全文获取类型
收费全文 | 47220篇 |
免费 | 5203篇 |
国内免费 | 3509篇 |
专业分类
耳鼻咽喉 | 461篇 |
儿科学 | 490篇 |
妇产科学 | 390篇 |
基础医学 | 4770篇 |
口腔科学 | 758篇 |
临床医学 | 6162篇 |
内科学 | 6413篇 |
皮肤病学 | 591篇 |
神经病学 | 2133篇 |
特种医学 | 1975篇 |
外国民族医学 | 15篇 |
外科学 | 5605篇 |
综合类 | 9459篇 |
现状与发展 | 14篇 |
一般理论 | 2篇 |
预防医学 | 3775篇 |
眼科学 | 1097篇 |
药学 | 5143篇 |
41篇 | |
中国医学 | 3283篇 |
肿瘤学 | 3355篇 |
出版年
2024年 | 262篇 |
2023年 | 1030篇 |
2022年 | 2515篇 |
2021年 | 3089篇 |
2020年 | 2392篇 |
2019年 | 1830篇 |
2018年 | 1815篇 |
2017年 | 1780篇 |
2016年 | 1587篇 |
2015年 | 2428篇 |
2014年 | 2905篇 |
2013年 | 2995篇 |
2012年 | 4061篇 |
2011年 | 4281篇 |
2010年 | 3040篇 |
2009年 | 2484篇 |
2008年 | 2770篇 |
2007年 | 2692篇 |
2006年 | 2377篇 |
2005年 | 2124篇 |
2004年 | 1397篇 |
2003年 | 1158篇 |
2002年 | 982篇 |
2001年 | 693篇 |
2000年 | 630篇 |
1999年 | 599篇 |
1998年 | 297篇 |
1997年 | 311篇 |
1996年 | 240篇 |
1995年 | 216篇 |
1994年 | 189篇 |
1993年 | 96篇 |
1992年 | 108篇 |
1991年 | 102篇 |
1990年 | 95篇 |
1989年 | 69篇 |
1988年 | 65篇 |
1987年 | 44篇 |
1986年 | 36篇 |
1985年 | 15篇 |
1984年 | 25篇 |
1982年 | 13篇 |
1981年 | 13篇 |
1979年 | 8篇 |
1978年 | 16篇 |
1977年 | 6篇 |
1976年 | 6篇 |
1975年 | 6篇 |
1974年 | 7篇 |
1972年 | 8篇 |
排序方式: 共有10000条查询结果,搜索用时 14 毫秒
171.
Yuan Guo Yi Liu Mingdong Guan Hongchi Tang Zilong Wang Lihua Lin Hao Pang 《RSC advances》2022,12(29):18848
Due to energy and environmental concerns, biobutanol is gaining increasing attention as an alternative renewable fuel owing to its desirable fuel properties. Biobutanol production from lignocellulosic biomass through acetone–butanol–ethanol (ABE) fermentation has gained much interest globally due to its sustainable supply and non-competitiveness with food, but large-scale fermentative production suffers from low product titres and poor selectivity. This review presents recent developments in lignocellulosic butanol production, including pretreatment and hydrolysis of hemicellulose and cellulose during ABE fermentation. Challenges are discussed, including low concentrations of fermentation sugars, inhibitors, detoxification, and carbon catabolite repression. Some key process improvements are also summarised to guide further research and development towards more profitable and commercially viable butanol fermentation.Due to energy and environmental concerns, biobutanol is gaining increasing attention as an alternative renewable fuel owing to its desirable fuel properties. 相似文献
172.
