全文获取类型
收费全文 | 1579篇 |
免费 | 90篇 |
国内免费 | 1篇 |
专业分类
耳鼻咽喉 | 11篇 |
儿科学 | 84篇 |
妇产科学 | 16篇 |
基础医学 | 203篇 |
口腔科学 | 22篇 |
临床医学 | 113篇 |
内科学 | 346篇 |
皮肤病学 | 31篇 |
神经病学 | 64篇 |
特种医学 | 54篇 |
外科学 | 229篇 |
综合类 | 83篇 |
预防医学 | 104篇 |
眼科学 | 90篇 |
药学 | 141篇 |
中国医学 | 5篇 |
肿瘤学 | 74篇 |
出版年
2023年 | 13篇 |
2022年 | 20篇 |
2021年 | 53篇 |
2020年 | 36篇 |
2019年 | 32篇 |
2018年 | 55篇 |
2017年 | 41篇 |
2016年 | 46篇 |
2015年 | 52篇 |
2014年 | 76篇 |
2013年 | 60篇 |
2012年 | 118篇 |
2011年 | 110篇 |
2010年 | 63篇 |
2009年 | 52篇 |
2008年 | 90篇 |
2007年 | 80篇 |
2006年 | 82篇 |
2005年 | 62篇 |
2004年 | 65篇 |
2003年 | 65篇 |
2002年 | 54篇 |
2001年 | 49篇 |
2000年 | 25篇 |
1999年 | 26篇 |
1998年 | 24篇 |
1997年 | 18篇 |
1996年 | 21篇 |
1995年 | 15篇 |
1994年 | 12篇 |
1993年 | 11篇 |
1992年 | 11篇 |
1991年 | 18篇 |
1990年 | 15篇 |
1989年 | 11篇 |
1988年 | 14篇 |
1987年 | 8篇 |
1986年 | 5篇 |
1984年 | 7篇 |
1983年 | 11篇 |
1982年 | 3篇 |
1980年 | 3篇 |
1978年 | 2篇 |
1977年 | 4篇 |
1976年 | 7篇 |
1975年 | 8篇 |
1974年 | 2篇 |
1973年 | 4篇 |
1972年 | 2篇 |
1969年 | 2篇 |
排序方式: 共有1670条查询结果,搜索用时 171 毫秒
21.
Skeletonization of the atrioventricular node for AV node reentrant tachycardia: experience with 32 patients 总被引:1,自引:0,他引:1
G M Guiraudon G J Klein A D Sharma R Yee R R Kaushik O Fujimura 《The Annals of thoracic surgery》1990,49(4):565-72; discussion 572-3
We describe our experience with operative therapy for atrioventricular (AV) node tachycardia using an anatomically guided procedure. The operative rationale was to dissect the AV node from most of its atrial inputs (AV node "skeletonization") with the intent of altering the perinodal substrate and preventing reentry. The anteroseptal and posteroseptal regions were initially approached epicardially to facilitate identification of anatomical structures. Under normothermic cardiopulmonary bypass, the right atrial septum was mobilized and the intermediate AV node was exposed anterior to the tendon of Todaro. Atrioventricular node conduction was monitored electrocardiographically throughout the procedure. Ablation of concomitant accessory pathways was done prior to AV node skeletonization. Thirty-two patients aged 9 to 67 years (mean age, 30 years) underwent operation. Five patients had concomitant accessory pathways in addition to AV node reentry. At electrophysiological study before discharge, no patient had AV block although anterograde and retrograde Wenckebach cycle lengths were significantly prolonged. Six patients had retrograde AV block. Twenty-nine patients are free from arrhythmia and require no antiarrhythmic medication after a follow-up of 1 month to 45 months (mean follow-up, 17 months). Three patients had recurrence of tachycardia ten days, 2 months, and 7 months postoperatively. All patients subsequently had a successful reoperation. 相似文献
22.
Renal transplantation has become a treatment of choice for patients with end stage renal disease. A successful transplant is the result of a combination of several factors acting synergistically, such as the degree of HLA compatibility between donor and the recipient, pretransplant blood transfusions, the recipient''s state of immunoreactivity and sensitization, immunosuppressive therapy given in post operative period etc. Donor selection appears to be the most critical factor for the long term success of the organ graft. In this brief review, some of the important parameters of donor selection in renal transplantation are highlighted.KEY WORDS: Histocompatibility (HLA) matching, Cross match, Sensitization 相似文献
23.
