收费全文 | 334654篇 |
免费 | 44753篇 |
国内免费 | 7764篇 |
耳鼻咽喉 | 7466篇 |
儿科学 | 7968篇 |
妇产科学 | 4836篇 |
基础医学 | 30370篇 |
口腔科学 | 5730篇 |
临床医学 | 45183篇 |
内科学 | 77058篇 |
皮肤病学 | 12042篇 |
神经病学 | 27474篇 |
特种医学 | 15923篇 |
外国民族医学 | 21篇 |
外科学 | 62293篇 |
综合类 | 12772篇 |
现状与发展 | 102篇 |
一般理论 | 31篇 |
预防医学 | 18485篇 |
眼科学 | 8420篇 |
药学 | 19426篇 |
67篇 | |
中国医学 | 5150篇 |
肿瘤学 | 26354篇 |
2024年 | 906篇 |
2023年 | 6351篇 |
2022年 | 5907篇 |
2021年 | 10158篇 |
2020年 | 10033篇 |
2019年 | 6806篇 |
2018年 | 12664篇 |
2017年 | 11910篇 |
2016年 | 13705篇 |
2015年 | 16158篇 |
2014年 | 24806篇 |
2013年 | 25876篇 |
2012年 | 21343篇 |
2011年 | 21334篇 |
2010年 | 19752篇 |
2009年 | 22331篇 |
2008年 | 17110篇 |
2007年 | 14815篇 |
2006年 | 16454篇 |
2005年 | 12864篇 |
2004年 | 10591篇 |
2003年 | 9021篇 |
2002年 | 8044篇 |
2001年 | 8365篇 |
2000年 | 7098篇 |
1999年 | 6491篇 |
1998年 | 5247篇 |
1997年 | 4767篇 |
1996年 | 4427篇 |
1995年 | 4161篇 |
1994年 | 2812篇 |
1993年 | 2219篇 |
1992年 | 2473篇 |
1991年 | 2424篇 |
1990年 | 1969篇 |
1989年 | 1970篇 |
1988年 | 1637篇 |
1987年 | 1493篇 |
1986年 | 1345篇 |
1985年 | 1168篇 |
1984年 | 858篇 |
1983年 | 741篇 |
1982年 | 680篇 |
1981年 | 591篇 |
1980年 | 512篇 |
1979年 | 542篇 |
1978年 | 495篇 |
1977年 | 515篇 |
1975年 | 404篇 |
1972年 | 414篇 |
Objectives: To assess whether elder patients who had a documented history of dementia, lived in extended care facilities, or had do not intubate–do not resuscitate (DNR-DNI) advance directives were less likely to receive cardiac catheterization, despite having ACS with high-risk features.
Methods: This was a medical record review conducted at an urban teaching hospital. DNR-DNI status before hospitalization, extended care facility (nursing home or assisted living) residence, and a previous diagnosis of dementia were obtained from the medical record. Patients 65 years and older who presented to the emergency department with acute myocardial infarction or with unstable angina with ST segment deviation were included. Univariate and multivariate logistic regression were performed, and odds ratios (ORs) were reported with their 95% confidence intervals (CIs).
Results: Of the 201 eligible patients, 66 (32.8%) patients did not undergo cardiac catheterization. In the univariate analysis, patients who had dementia, resided in extended care facilities, or were DNR-DNI were less likely to receive cardiac catheterization. Only extended care facility residence (OR, 0.18; 95% CI = 0.04 to 0.83) and DNR-DNI status (OR, 0.19; 95% CI = 0.04 to 0.92) remained significantly associated with decreased cardiac catheterization in the multivariate analysis.
Conclusions: Elder patients with ACS residing in extended care facilities or who are DNR-DNI are less likely to receive cardiac catheterization. Future studies concerning the quality of ACS care for elders should take these variables into account. 相似文献
Methods: Twelve healthy adult mongrel dogs were assigned randomly to an intravenous anesthesia group with 8% ILE or to an inhalation anesthesia group with isoflurane vapor. An up-and-down method and stimulation of tail clamping were used to determine MAC of 8% ILE by intravenous injection in the intravenous anesthesia group and MAC by the inhaled approach in the inhalation anesthesia group, respectively. Isoflurane concentration and partial pressure in end-tidal gas, femoral arterial blood, and jugular venous blood were measured simultaneously just before each tail clamping and during washout.
Results: The induction time in the intravenous anesthesia group (105 +/- 24 s) was shorter than that in the inhalation anesthesia group (378 +/- 102 s; P < 0.01). MAC of 8% ILE by intravenous injection (1.12 +/- 0.18%) was significantly less than MAC by the inhaled approach (1.38 +/- 0.16%; P < 0.05). No significant difference was found between the two groups in the time course of washout of isoflurane. 相似文献