 | 2498篇 |
出版年
2023年 | 343篇 |
2022年 | 443篇 |
2021年 | 1014篇 |
2020年 | 609篇 |
2019年 | 995篇 |
2018年 | 1071篇 |
2017年 | 791篇 |
2016年 | 825篇 |
2015年 | 896篇 |
2014年 | 1231篇 |
2013年 | 1773篇 |
2012年 | 2659篇 |
2011年 | 2830篇 |
2010年 | 1516篇 |
2009年 | 1323篇 |
2008年 | 2141篇 |
2007年 | 2268篇 |
2006年 | 2107篇 |
2005年 | 1866篇 |
2004年 | 1674篇 |
2003年 | 1512篇 |
2002年 | 1374篇 |
2001年 | 532篇 |
2000年 | 475篇 |
1999年 | 491篇 |
1998年 | 319篇 |
1997年 | 233篇 |
1996年 | 231篇 |
1995年 | 251篇 |
1994年 | 203篇 |
1993年 | 194篇 |
1992年 | 362篇 |
1991年 | 365篇 |
1990年 | 299篇 |
1989年 | 303篇 |
1988年 | 264篇 |
1987年 | 287篇 |
1986年 | 280篇 |
1985年 | 293篇 |
1984年 | 242篇 |
1983年 | 191篇 |
1982年 | 144篇 |
1981年 | 124篇 |
1980年 | 103篇 |
1979年 | 167篇 |
1978年 | 127篇 |
1977年 | 99篇 |
1976年 | 102篇 |
1974年 | 118篇 |
1973年 | 115篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
21.
22.
Amy Paul-Ward Gary Kielhofner Brent Braveman Mara Levin 《The American journal of occupational therapy》2005,59(5):540-545
The purpose of this study was to identify perceived barriers to independent community living and employment among clients and staff members in a transitional living facility for persons with AIDS. This qualitative study used focus groups to collect these perceptions from staff members (N = 21) and clients (N = 16). Whereas staff identified both systemic and personal barriers, clients only identified systemic barriers. These findings suggest that both clients and staff recognize the types of environmental barriers to participation that have been identified by disability scholars. The findings also underscore a consequential gap between clients' exclusive emphasis on environmental barriers and staff emphasis on clients' personal barriers that impact upon participation. 相似文献
23.
24.
25.
Sheela R Geraghty Barbara S Davidson Barbara B Warner Amy L Sapsford Jeanne L Ballard Betsy A List Rachel Akers Ardythe L Morrow 《Journal of human lactation》2005,21(1):59-66
Although there are well-established clinical human milk banks in the United States, there are no milk banks specifically intended to foster research on human milk. The authors' goal was to establish a milk bank with a core data set to support exploratory and hypothesis-driven studies on human milk. Donations to the Cincinnati Children's Research Human Milk Bank are accepted within the context of ongoing, hypothesis-driven research or on an ad hoc basis. Donors must give informed consent, and scientists wishing to use the samples must have Institutional review board approval for their use. Development of more research human milk banks can potentially provide resources for multidisciplinary collaboration and advance the study of human milk and lactation. 相似文献
26.
