全文获取类型
收费全文 | 2581篇 |
免费 | 136篇 |
国内免费 | 36篇 |
专业分类
耳鼻咽喉 | 33篇 |
儿科学 | 69篇 |
妇产科学 | 32篇 |
基础医学 | 356篇 |
口腔科学 | 202篇 |
临床医学 | 172篇 |
内科学 | 520篇 |
皮肤病学 | 62篇 |
神经病学 | 228篇 |
特种医学 | 93篇 |
外科学 | 247篇 |
综合类 | 69篇 |
一般理论 | 2篇 |
预防医学 | 306篇 |
眼科学 | 37篇 |
药学 | 235篇 |
中国医学 | 16篇 |
肿瘤学 | 74篇 |
出版年
2023年 | 21篇 |
2022年 | 48篇 |
2021年 | 89篇 |
2020年 | 72篇 |
2019年 | 69篇 |
2018年 | 68篇 |
2017年 | 61篇 |
2016年 | 68篇 |
2015年 | 84篇 |
2014年 | 117篇 |
2013年 | 133篇 |
2012年 | 175篇 |
2011年 | 176篇 |
2010年 | 102篇 |
2009年 | 110篇 |
2008年 | 161篇 |
2007年 | 158篇 |
2006年 | 133篇 |
2005年 | 108篇 |
2004年 | 99篇 |
2003年 | 65篇 |
2002年 | 65篇 |
2001年 | 46篇 |
2000年 | 39篇 |
1999年 | 25篇 |
1998年 | 46篇 |
1997年 | 44篇 |
1996年 | 44篇 |
1995年 | 23篇 |
1994年 | 23篇 |
1993年 | 24篇 |
1992年 | 14篇 |
1991年 | 15篇 |
1990年 | 17篇 |
1989年 | 27篇 |
1988年 | 14篇 |
1987年 | 23篇 |
1986年 | 14篇 |
1985年 | 35篇 |
1984年 | 15篇 |
1983年 | 11篇 |
1982年 | 7篇 |
1981年 | 9篇 |
1979年 | 7篇 |
1978年 | 7篇 |
1975年 | 5篇 |
1972年 | 4篇 |
1971年 | 4篇 |
1970年 | 5篇 |
1966年 | 4篇 |
排序方式: 共有2753条查询结果,搜索用时 29 毫秒
91.
92.
93.
Salim Demétrio Jorge Neto Jackeline Souza Rangel Machado Ana Carolina Tavares Palei Wellington Paula Martins Valéria Cristina Sandrim 《The journal of maternal-fetal & neonatal medicine》2016,29(20):3406-3409
Objective: The objective was to evaluate and compare the whole blood nitrite concentration in the three trimesters of pregnancy. Additionally, we investigate whether there is any relation between nitrite concentrations and Doppler ultrasound analysis of some maternal and fetal vessels.Methods: Thirty-three healthy pregnant women were examined at the first (11–14 weeks), second (20–24 weeks) and third trimester (34–36 weeks) of pregnancy. In the three exams, we determined the maternal whole blood nitrite concentration and uterine arteries Doppler analysis to determine pulsatility index (PI), and resistance index (RI). In the second and third trimester we also performed fetal umbilical and middle cerebral arteries PI and RI. We compared the concentrations of nitrite in three trimesters and correlated with Doppler parameters.Results: No difference was observed in the whole blood nitrite concentrations across trimesters: 151.70?±?77.90?nmol/ml, 142.10?±?73.50?nmol/ml and 147.10?±?87.30?nmol/ml; first, second and third trimesters, respectively. We found no difference in correlation between whole blood nitrite concentration and Doppler parameters from the evaluated vessels.Conclusions: In healthy pregnant women, the nitrite concentrations did not change across gestational trimesters and there was also no strong correlation with Doppler impedance indices from maternal uterine arteries and fetal umbilical and middle cerebral arteries. 相似文献
94.
Self‐efficacy beliefs,locus of control,religiosity and non‐adherence to immunosuppressive medications in kidney transplant patients
下载免费PDF全文
![点击此处可从《Nephrology (Carlton, Vic.)》网站下载免费的PDF全文](/ch/ext_images/free.gif)
95.
96.