Hye Jin Shi Eliel Nham Bomi Kim Eun-Jeong Joo Hae Suk Cheong Shin Hee Hong Miri Hyun Hyun ah Kim Sukbin Jang Ji-Young Rhee Jungok Kim Sungmin Kim Hyun Kyu Cho Yu Mi Wi Shinhye Cheon Yeon-Sook Kim Seungjin Lim Hyeri Seok Sook In Jung Joong Sik Eom Kyong Ran Peck 《Journal of Korean medical science》2022,37(22)
BackgroundNumerous patients around the globe are dying from coronavirus disease 2019 (COVID-19). While age is a known risk factor, risk analysis in the young generation is lacking. The present study aimed to evaluate the clinical features and mortality risk factors in younger patients (≤ 50 years) with a critical case of COVID-19 in comparison with those among older patients (> 50 years) in Korea.MethodsWe analyzed the data of adult patients only in critical condition (requiring high flow nasal cannula oxygen therapy or higher respiratory support) hospitalized with PCR-confirmed COVID-19 at 11 hospitals in Korea from July 1, 2021 to November 30, 2021 when the delta variant was a dominant strain. Patients’ electronic medical records were reviewed to identify clinical characteristics.ResultsDuring the study period, 448 patients were enrolled. One hundred and forty-two were aged 50 years or younger (the younger group), while 306 were above 50 years of age (the older group). The most common pre-existing conditions in the younger group were diabetes mellitus and hypertension, and 69.7% of the patients had a body mass index (BMI) > 25 kg/m2. Of 142 younger patients, 31 of 142 patients (21.8%, 19 women) did not have these pre-existing conditions. The overall case fatality rate among severity cases was 21.0%, and it differed according to age: 5.6% (n = 8/142) in the younger group, 28.1% in the older group, and 38% in the ≥ 65 years group. Age (odds ratio [OR], 7.902; 95% confidence interval [CI], 2.754–18.181), mechanical ventilation therapy (OR, 17.233; 95% CI, 8.439–35.192), highest creatinine > 1.5 mg/dL (OR, 17.631; 95% CI, 8.321–37.357), and combined blood stream infection (OR, 7.092; 95% CI, 1.061–18.181) were identified as independent predictors of mortality in total patients. Similar patterns were observed in age-specific analyses, but most results were statistically insignificant in multivariate analysis due to the low number of deaths in the younger group. The full vaccination rate was very low among study population (13.6%), and only three patients were fully vaccinated, with none of the patients who died having been fully vaccinated in the younger group. Seven of eight patients who died had a pre-existing condition or were obese (BMI > 25 kg/m2), and the one remaining patient died from a secondary infection.ConclusionAbout 22% of the patients in the young critical group did not have an underlying disease or obesity, but the rate of obesity (BMI > 25 kg/m2) was high, with a fatality rate of 5.6%. The full vaccination rate was extremely low compared to the general population of the same age group, showing that non-vaccination has a grave impact on the progression of COVID-19 to a critical condition. The findings of this study highlight the need for measures to prevent critical progression of COVID-19, such as vaccinations and targeting young adults especially having risk factors. 相似文献
173.
174.
How to treat the iron tailings of mining solid waste with high value is an urgent problem on a global scale. In recent years, the application of iron tailings in the building materials industry has attracted the attention of many scholars. The conversion of iron tailings into green building materials helps achieve carbon neutrality and high-value utilization of solid waste, and promotes sustainable development. Although iron tailings have been extensively studied as supplementary cementitious materials, the performance of concrete is not ideal due to its low activity. In this study, the hybrid supplementary cementitious materials system was prepared by iron tailings, phosphorus slag, and steel slag, and the effects of supplementary cementitious materials type, iron tailings content, iron tailings grinding time, and supplementary cementitious materials content on concrete performance were studied. The compressive properties, iron tailings properties, pore structure, interfacial transition zone, and element distribution of hydration products of concrete were tested by compressive strength tests, X-ray Diffractometer (XRD), X-ray Photoelectron Spectroscopy (XPS), Mercury Intrusion Porosimetry (MIP), Backscattering Electron Tests (BSE), and Energy Dispersive Spectrometer (EDS). The results show that further grinding improves the iron tailings activity. There is a synergistic mechanism between steel slag and phosphorus slag in the composite supplementary cementitious materials, which overcomes the low activity defect of iron tailings and produces concrete with a compressive strength exceeding 40 MPa. The composite supplementary cementitious materials can optimize the interfacial transition zone of the concrete interface and reduce the calcium–silicon ratio of the hydration products. However, it will deteriorate the pore structure of the concrete matrix, cause part of the concrete matrix to be damaged and lead to a loss of compressive strength, and the loss is acceptable. This work broadens the methods of comprehensive utilization of iron tailings and also provides a reference for a more detailed understanding of the properties of iron tailings-based concrete. 相似文献
175.
