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81.
Luisa Barreto Costa Corrêa Maurício Bartelle Basso Bernardo Sousa-Pinto Soraya Coelho Leal 《Medicina oral, patología oral y cirugía bucal》2021,26(2):e172
Background Drooling is a major morbidity in several neurological diseases. Intraglandular botulinum neurotoxin (BoNT) injections have been used to manage this condition. However, by decreasing salivary flow, BoNT injections may result in an increased risk of caries and other oral adverse effects. In this study, we aimed to assess whether, in patients with drooling, intraglandular BoNT injections are associated with increased dental caries development, modifications on salivary composition (oral pH, buffering capacity and osmolality) and cariogenic bacterial load. Material and Methods We performed a systematic review, searching PubMed, CENTRAL, Web of Science, and Scopus for all experimental and observational studies reporting on adverse effects of intraglandular BoNT injections in patients with drooling. Primary study selection, quality assessment, and data extraction were independently performed by two researchers. No studies were excluded based on their language, publication status or date of publication. Studies’ quality was based on revised Cochrane Risk of Bias tools. Meta-analysis was not performed. Results We retrieved 1025 studies, of which 5 were included. Two studies were two randomized controlled trials and three quasi-experimental studies. None of the included studies found BoNT injections to be associated with dental caries development or with significant reductions in oral pH. One of the included primary studies even observed an increase in salivary buffer capacity. One study found an increase in Lactobacilli counts. As for the risk of bias, two studies were classified as having a critical risk, two as high risk and one as having some concerns. Conclusions Currently, there is no evidence that, in patients with drooling, BoNT injections associate with increased risk of dental caries or disturbances in oral pH or salivary buffering capacity. However, the included primary studies had important limitations and differences in their methodologies. Key words:Neurological diseases, drooling, sialorrhea, botulinum toxin, oral health, caries, saliva. 相似文献
82.
Theresa Marie Bernardo Andrijana Rajic Ian Young Katie Robiadek Mai T Pham Julie A Funk 《Journal of medical Internet research》2013,15(7)
Background
The threat of a global pandemic posed by outbreaks of influenza H5N1 (1997) and Severe Acute Respiratory Syndrome (SARS, 2002), both diseases of zoonotic origin, provoked interest in improving early warning systems and reinforced the need for combining data from different sources. It led to the use of search query data from search engines such as Google and Yahoo! as an indicator of when and where influenza was occurring. This methodology has subsequently been extended to other diseases and has led to experimentation with new types of social media for disease surveillance.Objective
The objective of this scoping review was to formally assess the current state of knowledge regarding the use of search queries and social media for disease surveillance in order to inform future work on early detection and more effective mitigation of the effects of foodborne illness.Methods
Structured scoping review methods were used to identify, characterize, and evaluate all published primary research, expert review, and commentary articles regarding the use of social media in surveillance of infectious diseases from 2002-2011.Results
Thirty-two primary research articles and 19 reviews and case studies were identified as relevant. Most relevant citations were peer-reviewed journal articles (29/32, 91%) published in 2010-11 (28/32, 88%) and reported use of a Google program for surveillance of influenza. Only four primary research articles investigated social media in the context of foodborne disease or gastroenteritis. Most authors (21/32 articles, 66%) reported that social media-based surveillance had comparable performance when compared to an existing surveillance program. The most commonly reported strengths of social media surveillance programs included their effectiveness (21/32, 66%) and rapid detection of disease (21/32, 66%). The most commonly reported weaknesses were the potential for false positive (16/32, 50%) and false negative (11/32, 34%) results. Most authors (24/32, 75%) recommended that social media programs should primarily be used to support existing surveillance programs.Conclusions
The use of search queries and social media for disease surveillance are relatively recent phenomena (first reported in 2006). Both the tools themselves and the methodologies for exploiting them are evolving over time. While their accuracy, speed, and cost compare favorably with existing surveillance systems, the primary challenge is to refine the data signal by reducing surrounding noise. Further developments in digital disease surveillance have the potential to improve sensitivity and specificity, passively through advances in machine learning and actively through engagement of users. Adoption, even as supporting systems for existing surveillance, will entail a high level of familiarity with the tools and collaboration across jurisdictions. 相似文献83.
Rafael Nigri Roizenblit Fabiola Ormiga Soares Ricardo Tadeu Lopes Bernardo Camargo dos Santos Heloisa Gusman 《Australian endodontic journal : the journal of the Australian Society of Endodontology Inc》2020,46(1):82-87
The aim of this study was to compare, by micro‐computed tomography (micro‐CT) analysis, the obturation quality of two filling methods: the single‐cone technique with the bioceramic EndoSequence BC sealer and the continuous wave technique with the resin‐based AH Plus sealer. Twenty mandibular molars were divided into two groups (n = 10) according to the sealer used. Only the mesial roots, which are known to have mostly two canals, were used. The specimens were scanned before and after instrumentation and after obturation. Root canal volume after instrumentation and filling volume were calculated to obtain the percentage volumes of filling, voids and gaps. All specimens presented final volumes that were smaller than the initial volumes (P < 0.05). There was no significant difference between groups for filling volume, voids and gaps (P > 0.05). Using two filling methods, EndoSequence BC and AH Plus promoted a similar root filling quality in mesial roots of mandibular molars. Neither sealer was able to fill the root canal system completely. 相似文献
84.
