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1.
A mixed‐method study of effects of a therapeutic play intervention for children on parental anxiety and parents' perceptions of the intervention 下载免费PDF全文
2.
Family-centered care (FCC) for sick newborns is emerging as a paradigmatic shift in the practice of facility-based newborn care. It seeks to transforming a provider-centered model into a client-centered one and thus build a new therapeutic alliance. FCC is the cornerstone of continuum of care, imparting caregiving competencies to parents/caregivers both within institutions as well as after the discharge. This has potential gains for the newborn, family members, and facility-level staff. The initial model piloted in tertiary-care settings is now undergoing translation at five sites across the country; the outcomes are keenly awaited. 相似文献
3.
Joseph Biederman Haitao Gao Ann K Rogers Thomas J Spencer 《Neuropsychopharmacology》2006,60(10):1106-1110
BACKGROUND: The validity of parent reports regarding children's attention-deficit/hyperactivity disorder (ADHD) symptoms has been questioned. This study assessed whether parent reports were as sensitive as teacher reports to document change in ADHD symptoms during clinical trials with atomoxetine. METHODS: Data were compared from two randomized, double-blind, placebo-controlled clinical trials of atomoxetine using different versions (parent or teacher) of the same rating scale (Attention-Deficit/Hyperactivity Disorder Rating Scale-IV [parent or teacher] Version: Investigator Administered and Scored - ADHD RS). Exclusion criteria included history of bipolar disorder, psychosis, seizures, alcohol abuse, or positive drug screen. Patients (6-16 years old) were treated with atomoxetine (titrated to a maximum dose of 1.8 mg/kg/day) administered once daily for up to 7 weeks. Parent and teacher ratings were compared using an analysis of covariance (ANCOVA) model. RESULTS: The analysis (n = 318) showed that treatment effects (mean change, baseline to endpoint) were similar between parent and teacher ratings (total, p = .762; inattention, p = .519; hyperactive/impulsive, p = .955). Effect sizes also were similar based on total scores (parent ratings = .69; teacher ratings = .63). CONCLUSIONS: Parent reports are as sensitive as teacher reports in assessing the efficacy of long-acting pharmacologic treatment for ADHD in children during clinical trials using the nonstimulant atomoxetine. 相似文献
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The primary objective of revascularization procedures in the posterior circulation is the prevention of vertebrobasilar ischemic stroke. Specific anatomical and neurophysiologic characteristics such as posterior communicating artery size affect the susceptibility to ischemia. Current indications for revascularization include symptomatic vertebrobasilar ischemia refractory to medical therapy and ischemia caused by parent vessel occlusion as treatment for complex aneurysms. Treatment options include endovascular angioplasty and stenting, surgical endarterectomy, arterial reimplantation, extracranial-to-intracranial anastomosis, and indirect bypasses. Pretreatment studies including cerebral blood flow measurements with assessment of hemodynamic reserve can affect treatment decisions. Careful blood pressure regulation, neurophysiologic monitoring, and neuroprotective measures such as mild brain hypothermia can help minimize the risks of intervention. Microscope, microinstruments and intraoperative Doppler are routinely used. The superficial temporal artery, occipital artery, and external carotid artery can be used to augment blood flow to the superior cerebellar artery, posterior cerebral artery, posterior inferior cerebellar artery, or anterior inferior cerebellar artery. Interposition venous or arterial grafts can be used to increase length. Several published series report improvement or relief of symptoms in 60 to 100% of patients with a reduction of risk of future stroke and low complication rates. 相似文献
6.
Connie Green 《Early child development and care》1987,28(2):129-136
This study investigated the impact of a home composing curriculum on kindergarten children's concepts about print (a measure of reading readiness), writing fluency (the number of words children can write), and writing achievement. In addition, the study investigated gender differences on the above measures, types of writing done by children at home, and family members with whom children wrote. The treatment group was found to be significantly higher on the Concepts about Print test, writing fluency, and the first post-test of writing achievement. There were no significant gender differences on any of the measures. Data from parent response sheets indicated that these children wrote notes, letters, and lists more than other types of writing. They wrote with their mother or alone more often than with other family members. The findings of this study suggest that a flexible home composing curriculum, combined with the sharing of writing at school can have an impact on reading readiness, the number of words children can write, and possibly writing ability. 相似文献
7.
This introduction traces the increasing awareness of the prevalence of child sexual abuse over the last 20 years, examines the nature and consequences of such abuse and summarizes current information on the use of group treatment and its evaluation with sexually abused children and adolescents and their parents. Four examples of group treatment with different populations of abused children are described in this issue. 相似文献
8.
Low‐income urban parents of color enrolled in a parent training study were interviewed to understand what motivated their participation and what led 30% of them to subsequently drop out. Most enrolled because they wanted to be better parents. Most dropped out because of time and schedule constraints. Retention was higher when parents' motivations for participation matched program goals. Program location and qualities of the recruiter were cited most often as important; financial compensation was cited least often as important. 相似文献
9.
Erdman Palmore 《Journal of cross-cultural gerontology》1987,2(1):93-105
Widowhood causes four problems: how to replace the functions of the dead spouse and those of the dead parent? who should inherit the property of the dead spouse/ parent? and, where should the surviving family live? Typical solutions to these problems are related to demographic characteristics of developing and developed countries. 相似文献
10.
The Perception of Procedures Questionnaire: Psychometric Properties of a Brief Parent Report Measure of Procedural Distress 总被引:1,自引:3,他引:1
Kazak Anne E.; Penati Biancamaria; Waibel Mary Katherine; Blackall George F. 《Journal of pediatric psychology》1996,21(2):195-207
Reported the reliability and validity of the Perception of ProceduresQuestionnaire (PPQ), a 19-item parent-report measure developedto assess child and parent distress related to lumbar puncturesand bone marrow aspirates in the diagnosis and treatment ofchildhood cancer. PPQ data from 140 mothers and 96 fathers ofchildren and adolescents with leukemia in a first remissionwere analyzed separately. Factor analyses yielded five factorsfor mothers and fathers: Parent Satisfaction; Child Distress:During; Child Distress: Before; Parent Distress; and ParentInvolvement. Internal consistency (Cronbach's alpha) was highfor the total score and the five factor scores as were interraterreliabilities between mothers and fathers. Validity was determinedusing the Parenting Stress Index-Short Form, the Pediatric OncologyQuality of Life Scale, and parent and nurse ratings during procedures.Factors 2 and 3, assessing child distress, show strong associationswith the validation measures and support the distinction betweendistress before and during procedures. This developing scaleis recommended for use in the assessment and evaluation of childand parent procedure-related distress in pediatric oncology. 相似文献