Kaushik PV Singh JV Bhatnagar M Garg SK Chopra H 《Indian journal of maternal and child health : official publication of Indian Maternal and Child Health Association,》1995,6(3):71-72
During October 1992 to June 1993 in eight villages covered by the Primary Health Center Machhra in Meerut District, India, interviews with mothers and examinations of 1600 children aged less than 5 years (under-fives) were conducted to examine the relationship between acute respiratory infection (ARI) and malnutrition. 42.25% of all children had an ARI within the last 15 days. Most ARIs (73.4%) were considered mild (cough and cold with no pneumonia). Pneumonia accounted for 19.5% of all ARI cases, which were considered moderate. The remaining ARI cases were severe (severe and very severe pneumonia). 57.5% of all children suffered from protein energy malnutrition (PEM). 78.6% of children aged 12-14 months had PEM. ARI was more common among malnourished children than well-nourished children (52.2% vs. 28.8%; p 0.001). The incidence of ARI increased as the nutritional status deteriorated (p 0.05). It also increased as the midarm circumference decreased (p 0.001). These findings confirm the synergistic action between malnutrition and infection, in this case ARI. Malnourished children suffer considerable impairment in immunity, especially cellular immunity, which makes them more prone to ARI. These findings reinforce the need to strengthen the quality, quantity, and accessibility of nutritional services, particularly promotion of breast feeding and vitamin A supplementation. 相似文献
24.
Paul K. Sibley Narinder K. Kaushik 《Archives of environmental contamination and toxicology》1991,20(2):168-176
Microencapsulated permethrin (penncapthrin) was evaluated under laboratory conditions for its toxicity toward several nontarget aquatic invertebrates. Average LC50 estimates for selected lotic invertebrates, based on a one hour dosing regime, were: 2.71 mg/L forSimulium vittatum, 4.59 mg/L forHydropsyche spp., and 13.41 mg/L forIsonychia bicolor. In acute static tests withDaphnia magna, there was no significant difference (p0.05) between the toxicity of penncapthrin at 96 h (LC50 range: 6.80–22.5 g/L) and the EC formulation at 72 h (LC50 range: 0.6–21 g/L). Comparatively, the toxicity of microencapsulated methyl parathion (penncap-m) was not significantly different from that of penncapthrin towardD. magna, the former having LC50 estimates ranging form 0.3–12.25 g/L. LC50 estimates associated withDaphnia pulex ranged from 19 to 131 g/L. The toxicity of penncapthrin and penncap-m towardD. pulex was difficult to determine because of frequent control mortality due to food deprivation resulting from the need to run tests for longer than 48 h. In successful tests, LC50 estimates ranged from 19 to 28 g/L for penncapthrin and 0.08 to 25 g/L for penncap-m after 72 h exposure. In long term toxicity tests, 95% of D. magna at 1 g/L, 44% at 10 g/L, and 20% at 15 g/L survived after 39 days exposure. Less than 15% ofD. pulex survived over the same concentration range following 32 days exposure. Despite some drawbacks, long-term toxicity tests were more appropriate than short-term tests for evaluating microencapsulated sticides because of reduced variability in LC50 estimates and lower control mortality. 相似文献
25.
Neeraj Kaushik MD Debra Brody Neil Christie Kevin McGrath 《Journal of gastrointestinal cancer》2003,34(2-3):95-99
Basaloid squamous cell carcinoma (BSCC) is a rare form of cancer that arises primarily in the upper aerodigestive tract. Esophageal BSCC is extremely rare, accounting for less than 2% of primary esophageal malignancies. It is histopathologically distinct from squamous cell carcinoma and has an aggressive biological behavior with poor survival outcomes. There is no known association of Barrett’s esophagus with esophageal BSCC. Here, we report what we believe is the first such case of esophageal BSCC occurring in the setting of Barrett’s esophagus. 相似文献
26.
Abstract: This female Asian (Malay) baby had clinical features of Proteus syndrome. She had a large right facial lipolymphangioma with hyperpigmentation of the overlying skin. There was a smaller lymphangioma over the left side of her neck with excess nuchal folds, macrodactyly and bilateral talipes equinovarus. Despite the extensive hemifacial swelling, there was no evidence of upper respiratory tract obstruction. Generalized seizures developed on the sixth day of life which were controlled with phenobarbital. The lymphangiomas were excised without recurrence. 相似文献
27.
Two-hundred and eighty bacterial isolates from wound and soft tissue infections were studied for species identification and antibiotic resistance pattern. Amongst them 122 isolates were from community acquired infection and 158 were from nosocomial infections. The common community acquired pathogens were Staphylococcus aureus (67.8%) and Streptococcus pyogenes (10.7%), whereas Staphylococcus aureus (60.1%) and E. Coli (8.9%) were common in nosocomial infection. Only two anaerobes (Cl perfringens) were isolated. Penicillin resistance was found to be 87% and 92% for Staphylococccus aureus in community acquired and noscomial infections respectively. 85% of Proteus isolates were resistant to ampicillin. There was relatively lower level of resistance by all isolates to cefotaxime. Gentamicin showed higher rate of resistance than netilmicin and amikacin. Resistance of E. coli isolates to fluoroquinolones being 79% for norfloxacin, 81% for ciprofloxacin and 60% for ofloxacin. The study showed a higher resistance of methicillin resistant Staphylococcus aureus (MRSA) to other antibiotics. Amikacin and ofloxacin were the best recommended drugs for empirical therapy for all organisms, the susceptibility rate being 80.7% and 80.4%.KEY WORDS: Antibiotic resistance, Soft tissue infections, Wound infections 相似文献
28.