Walter Tavares Ryan Brydges Paul Myre Jason Prpic Linda Turner Richard Yelle Maud Huiskamp 《Advances in health sciences education : theory and practice》2018,23(2):323-338
Assessment of clinical competence is complex and inference based. Trustworthy and defensible assessment processes must have favourable evidence of validity, particularly where decisions are considered high stakes. We aimed to organize, collect and interpret validity evidence for a high stakes simulation based assessment strategy for certifying paramedics, using Kane’s validity framework, which some report as challenging to implement. We describe our experience using the framework, identifying challenges, decisions points, interpretations and lessons learned. We considered data related to four inferences (scoring, generalization, extrapolation, implications) occurring during assessment and treated validity as a series of assumptions we must evaluate, resulting in several hypotheses and proposed analyses. We then interpreted our findings across the four inferences, judging if the evidence supported or refuted our proposed uses of the assessment data. Data evaluating “Scoring” included: (a) desirable tool characteristics, with acceptable inter-item correlations (b) strong item-total correlations (c) low error variance for items and raters, and (d) strong inter-rater reliability. Data evaluating “Generalizability” included: (a) a robust sampling strategy capturing the majority of relevant medical directives, skills and national competencies, and good overall and inter-station reliability. Data evaluating “Extrapolation” included: low correlations between assessment scores by dimension and clinical errors in practice. Data evaluating “Implications” included low error rates in practice. Interpreting our findings according to Kane’s framework, we suggest the evidence for scoring, generalization and implications supports use of our simulation-based paramedic assessment strategy as a certifying exam; however, the extrapolation evidence was weak, suggesting exam scores did not predict clinical error rates. Our analysis represents a worked example others can follow when using Kane’s validity framework to evaluate, and iteratively develop and refine assessment strategies. 相似文献
97.
Caio Rebouas Fonseca Cafezeiro Mariana Pezzute Lopes Caio Tavares Silva Mnica Samuel vila Luis Fernando B. C. Seguro Sandrigo Mangini Iscara Wozniak Campos Fbio A. Gaiotto Fabiana G. Marcondes‐Braga Fernando Bacal 《American journal of transplantation》2020,20(5):1451-1453
Epipericardial fat necrosis is an uncommon clinical condition of unknown etiology. It typically presents as acute pleuritic chest pain and should be differentiated from acute pulmonary embolism and acute coronary syndrome. This condition is diagnosed by characteristic chest computed tomography findings of an ovoid mediastinal fatty lesion with intrinsic and surrounding soft‐tissue stranding. Treatment of epipericardial fat necrosis includes the administration of anti‐inflammatory agents, and symptoms usually resolve within a few days after treatment initiation. This disease entity has rarely been reported since it was first described in 1957. Most current knowledge of epipericardial fat necrosis is based on case reports that describe this condition in previously healthy individuals. We present the case of a 39‐year‐old woman with a history of heart transplant, who presented with chest pain secondary to epipericardial fat necrosis. Serial computed tomography revealed lesion resolution after appropriate treatment. 相似文献
98.
99.
Background
Fixed-dose combinations of hypertensive drugs have been advocated as a suitable option for hypertensive patients who require two or more drugs to achieve blood pressure (BP) targets.Objectives
Our objective was to assess the efficacy and safety of lercanidipine/enalapril in clinical practice.Methods
This observational study collected data for patients with hypertension treated by 46 specialists at clinics across Portugal with lercanidipine/enalapril (10/20 mg). The primary outcome measure was the reduction from baseline in systolic BP (SBP) and diastolic BP (DBP).Results
The registry enrolled 315 patients (59.1 % females; mean age 64.84 ± 12.18 years). Baseline SBP and DBP were 159.11 ± 16.93 and 88.32 ± 12.35 mmHg, respectively. At a mean 2.88 ± 1.75 months after starting lercanidipine/enalapril, the mean change from baseline in SBP and DBP were −18.08 ± 15.91 and −10.10 ± 11.46 mmHg, respectively (both p < 0.001). This corresponded to reductions of 11.4 and 11.3 % in SBP and DBP, respectively. SBP was reduced independently of sex and age, and DBP was reduced independently of sex. The BP control (<140/90 mmHg) rate significantly increased from 10.2 % at baseline to 51.0 % after a mean of 2.88 months of treatment with lercanidipine/enalapril (p < 0.001). Adverse effects were seen in only one patient (0.3 %), who developed a persistent dry cough.Conclusions
Treatment with the fixed-dose combination lercanidipine/enalapril was associated with significant reductions in SBP and DBP, and a significant increase in the BP control rate. This fixed-dose combination has been shown to effectively reduce BP, generally independently of age and sex, and with an excellent safety profile. 相似文献100.
Sylvain Boet MD M. Dylan Bould MBChB Lillia Fung MD Haytham Qosa MD Laure Perrier MLIS Walter Tavares PhD Scott Reeves PhD Andrea C. Tricco PhD 《Journal canadien d'anesthésie》2014,61(6):571-582