Enrico G Caiani Eran Toledo Peter MacEneaney Keith A Collins Roberto M Lang Victor Mor-Avi 《Journal of cardiovascular magnetic resonance》2004,6(3):619-625
BACKGROUND: Cardiac magnetic resonance (MR) images are often reviewed by non-cardiologists who are not trained in the interpretation of regional left ventricular (LV) function. We hypothesized that the use of still-frame parametric MR images of wall motion could aid in the assessment of regional LV function. METHODS: Dynamic, electrocardiogram-gated, steady-state free precession (FIESTA) short-axis images were obtained in 6 to 10 slices in 18 consecutive patients. Each loop was used to automatically generate a still-frame image, in which each pixel is assigned a value equal to the amplitude of cyclic variation in local intensity, resulting in higher intensity in pixels that change between blood and tissue during the cardiac cycle. The dynamic images were reviewed by an expert cardiologist who provided gold standard grades for regional wall motion and by four radiologists. Then the radiologists reviewed and graded the same MR images in combination with parametric images. Grades assigned to each segment in the two sessions were compared with the gold standard. RESULTS: According to expert interpretation, 6 patients had normal wall motion, and 12 had wall motion abnormalities. Parametric images showed a bright band in the area spanned by endocardial motion, with reduced brightness and thickness in areas of hypokinesis. The agreement between the radiologists' grades and the gold standard significantly improved by adding parametric images (from 77% to 81%), which also resulted in reduced interobserver variability (from 52% to 33%). CONCLUSIONS: Still-frame parametric images aid in the assessment of regional wall motion by non-cardiologists who are required to interpret cardiac images. 相似文献
27.
28.
29.
Peter B. Richman MD Shari Dominguez MD David Kasper MD Frederick Chen MD Jeremy Friese MD Joseph Wood MD JD Joseph Collins MD Jeffrey A. Kline MD 《Academic emergency medicine》2006,13(3):295-301
Objectives: To determine interobserver agreement between radiologists for computed tomography (CT) angiography and venography. CT venography of the lower extremities combined with standard CT angiography of the chest may result in an increased overall diagnosis rate of venous thromboembolism (pulmonary embolism or deep venous thrombosis).
Methods: The study had a retrospective cohort design. The population consisted of emergency department patients who were evaluated for suspected pulmonary embolism. A random sample of 50 patients diagnosed and treated for venous thromboembolism and 50 age- and gender-matched patients whose CT angiograms and venograms were read as negative were enrolled. The original reading (R1) was compared with readings of two study radiologists: R2, a general radiologist, and R3, a radiologist with fellowship training in cross-sectional imaging. All readers were blinded to each other.
Results: Both R2 and R3 found both CT angiogram and venogram components technically adequate in 95% (95% CI = 89% to 98%) and 86% (95% CI = 78% to 92%) of studies, respectively. The agreement was very good for CT angiography (lowest agreement = 92%; lowest κ = 0.83) and was good for CT venography (85%, κ = 0.65). In nine cases, R1 read the CT angiogram as negative but the venogram as positive for DVT, whereas both R2 and R3 read both components as negative in four of these nine, suggesting a false-positive isolated DVT rate of 44% (95% CI = 19% to 73%). In no case did R1 read both scan components as negative when R2 and R3 agreed on presence of pulmonary embolism or DVT.
Conclusions: Diagnosis of pulmonary embolism on CT angiography is more reliable than diagnosis of isolated DVT on CT venography. 相似文献
Methods: The study had a retrospective cohort design. The population consisted of emergency department patients who were evaluated for suspected pulmonary embolism. A random sample of 50 patients diagnosed and treated for venous thromboembolism and 50 age- and gender-matched patients whose CT angiograms and venograms were read as negative were enrolled. The original reading (R1) was compared with readings of two study radiologists: R2, a general radiologist, and R3, a radiologist with fellowship training in cross-sectional imaging. All readers were blinded to each other.
Results: Both R2 and R3 found both CT angiogram and venogram components technically adequate in 95% (95% CI = 89% to 98%) and 86% (95% CI = 78% to 92%) of studies, respectively. The agreement was very good for CT angiography (lowest agreement = 92%; lowest κ = 0.83) and was good for CT venography (85%, κ = 0.65). In nine cases, R1 read the CT angiogram as negative but the venogram as positive for DVT, whereas both R2 and R3 read both components as negative in four of these nine, suggesting a false-positive isolated DVT rate of 44% (95% CI = 19% to 73%). In no case did R1 read both scan components as negative when R2 and R3 agreed on presence of pulmonary embolism or DVT.
Conclusions: Diagnosis of pulmonary embolism on CT angiography is more reliable than diagnosis of isolated DVT on CT venography. 相似文献
30.