Meschi Nastaran Vanhoenacker Anke Strijbos Olaf Camargo dos Santos Bernardo Rubbers Eléonore Peeters Valerie Curvers Frederik Van Mierlo Maarten Geukens Arne Fieuws Steffen Verbeken Eric Lambrechts Paul 《Clinical oral investigations》2020,24(12):4439-4453
Clinical Oral Investigations - The aim of this study was to assess in a multi-modular manner the bone healing 1 year post root-end surgery (RES) with leukocyte- and platelet-rich fibrin... 相似文献
85.
86.
La Maida Giovanni Andrea Luceri Francesco Gallozzi Francesco Ferraro Marcello Bernardo Misaggi 《European spine journal》2015,24(7):879-886
Purpose
The treatment of adult scoliosis is a challenge especially in patients over 50 years old with severe, rigid curves in whom the use of vertebral osteotomies may be necessary to correct the deformity. The aim the study was to analyse the perioperative complications related to vertebral osteotomies in elderly treated for spinal deformity.Methods
We analysed 72 consecutive cases of kyphoscoliosis, we classify them according to Berjano–Lamartina classification. We divided patients into two groups: we only practised SPO and/or PO in patients that composed group A; we practised also PSO in patients that composed group B. We retrospectively analysed the perioperative complications and radiographical results. Average follow-up was 30 months.Results
We had 50 cases of degenerative segment diseases (DSD) Type III, 13 Type IVa DSD and 9 Type IVb DSD. Mean age was 60.7 years old. Overall complication rate was 22.2 %. In group A, the complication rate was 16.9 % while in group B it was 46.2 %. Mean Cobb primary curve angle was 41.75° with average C7 plumb line (C7PL) of 4.49 cm, residual scoliosis after surgery was 15.41° and average C7PL of 2.08 cm, with statistically significant differences.Conclusions
Previous studies have shown increased complication rates with vertebral osteotomies in elderly patients, our experience support this evidence. Our study demonstrates a high incidence of intraoperative complication rate in elderly patients underwent a PSO. PSO is a demanding technique to be considered in very selected and motivated patients who must be carefully informed about the risks of the procedure.87.
Gabriel Tortella Roberta Casati Luana V M Aparicio Antonio Mantovani Natasha Sen?o Giordano D’Urso Jerome Brunelin Fabiana Guarienti Priscila Mara Lorencini Selingardi Débora Muszkat Bernardo de Sampaio Pereira Junior Leandro Valiengo Adriano H Moffa Marcel Simis Lucas Borrione André R Brunoni 《World Journal of Psychiatry》2015,5(1):88-102
The interest in non-invasive brain stimulation techniques is increasing in recent years. Among these techniques, transcranial direct current stimulation (tDCS) has been the subject of great interest among researchers because of its easiness to use, low cost, benign profile of side effects and encouraging results of research in the field. This interest has generated several studies and randomized clinical trials, particularly in psychiatry. In this review, we provide a summary of the development of the technique and its mechanism of action as well as a review of the methodological aspects of randomized clinical trials in psychiatry, including studies in affective disorders, schizophrenia, obsessive compulsive disorder, child psychiatry and substance use disorder. Finally, we provide an overview of tDCS use in cognitive enhancement as well as a discussion regarding its clinical use and regulatory and ethical issues. Although many promising results regarding tDCS efficacy were described, the total number of studies is still low, highlighting the need of further studies aiming to replicate these findings in larger samples as to provide a definite picture regarding tDCS efficacy in psychiatry. 相似文献
88.
Morelli S Gurgo Di Castelmenardo AM Conti F Sgreccia A Alessandri C Bernardo ML Valesini G 《Rheumatology international》2000,19(6):209-212
Wegener's granulomatosis (WG) is a systemic necrotizing vasculitis, which could potentially affect any organ system. However,
there have only been a few reports on cardiac involvement. We described the echocardiographic findings in nine patients affected
by WG. A complete M-mode, two-dimensional, Doppler and color-Doppler transthoracic echocardiogram was performed in nine patients
(seven females and two males) affected by WG. In each patient, cardiac abnormality, for example, valvular damage, left ventricular
global systolic dysfunction, or pericardial effusion, was detected. In particular, heart valve disease was found in eight
patients, and in three cases, aortic valve insufficiency, which was severe enough to require surgical valve replacement, was
observed. Cardiac involvement in patients with WG is common. In particular, there is a high frequency of aortic valve abnormalities.
Thus, an echocardiographic study should be routinely performed.
Received: 21 October 1999 / Accepted: 28 April 2000 相似文献
89.
Eliano P. Navarese MD PhD Lara Frediani MD David E. Kandzari MD Gianluca Caiazzo MD Angela Marella Cenname MD Bernardo Cortese MD PhD MD Tommaso Piva MD Andi Muçaj MD Carlo Tumscitz MD Francesco Paparoni MD Claudio Larosa MD Teodoro Bisceglia MD Mila Menozzi MD Paul A. Gurbel MD Jacek Kubica MD PhD 《Catheterization and cardiovascular interventions》2021,97(4):602-611
90.
Giuseppe Gargiulo Sara Ariotti Pascal Vranckx Sergio Leonardi Enrico Frigoli Nestor Ciociano Carlo Tumscitz Francesco Tomassini Paolo Calabrò Stefano Garducci Gabriele Crimi Giuseppe Andò Maurizio Ferrario Ugo Limbruno Bernardo Cortese Paolo Sganzerla Alessandro Lupi Filippo Russo Marco Valgimigli 《JACC: Cardiovascular Interventions》2018,11(1):36-50