The mechanical properties of dissimilar metal-welded joint materials are heterogeneous, which is an obstacle to the safety evaluation of key welded structures. The variation of stress–strain conditions at the crack tip caused by mismatch of material mechanical properties in dissimilar metal-welded joints is an important factor affecting crack propagation behavior. To understand the influence of uneven distribution of ultimate strength of the base metal and the welded metal on the crack propagation path, fracture toughness, as well as the mechanical field at the crack tip in the small-scale yield range, the user-defined field variable subroutine method is used to express continuous variation characteristics of welded joint ultimate strength in finite element software. In addition, the J-integral during crack propagation is calculated, and the effect of the ultimate strength on the J-integral and the stress field at the crack tip are analyzed. The results show that as the crack propagation direction is perpendicular to the direction of ultimate strength, the gradient of ultimate strength increases from |Gy|= 50 to |Gy|= 100 MPa/mm, the crack deflection angle increases by 0.018%, and the crack length increases by 1.46%. The fracture toughness of the material decreased slightly during crack propagation. Under the condition that the crack propagation direction is the same as the direction of ultimate strength, the crack propagation path is a straight line. As the gradient of ultimate strength increases from Gx = 50 to Gx = 100 MPa/mm, the crack propagation length decreases by 5.17%, and the slope of fracture toughness curve increases by 51.63%. On the contrary, as the crack propagates to the low ultimate strength side, the crack propagation resistance decreases, the ultimate strength gradient increases from Gx = −100 to Gx = −50 MPa/mm, and the slope of the fracture toughness curve decreases by 51.01%. It is suggested to consider the relationship between crack growth behavior and ultimate strength when designing and evaluating the structural integrity of cracks at the material interface of dissimilar metal-welded joints. 相似文献
176.
齿轮齿条传动是超高倍显微镜机械传动部分的主要传送方式。根据机械设计中的齿轮齿条啮合原理,齿轮齿条正确啮合,超高倍显微镜才能正常工作。本文介绍了以齿轮齿条啮合原理为指导进行超高倍显微镜故障诊断维修的方法 ,可使故障排除简单易行。 相似文献
177.
邱红 《人人健康:医学导刊》2007,(2):52-54
随着医疗制度的改革,新的医疗法律法规的出台,以及人们法律意识的提高,病人保护自己就医权力的法律意识也不断增强,对医疗护理服务质量、医疗护理安全都提出了更高的要求.近年来医患、护患纠纷也较前有所增加,其中因护理带教所引发的护理纠纷也时有发生.因此我们护理人员不仅自身要不断强化法律意识,同时在护理带教中,除了要对护生进行基础护理操作和专科护理技术的指导及理论知识的灌输外,还要注重培养和强化护生的法律意识,以提高带教中的安全行为,使护生实习顺利完成. 相似文献
178.
179.
Miaomiao Han Jingyu Ma Suidong Ouyang Yanyan Wang Tingting Zheng Peishan Lu Zihan Zheng Weiheng Zhao Hongjin Li Yun Wu Baohua Zhang Ran Hu Kinya Otsu Xinguang Liu Ying Wan Huabin Li Gonghua Huang 《Cellular & molecular immunology》2022,19(7):805
Dendritic cells (DCs) play a critical role in controlling T helper 2 (Th2) cell-dependent diseases, but the signaling mechanism that triggers this function is not fully understood. We showed that p38α activity in DCs was decreased upon HDM stimulation and dynamically regulated by both extrinsic signals and Th2-instructive cytokines. p38α-specific deletion in cDC1s but not in cDC2s or macrophages promoted Th2 responses under HDM stimulation. Further study showed that p38α in cDC1s regulated Th2-cell differentiation by modulating the MK2−c-FOS−IL-12 axis. Importantly, crosstalk between p38α-dependent DCs and Th2 cells occurred during the sensitization phase, not the effector phase, and was conserved between mice and humans. Our results identify p38α signaling as a central pathway in DCs that integrates allergic and parasitic instructive signals with Th2-instructive cytokines from the microenvironment to regulate Th2-cell differentiation and function, and this finding may offer a novel strategy for the treatment of allergic diseases and parasitic infection. 相似文献
180.
吴皓 《上海交通大学学报(医学版)》2007,27(1):1-5
侧颅底外科近年来越来越受到耳神经学科医师的重视,该文对侧颅底外科的历史、手术径路以及相关技术作一概述,使临床上对其有一个系统的认识。 相似文献