Kaushik Chakrabarty Sagnik Bhattacharyya Rita Christopher Sumant Khanna 《Neuropsychopharmacology》2005,30(9):1735-1740
The role of glutamatergic dysfunction in the pathophysiology of OCD has hardly been explored despite recent reports implicating glutamatergic dysfunction in OCD. We decided to investigate CSF glutamate levels in adult OCD probands compared to psychiatrically normal controls. In total, 21 consenting psychotropic drug-na?ve adult OCD patients, diagnosed using SCID-IV-CV, and 18 consenting psychiatrically normal controls with age within 10 years of age of the patients, who did not have any history of head injury or neurological illness, were included into the study. Aseptically collected and stored CSF samples obtained from the patients and control subjects were used for glutamate estimation, which was carried out by a modification of the procedure described by Lund (1986). CSF glutamate (micromol/l) level was found to be significantly higher [F(1,31)=6.846, p=0.014] in OCD patients (47.12+/-4.25) compared to control subjects (41.36+/-3.63) on analysis of covariance. There was no effect of gender, age, duration of illness, Y-BOCS score, or CGI-S score on CSF glutamate levels. Our study provides preliminary evidence implicating glutamatergic excess in the pathophysiology of OCD, which needs to be further explored by studies from other centers involving larger sample sets from different age groups. 相似文献
29.
Rohan S. Virgincar Zackary I. Cleveland S. Sivaram Kaushik Matthew S. Freeman John Nouls Gary P. Cofer Santiago Martinez‐Jimenez Mu He Monica Kraft Jan Wolber H. Page McAdams Bastiaan Driehuys 《NMR in biomedicine》2013,26(4):424-435
In this study, hyperpolarized 129Xe MR ventilation and 1H anatomical images were obtained from three subject groups: young healthy volunteers (HVs), subjects with chronic obstructive pulmonary disease (COPD) and age‐matched controls (AMCs). Ventilation images were quantified by two methods: an expert reader‐based ventilation defect score percentage (VDS%) and a semi‐automated segmentation‐based ventilation defect percentage (VDP). Reader‐based values were assigned by two experienced radiologists and resolved by consensus. In the semi‐automated analysis, 1H anatomical images and 129Xe ventilation images were both segmented following registration to obtain the thoracic cavity volume and ventilated volume, respectively, which were then expressed as a ratio to obtain the VDP. Ventilation images were also characterized by generating signal intensity histograms from voxels within the thoracic cavity volume, and heterogeneity was analyzed using the coefficient of variation (CV). The reader‐based VDS% correlated strongly with the semi‐automatically generated VDP (r = 0.97, p < 0.0001) and with CV (r = 0.82, p < 0.0001). Both 129Xe ventilation defect scoring metrics readily separated the three groups from one another and correlated significantly with the forced expiratory volume in 1 s (FEV1) (VDS%: r = –0.78, p = 0.0002; VDP: r = –0.79, p = 0.0003; CV: r = –0.66, p = 0.0059) and other pulmonary function tests. In the healthy subject groups (HVs and AMCs), the prevalence of ventilation defects also increased with age (VDS%: r = 0.61, p = 0.0002; VDP: r = 0.63, p = 0.0002). Moreover, ventilation histograms and their associated CVs distinguished between subjects with COPD with similar ventilation defect scores, but visibly different ventilation patterns. Copyright © 2012 John Wiley & Sons, Ltd. 相似文献
30.
Amartya Basu Maksim Chudayeu Paula de F. de Moraes Tanaji T. Talele Paulo R. R. Costa Neerja Kaushik‐Basu 《Chemical biology & drug design》2013,81(5):607-614
Coumarins and coumestans represent an important family of compounds with diverse pharmacological properties. We recently identified coumestans as novel inhibitors of hepatitis C virus NS5B polymerase and predicted their binding in thumb pocket‐1 (TP‐1) of NS5B. As the coumarins are structurally related to coumestans by virtue of their common A‐ and B‐rings, we postulated them to also exhibit similar binding interaction with NS5B and inhibit its polymerase function. We therefore investigated 24 coumarin and neoflavone derivatives as candidate NS5B inhibitors and identified 14 compounds inhibiting NS5B polymerase activity with IC50 values between 17 and 63 μm . Of these, the newly synthesized 6,8‐diallyl‐5,7‐dihydroxycoumarin ( 8a ) was produced in three steps in high chemical yield from floroglucinol and found to be the most potent of this series, exhibiting activity similar to the reference coumestan LQB‐ 34 . The binding site of 8a was mapped to TP‐1 of NS5B by counter screening against P495L NS5B mutant, employed as a screen for TP‐1 site binders. NS5B‐TP‐1‐ 8a interaction map provided insight into 8a binding and offered clues for future SAR optimization. 相似文献