全文获取类型
收费全文 | 3104篇 |
免费 | 198篇 |
国内免费 | 10篇 |
专业分类
耳鼻咽喉 | 16篇 |
儿科学 | 81篇 |
妇产科学 | 56篇 |
基础医学 | 341篇 |
口腔科学 | 31篇 |
临床医学 | 408篇 |
内科学 | 481篇 |
皮肤病学 | 43篇 |
神经病学 | 366篇 |
特种医学 | 119篇 |
外科学 | 449篇 |
综合类 | 22篇 |
一般理论 | 1篇 |
预防医学 | 318篇 |
眼科学 | 119篇 |
药学 | 245篇 |
1篇 | |
肿瘤学 | 215篇 |
出版年
2023年 | 10篇 |
2022年 | 50篇 |
2021年 | 102篇 |
2020年 | 57篇 |
2019年 | 97篇 |
2018年 | 125篇 |
2017年 | 79篇 |
2016年 | 76篇 |
2015年 | 80篇 |
2014年 | 121篇 |
2013年 | 203篇 |
2012年 | 245篇 |
2011年 | 263篇 |
2010年 | 171篇 |
2009年 | 142篇 |
2008年 | 217篇 |
2007年 | 202篇 |
2006年 | 199篇 |
2005年 | 163篇 |
2004年 | 166篇 |
2003年 | 154篇 |
2002年 | 134篇 |
2001年 | 25篇 |
2000年 | 15篇 |
1999年 | 17篇 |
1998年 | 14篇 |
1997年 | 13篇 |
1996年 | 10篇 |
1995年 | 12篇 |
1994年 | 20篇 |
1993年 | 9篇 |
1992年 | 13篇 |
1991年 | 8篇 |
1990年 | 8篇 |
1989年 | 6篇 |
1988年 | 6篇 |
1987年 | 8篇 |
1986年 | 9篇 |
1985年 | 4篇 |
1984年 | 6篇 |
1983年 | 4篇 |
1980年 | 4篇 |
1979年 | 4篇 |
1977年 | 3篇 |
1973年 | 3篇 |
1969年 | 4篇 |
1968年 | 2篇 |
1967年 | 5篇 |
1966年 | 2篇 |
1934年 | 2篇 |
排序方式: 共有3312条查询结果,搜索用时 406 毫秒
161.
Jerlinda G.C. Ross Veronica Escamilla Nita Karnik Lee S. Diane Yamada Stacy Tessler Lindau 《Gynecologic oncology》2019,152(2):322-327
Objective
To examine endometrial cancer survivors' access to recommended obesity-related self-care resources.Methods
Participants included women treated 2010–2015 for endometrial cancer at an academic medical center who lived in the surrounding 16 ZIP code area on Chicago's South Side. Demographic and health data were abstracted from medical records. A socioeconomic status (SES) score (SES-1?=?low, SES-5?=?high) was generated for each patient using census block group-level data. Self-care resources for exercise, healthy weight, and diet were obtained from a community resource census. Geospatial techniques assessed “walkable access” (~½-mile radius around a patient's home) to obesity-related resources. Multivariable logistic regression investigated associations between access to obesity-related resources and patient characteristics.Results
Of 195 endometrial cancer survivors, 81% identified as Black/African American and 34% lived in an SES-1 census block. Two thirds (68%) had Stage I or II endometrial cancer. Nearly two thirds (62%) were obese (BMI?≥?30?kg/m2). Obesity was inversely associated with SES (p?=?0.05). Two thirds of survivors had access to at least one of all three recommended resource types. Access was lower in low SES regions and among Black/African American women. Lower SES was associated with lower odds of walkable access to recommended resources (AOR for access to two of each resource type 0.75, 95%CI 0.59, 0.97; AOR for access to three or more of each 0.44, 95%CI 0.32, 0.61).Conclusions
Obesity rates were higher and access to recommended resources was lower for Black/African American endometrial cancer survivors living in high poverty areas in Chicago. 相似文献162.
163.
Transient diastolic dilatation of the isolated canine left ventricle predictably elicits arrhythmias. To test the hypothesis that such arrhythmias may be mediated by sarcolemmal stretch-activated channels, we attempted to inhibit stretch-induced arrhythmias with gadolinium (Gd3+), a potent stretch-activated channel blocker. In experiments with six isolated canine hearts, left ventricular volume was increased for 50 msec during early diastole and then returned to initial volume by a computerized servopump. The stretch volume was adjusted to yield a probability of eliciting a stretch-induced arrhythmia of 95 +/- 2% before treatment with Gd3+. When Gd3+ (1-10 microM) was administered, dose-dependent suppression of stretch-induced arrhythmias was observed. The probability of a stretch-induced arrhythmia was reduced to 13 +/- 10% (p less than 0.05) with 10 microM Gd3+. Washout of Gd3+ completely reversed this effect. Since Gd3+ is known to be a calcium channel antagonist, we compared the effect of Gd3+ on stretch-induced arrhythmias with that of verapamil and nifedipine. These calcium channel blockers produced no demonstrable inhibition of stretch-induced arrhythmias when administered at concentrations (1 microM) that substantially depressed left ventricular pressure development. Thus, our results indirectly implicate stretch-activated channels in the genesis of stretch-induced arrhythmias and provide preliminary evidence for a potential new mode of antiarrhythmic drug action--blockade of stretch-activated channels. 相似文献
164.
