全文获取类型
收费全文 | 20557篇 |
免费 | 1652篇 |
国内免费 | 45篇 |
专业分类
耳鼻咽喉 | 186篇 |
儿科学 | 670篇 |
妇产科学 | 538篇 |
基础医学 | 2687篇 |
口腔科学 | 349篇 |
临床医学 | 2362篇 |
内科学 | 4251篇 |
皮肤病学 | 282篇 |
神经病学 | 2235篇 |
特种医学 | 503篇 |
外科学 | 2283篇 |
综合类 | 142篇 |
一般理论 | 18篇 |
预防医学 | 2780篇 |
眼科学 | 253篇 |
药学 | 1185篇 |
中国医学 | 11篇 |
肿瘤学 | 1519篇 |
出版年
2023年 | 317篇 |
2022年 | 494篇 |
2021年 | 1193篇 |
2020年 | 725篇 |
2019年 | 999篇 |
2018年 | 1083篇 |
2017年 | 709篇 |
2016年 | 732篇 |
2015年 | 815篇 |
2014年 | 1024篇 |
2013年 | 1313篇 |
2012年 | 1862篇 |
2011年 | 1816篇 |
2010年 | 869篇 |
2009年 | 719篇 |
2008年 | 1175篇 |
2007年 | 1009篇 |
2006年 | 902篇 |
2005年 | 736篇 |
2004年 | 615篇 |
2003年 | 521篇 |
2002年 | 448篇 |
2001年 | 148篇 |
2000年 | 149篇 |
1999年 | 123篇 |
1998年 | 73篇 |
1997年 | 59篇 |
1995年 | 46篇 |
1994年 | 42篇 |
1992年 | 79篇 |
1991年 | 95篇 |
1990年 | 86篇 |
1989年 | 84篇 |
1988年 | 94篇 |
1987年 | 73篇 |
1986年 | 69篇 |
1985年 | 70篇 |
1984年 | 62篇 |
1983年 | 34篇 |
1981年 | 34篇 |
1980年 | 34篇 |
1979年 | 58篇 |
1978年 | 44篇 |
1977年 | 46篇 |
1976年 | 39篇 |
1975年 | 36篇 |
1974年 | 45篇 |
1973年 | 43篇 |
1972年 | 40篇 |
1970年 | 34篇 |
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
961.
Jessica Green Katherine Berry Adam Danquah Daniel Pratt 《Clinical psychology & psychotherapy》2020,27(4):463-488
Insecure attachment is widely accepted to be a risk factor for suicidal thoughts and behaviour. To increase our understanding of this distal association, the current systematic review aimed to evaluate empirical evidence that has investigated the role of psychosocial mechanisms within this relationship. Sixteen original research articles were identified, with the majority carrying out mediational analyses to test their hypotheses. Substantial heterogeneity was found across studies with regards to their theoretical approach to assessing attachment, suicide‐related outcomes, sample population, statistical analyses, and the psychological factors under investigation. Nevertheless, this emergent evidence base indicates that a range of predisposing, precipitating, and crisis‐state factors may mediate the association between attachment security and suicidality. Studies that investigated moderating factors did not report significant findings, and the mediating role for psychiatric diagnoses remains unclear. Furthermore, this emerging research base is limited by an over‐reliance on cross‐sectional designs and self‐reported data. Longitudinal and experimental designs are required to verify causal pathways and to investigate whether trait vulnerabilities interact with acute stressors to increase suicide risk. Finally, disorganized attachment has been overlooked so far and should be given greater consideration going forward. 相似文献
962.
Cristina Fortuno Jessica Mester Tina Pesaran Jeffrey N. Weitzel Jill Dolinsky Amal Yussuf Kelly McGoldrick Judy E. Garber Sharon A. Savage Payal P. Khincha D. Gareth Evans Maria Isabel Achatz Kim E. Nichols Kara N. Maxwell Joshua D. Schiffman Renata Sandoval Paul A. James Amanda B. Spurdle 《Human mutation》2020,41(9):1555-1562
963.
964.
965.
966.
967.
968.
Jansen N. Seheult Nancy M. Dunbar John R. Hess Erin E. Tuott Mohammad Bahmanyar Jessica Campbell Magali Fontaine Jenna Khan Ara Ko Jian Mi Michael F. Murphy Tara Nykoluk Jessica Poisson Jay S. Raval Andrew Shih Jason L. Sperry Julie Staves Michelle Wong Matthew T. S. Yan Alyssa Ziman Mark H. Yazer The Biomedical Excellence for Safer Transfusion collaborative 《Transfusion》2020,60(11):2517-2528
969.
970.
Jerod L. Nagel Angela M. Huang Anjly Kunapuli Tejal N. Gandhi Laraine L. Washer Jessica Lassiter Twisha Patel Duane W. Newton 《Journal of clinical microbiology》2014,52(8):2849-2854
Rapid diagnostic testing with matrix-assisted laser desorption ionization–time of flight (MALDI-TOF) decreases the time to organism identification by 24 to 36 h compared to the amount of time required by conventional methods. However, there are limited data evaluating the impact of MALDI-TOF with real-time antimicrobial stewardship team (AST) review and intervention on antimicrobial prescribing and outcomes for patients with bacteremia and blood cultures contaminated with coagulase-negative Staphylococcus (CoNS). A quasiexperimental study was conducted to analyze the impact of rapid diagnostic testing with MALDI-TOF plus AST review and intervention for adult hospitalized patients with blood cultures positive for CoNS. Antibiotic prescribing patterns and clinical outcomes were compared before and after implementation of MALDI-TOF with AST intervention for patients with CoNS bacteremia and CoNS contamination. A total of 324 patients with a positive CoNS blood culture were included; 246 were deemed to have contaminated cultures (117 in the preintervention group and 129 in AST the intervention group), and 78 patients had bacteremia (46 in the preintervention group and 32 in the AST intervention group). No differences in demographics were seen between the groups, and similar rates of contamination occurred between the preintervention and AST intervention groups (64.3% versus 72.6%, P = 0.173). Patients with bacteremia were initiated on optimal therapy sooner in the AST intervention group (58.7 versus 34.4 h, P = 0.030), which was associated with a similarly decreased mortality (21.7% versus 3.1%, P = 0.023). Patients with CoNS-contaminated cultures had similar rates of mortality, lengths of hospitalization, recurrent bloodstream infections, and 30-day hospital readmissions, but the AST intervention group had a decreased duration of unnecessary antibiotic therapy (1.31 versus 3.89 days, P = 0.032) and a decreased number of vancomycin trough assays performed (0.88 versus 1.95, P < 0.001). In patients with CoNS bacteremia, rapid pathogen identification integrated with real-time stewardship interventions improved timely organism identification and initiation of antibiotic therapy. Patients in the AST group with blood cultures contaminated with CoNS had decreased inappropriate antimicrobial prescribing and decreased unnecessary serum vancomycin trough assays. 相似文献