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991.
Susan Miesfeldt Christine Hayden Netta Apedoe Sharon Jerome Andrea Fletcher 《Journal of community health》2010,35(2):109-114
Over 800 Maine residents will be diagnosed with colorectal cancer (CRC) this year, and nearly 300 will die from the disease.
While CRC screening can reduce these rates, it is only among insured populations that screening rates exceed 50%. This project
aimed to reduce barriers to, and increase rates of CRC screening among underinsured and uninsured women, ages 50 years and
over, residing in Cumberland County, Maine. The existing network of the Maine Breast and Cervical Health Program (MBCHP) was
used to reach the target population. A packet containing (1) an offer for no-cost fecal occult blood test (FOBT) screening
and CRC-related educational materials, and (2) a stamped, addressed postcard specifying the woman’s interest in these resources,
was mailed to 300 MBCHP enrollees residing in Cumberland County. Women requesting screening were contacted by phone to further
determine eligibility. Ninety-three women (31%) requested FOBT kits and 29 of these women requested educational materials.
Ten women were ineligible for screening because of previous colonoscopy. Fifty-two completed FOBT kits (63%) were returned;
all were negative. An additional 42 (14%) women requested educational materials only. To reduce the burden of CRC in Maine
and nationally, disparate populations must be reached with efficient and effective screening services. Established networks
are proven means for reaching uninsured and underinsured individuals with education, screening services, and necessary follow-up
care. This project serves as a model for the future development of similar programs statewide and nationally. 相似文献
992.
Shirley A. Musich Alyssa B. Schultz Wayne N. Burton Dee W. Edington 《Disease Management & Health Outcomes》2004,12(5):299-326
Corporations have engaged in sponsorship of health management programs and, more recently, disease management programs to facilitate healthy and productive work environments. The purpose of this review is to examine the health and financial outcomes from these corporate-sponsored disease management programs. This article focuses on seven diseases or chronic conditions (arthritis, asthma, cancer, depression, diabetes mellitus, heart disease, and migraine) that potentially impact employee productivity (both in time away from work and in loss of effectiveness at work) and health status including medical and pharmaceutical utilization and costs.Corporate-sponsored disease management programs typically focus on education and screening for selected diseases or chronic conditions. Partnerships have been formed with health plans and third-party program providers to reach employees with interventions and treatment. The typical outcome measures from these programs have primarily been clinical indicators and medical utilization. Measures of productivity need to be incorporated as important outcome measures for disease management programs.The estimated financial opportunity for the corporation is a reflection of the cost differential for a given disease and the prevalence of that disease within the employee population. Primary diseases, chronic conditions, and health risks contribute to increased medical utilization and decreased productivity within the corporation. Promoting programs that focus on the whole person, including health risks, chronic conditions, and diseases, will likely increase the possibility of success in helping the employee to better self-manage their health conditions and consequently provide gains for both the individual and the corporation. 相似文献
993.
Objective
To observe and evaluate the value of utilizing selective internal iliac artery infusion and selective internal iliac artery embolization for the treatment of unremitting gross hematuria of stage T4 bladder carcinoma. 相似文献994.
Burcin Ozer Muserref Tatman-Otkun Dilek Memis Metin Otkun 《Central European Journal of Medicine》2010,5(2):203-208
The aim of this study was to determine the types nosocomial infections (NIs) and the risk factors for NIs in the central intensive
care unit (ICU) of Trakya University Hospital. The patients admitted to the ICU were observed prospectively by the unit-directed
active surveillance method based on patient and the laboratory over a 9-month-period. The samples of urine, blood, sputum
or tracheal aspirate were taken from the patients on the first and the third days of their hospitalization in ICU; the patients
were cultured routinely. Other samples were taken and cultured if there was suspicion of an infection. Infections were considered
as ICU-associated if they developed after 48 hours of hospitalization in the unit and 5 days after discharge from the unit
if the patients had been sent to a different ward in the hospital. The rate of NIs in 135 patients assigned was found to be
68%. The most common infection sites were lower respiratory tract, urinary tract, bloodstream, catheter site and surgical
wound. Hospitalization in ICU for more than 6 days and colonization was found to be the main risk factor for NIs. Prolonged
mechanical ventilation and tracheostomy, as well as frequently changed nasogastric catheterization, were found to be risk
factors for lower respiratory tract infections. For bloodstream infections, both prolonged insertion of and frequent change
of arterial catheters, and for urinary tract infections, female gender, period and repeating of urinary catheterization were
risk factors. A high prevalence rate of nosocomial infections was found in this study. Invasive device use and duration of
use continue to greatly influence the development of nosocomial infection in ICU. Important factors to prevent nosocomial
infections are to avoid long hospitalization and unnecessary device application. Control and prevention strategies based on
continuing education of healthcare workers will decrease the nosocomial infections in the intensive care unit. 相似文献
995.
996.
Ei Tae Kim Lee Hoo Kim Jung Il Lee Hee Seung Chin 《Japanese journal of ophthalmology》2009,53(6):598-602
Background
To assess the nature, incidence, and risk factors of retinopathy associated with pegylated interferon and ribavirin combination therapy in chronic hepatitis C patients. 相似文献997.
随着医学模式及健康观念的转变,人们对健康服务提出了更高的要求,为了适应社会的发展,提高护理服务水平,我院12个科室于2005年开展了三级护理查房,组成了护士长--管床护士组长--管床护士的一条三级护理查房管理链锁. 相似文献
998.
[目的]通过对2003~2008年自贡市食品安全投诉情况调查分析,掌握自贡市食品安全投诉的规律,为食品安全监管提供科学依据.[方法]现场调查,描述性统计分析. [结果]2003~2008年共计受理食品安全投诉66件,其中食物中毒类投诉34件(51.5%),食品感官卫生问题类投诉13件(19.7%);食品纠纷类投诉19件(28.8%).[结论]食物中毒投诉多.饮食行业的食物中毒所占比例大.家庭食物中毒造成的后果严重.加强食物中毒的监管是食品安全工作的重点.不同的食品安全投诉采用不同处理方法. 相似文献
999.
Phrabhakaran Nambiar Norliza Ibrahim Yeti Rosalina Muslim Tandjung P. Shanmuhasuntharam 《Oral Radiology》2008,24(1):10-15
Objectives We conducted a study to determine the numbers of susuks (charm needles) and their distribution in the craniofacial region of susuk wearers, and the sex, racial affiliation, and age of the wearers. In addition, we sought to determine whether the presence
of susuks posed any potential hazard to patients undergoing magnetic resonance imaging (MRI).
Methods We studied various radiographs of 33 susuk wearers (age range, 33–69 years) and investigated the most common sites of insertion in the craniofacial region. A susuk was also suspended inside a 1.5-T MRI machine to determined whether it was attracted by the machine’s magnet.
Results The largest number of susuks that we observed in the craniofacial region was 39 pins, and susuks were particularly numerous in Malay Muslim women. Other sites with susuks were the maxillofacial region (except the temporomandibular region) and the forehead. The susuks showed no ferromagnetic characteristics.
Conclusions As susuks are made from gold, they are generally biocompatible with human tissue and do not cause problems to their wearers. Gold and
the other minor metal constituents found in susuks have no ferromagnetic characteristics and therefore pose no hazard to patients undergoing MRI. 相似文献
1000.
James T Lane LuAnn Larson Shan Fan Julie A Stoner Eyal Margalit Carol B Toris 《BMC ophthalmology》2010,10(1):19