165.
Trichophyton tonsurans is an uncommon cause of tinea corporis, and an even more uncommon cause of Majocchi's granuloma. We report a patient who developed tinea corporis with Majocchi's granuloma from T. tonsurans infection. Immunocompromised hosts are predisposed to develop cutaneous fungal infections, as was the case with this patient. Majocchi's granuloma is a rare complication with immunosuppression, but is significant to consider when a fungal infection is suspected because it may require more aggressive therapy. 相似文献
166.
Pharmacokinetics of long-acting naltrexone in subjects with mild to moderate hepatic impairment 总被引:3,自引:0,他引:3
Turncliff RZ Dunbar JL Dong Q Silverman BL Ehrich EW Dilzer SC Lasseter KC 《Journal of clinical pharmacology》2005,45(11):1259-1267
Long-acting naltrexone is an extended-release formulation developed with the goal of continuous naltrexone exposure for 1 month for the treatment of alcohol dependence. The influence of mild and moderate hepatic impairment on naltrexone pharmacokinetics following long-acting naltrexone 190-mg administration was assessed. Subjects with mild (Child-Pugh grade A) and moderate (Child-Pugh grade B) hepatic impairment (n = 6 per group) and matched control subjects (n = 13) were enrolled. Naltrexone and 6beta-naltrexol concentrations were determined over a period of 63 days following a single intramuscular dose. Naltrexone and 6beta-naltrexol concentrations were detected in all subjects through 28 days. Total exposure (AUC(0-infinity)) of naltrexone and 6beta-naltrexol was similar across all groups. The long apparent half-lives of naltrexone and 6beta-naltrexol (5-8 days) were attributed to the slow release of naltrexone (long-acting naltrexone exhibits absorption rate-limited elimination or "flip-flop" kinetics); elimination was not altered in subjects with hepatic impairment. Based on pharmacokinetic considerations, the dose of long-acting naltrexone does not need to be adjusted in patients with mild or moderate hepatic impairment. 相似文献
167.
168.
Jamal M Reebye SC Zamakhshary M Skarsgard ED Blair GK 《Journal of pediatric surgery》2005,40(5):838-841
Background/Purpose
Tube thoracostomy is a standard method of treating pediatric parapneumonic collections. Despite recent work denoting thoracoscopy as a superior method of treatment, few studies have looked at factors predictive of tube thoracostomy failure. We reviewed parapneumonic collections initially treated with tube thoracostomy to identify such factors.Methods
Nontuberculous parapneumonic collections treated initially with tube thoracostomy over a 10-year period were reviewed. A “failed primary tube thoracostomy” was defined as the presence of worsening clinicoradiological signs requiring a further chest procedure (ie, thoracoscopy, thoracotomy, or second thoracostomy).Results
Fifty-eight patients were identified. Forty-three percent failed primary tube thoracostomy. Within group F (failure group), 32% of patients had a concomitant medical condition (P < .001). Sixty percent of group F patients had duration of symptoms for more than 1 week compared with only 24% of group S (successful group) (P < .001).Conclusions
Our results suggest that primary treatment of parapneumonic collections with tube thoracostomy is likely to be unsuccessful in patients who are symptomatic for more than a week or who have a concomitant medical condition.A more aggressive primary surgical intervention is suggested for this group. 相似文献169.
170.
INTRODUCTION: Air medical health care providers work in a unique environment that may affect occupational injury rates and patterns. Despite this knowledge, little high-quality evidence exists regarding occupational injuries specifically incurred by air medical health care professionals. We sought to characterize the epidemiology of occupational injuries experienced by Canadian rotor-wing health care providers. METHODS: A survey was sent to the 4 rotor-wing programs in Canada. All crewmembers participating directly in patient care were asked to complete the survey detailing any acute occupational injuries sustained within the previous year. A series of both open- and closed-ended questions was used to collect participant demographics and information regarding any injuries sustained. RESULTS: One hundred and six (40.6%) participants completed the survey. Three hundred and thirty acute injuries were reported. Hand lacerations and leg contusions were most prevalent (31 and 24 individuals incurred these injuries, respectively). Acute back injuries were also prevalent with 25 (23.6%) participants reporting at least one back injury. Overall, an injury rate of 3.2 injuries per person per year was reported. Lifting was cited as a common factor in injury (30 cases). Most injuries required little treatment, with only 17 needing physician intervention, and only 6 required more than 1 week off work. CONCLUSION: Injuries among Canadian air medical crews are common, but fortunately, the majority are minor. Specific injury prevention strategies may focus on stretcher design, cabin ergonomics, and extremity protective equipment. 相似文献