收费全文 | 2294篇 |
免费 | 177篇 |
国内免费 | 16篇 |
耳鼻咽喉 | 1篇 |
儿科学 | 283篇 |
妇产科学 | 647篇 |
基础医学 | 199篇 |
口腔科学 | 7篇 |
临床医学 | 235篇 |
内科学 | 141篇 |
皮肤病学 | 1篇 |
神经病学 | 123篇 |
特种医学 | 18篇 |
外科学 | 38篇 |
综合类 | 282篇 |
一般理论 | 1篇 |
预防医学 | 351篇 |
眼科学 | 9篇 |
药学 | 108篇 |
6篇 | |
中国医学 | 20篇 |
肿瘤学 | 17篇 |
2024年 | 8篇 |
2023年 | 37篇 |
2022年 | 56篇 |
2021年 | 90篇 |
2020年 | 93篇 |
2019年 | 100篇 |
2018年 | 100篇 |
2017年 | 128篇 |
2016年 | 99篇 |
2015年 | 77篇 |
2014年 | 96篇 |
2013年 | 241篇 |
2012年 | 105篇 |
2011年 | 97篇 |
2010年 | 81篇 |
2009年 | 100篇 |
2008年 | 100篇 |
2007年 | 94篇 |
2006年 | 97篇 |
2005年 | 63篇 |
2004年 | 71篇 |
2003年 | 53篇 |
2002年 | 43篇 |
2001年 | 46篇 |
2000年 | 36篇 |
1999年 | 40篇 |
1998年 | 31篇 |
1997年 | 30篇 |
1996年 | 23篇 |
1995年 | 23篇 |
1994年 | 26篇 |
1993年 | 14篇 |
1992年 | 14篇 |
1991年 | 13篇 |
1990年 | 23篇 |
1989年 | 21篇 |
1988年 | 13篇 |
1987年 | 8篇 |
1986年 | 20篇 |
1985年 | 16篇 |
1984年 | 8篇 |
1983年 | 6篇 |
1982年 | 7篇 |
1981年 | 8篇 |
1980年 | 5篇 |
1979年 | 9篇 |
1977年 | 3篇 |
1975年 | 3篇 |
1973年 | 2篇 |
1971年 | 2篇 |
Methods: This was a retrospective longitudinal study assessing the perinatal results of women exposed to antiepileptic drugs during pregnancy, and we compared these results with those of pregnant women who were not exposed. The development of pregnancy, gestational age at delivery, Apgar scores, biometric data, morbidity, stillbirths and neonatal mortality were analyzed. The chi-square test and Fisher’s exact test were used for the categorical variables, while Student’s t-test was used for independent numerical variables.
Results: Over a 10-year period, 12?790 singleton gestations were analyzed, among which 104 (0.8%) consisted of epileptic pregnant women. From this total, 82 evolved to childbirth and their neonatal data were compared with those of 316 newborns from non-epileptic women. The most-used antiepileptic drug was phenobarbital in 70% of the cases. There was greater neonatal mortality (p?=?0.006), occurrence of neonatal hemorrhagic disorders (p?=?0.005), and occurrence of minor congenital anomalies (p?=?0.03) among the children of women exposed to antiepileptic drugs.
Conclusion: The antenatal exposure to antiepileptic drugs is associated mainly with occurrences of hemorrhagic complications during the neonatal period; furthermore, great prevalence of newborns presenting minor congenital anomalies and elevated risk of neonatal mortality. 相似文献
Context
Infants of age less than one year have the highest mortality rate in pediatrics. The American Academy of Pediatrics published guidelines for palliative care in 2013; however, significant variation persists among local protocols addressing neonatal comfort care at the end-of-life (EOL).Objectives
The purpose of this study was to evaluate current neonatal EOL comfort care practices and clinician satisfaction across America.Methods
After institutional review board approval (516005), an anonymous, electronic survey was sent to members of the American Academy of Pediatrics Section on Neonatal-Perinatal Medicine. Members of the listserv include neonatologists, neonatal fellow physicians, neonatal nurses, and neonatal nurse practitioners from across America (U.S. and Canada).Results
There were 346/3000 (11.5%) responses with wide geographic distribution and high levels of intensive care responding (46.1% Level IV, 50.9% Level III, 3.0% Level II). Nearly half (45.2%) reported that their primary institution did not have neonatal comfort care guidelines. Of those reporting institutional neonatal comfort care guidelines, 19.1% do not address pain symptom management. Most guidelines also do not address gastrointestinal distress, anxiety, or secretions. Thirty-nine percent of respondents stated that their institution did not address physician compassion fatigue. Overall, 91.8% of respondents felt that their institution would benefit from further education/training in neonatal EOL care.Conclusion
Across America, respondents confirmed significant variation and verified many institutions do not formally address neonatal EOL comfort care. Institutions with guidelines commonly appear to lack crucial areas of palliative care including patient symptom management and provider compassion fatigue. The overwhelming majority of respondents felt that their institutions would benefit from further neonatal EOL care training. 相似文献The CD4 and CD8 T‐lymphocyte subsets, expressed in absolute numbers, as percentages, percentiles or as ratios, were clear indicators of HIV infection at all ages between 3 and 15 months. The most marked changes were a decreased percentage of CD4 cells and an increase in percentage of CD8 cells in the infected group. In the 4 infected infants who died, CD8 count and CD4:CD8 ratio clearly predicted poor clinical outcome at 3 months. Taken together, both CD4:CD8 ratio and CD4 percentage are reliable markers of HIV infection in an African paediatric population; however, a raised CD8 lymphocyte count rather than a CD4 count is a more specific prognostic marker of disease progression in HIV infected children. 相似文献