首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   2398193篇
  免费   186602篇
  国内免费   9800篇
耳鼻咽喉   30670篇
儿科学   78347篇
妇产科学   65543篇
基础医学   340129篇
口腔科学   66030篇
临床医学   226039篇
内科学   475254篇
皮肤病学   52874篇
神经病学   198921篇
特种医学   92447篇
外国民族医学   622篇
外科学   353055篇
综合类   55421篇
现状与发展   3篇
一般理论   847篇
预防医学   201207篇
眼科学   51903篇
药学   172496篇
  11篇
中国医学   4914篇
肿瘤学   127862篇
  2018年   26522篇
  2017年   20428篇
  2016年   23324篇
  2015年   26406篇
  2014年   36663篇
  2013年   56153篇
  2012年   72445篇
  2011年   77501篇
  2010年   46673篇
  2009年   44390篇
  2008年   71450篇
  2007年   75826篇
  2006年   77112篇
  2005年   74501篇
  2004年   71029篇
  2003年   68340篇
  2002年   65578篇
  2001年   109745篇
  2000年   112826篇
  1999年   94691篇
  1998年   28262篇
  1997年   25404篇
  1996年   25998篇
  1995年   25591篇
  1994年   23964篇
  1993年   22483篇
  1992年   77463篇
  1991年   75619篇
  1990年   72996篇
  1989年   69338篇
  1988年   64455篇
  1987年   63176篇
  1986年   60001篇
  1985年   57682篇
  1984年   43976篇
  1983年   37066篇
  1982年   22947篇
  1981年   20500篇
  1980年   19193篇
  1979年   39769篇
  1978年   28814篇
  1977年   23931篇
  1976年   22778篇
  1975年   23511篇
  1974年   28176篇
  1973年   27223篇
  1972年   25164篇
  1971年   23315篇
  1970年   21435篇
  1969年   19863篇
排序方式: 共有10000条查询结果,搜索用时 0 毫秒
1.
2.
3.
4.
5.
Background: Lay belief systems about the malleability of human attributes have been shown to impact behavior change in multiple domains. Addiction mindset—i.e., beliefs about the permanence (vs. malleability) of addiction — may affect cigarette smokers’ ability to quit, but this has never been examined. Objectives: The aims of the present research were to develop a measure of addiction mindset (study 1) and examine its associations with various psychological aspects of quitting smoking (study 2). Methods: In Study 1, using factor analysis of current smokers’ and nonsmokers’ (n?=?600) responses to 22 items designed to measure addiction mindset, we developed a reliable six-item Addiction Mindset Scale (AMS). In Study 2, adult smokers (n?=?200) completed the AMS, and measures of a number of psychological processes related to smoking. Results: Higher scores on the AMS, indicative of the belief that addiction is malleable (referred to as a growth mindset), were positively and significantly associated with greater motivation to quit, greater commitment to quitting, greater self-efficacy to abstain, less attribution of failure to lack of ability to change addiction, and fewer self-reported barriers to cessation (all p’s < .05). Conclusions: The results of this study show a relationship between the beliefs about the permanence of addiction and psychological processes relevant to quitting smoking. The findings underscore the potential of future research exploring how addiction mindsets relate to successful smoking cessation as well as other types of addictive behavior and how they can be applied to change people’s behavior.  相似文献   
6.
Pharmaceutical Chemistry Journal - An HPLC-MS method for simultaneous quantitative determination of a novel gestagenic pharmaceutical and two of its metabolites in rat and rabbit blood sera was...  相似文献   
7.

Objectives

Expedient extubation after cardiac surgery has been associated with improved outcomes, leading to postoperative extubation frequently during overnight hours. However, recent evidence in a mixed medical-surgical intensive care unit population demonstrated worse outcomes with overnight extubation. This study investigated the impact of overnight extubation in a statewide, multicenter Society of Thoracic Surgeons database.

Methods

Records from 39,812 patients undergoing coronary artery bypass grafting or valve operations (2008-2016) and extubated within 24 hours were stratified according to extubation time between 06:00 and 18:00 (day) or between 18:00 and 6:00 (overnight). Outcomes including reintubation, mortality, and composite morbidity-mortality were evaluated using hierarchical regression models adjusted for Society of Thoracic Surgeons predictive risk scores. To further analyze extubation during the night, a subanalysis stratified patients into 3 groups: 06:00 to 18:00, 18:00 to 24:00, and 24:00 to 06:00.

Results

A total of 20,758 patients were extubated overnight (52.1%) and were slightly older (median age 66 vs 65 years, P < .001) with a longer duration of ventilation (4 vs 7 hours, P < .001). Day and overnight extubation were associated with equivalent operative mortality (1.7% vs 1.7%, P = .880), reintubation (3.7% vs 3.4%, P = .141), and composite morbidity-mortality (8.2% vs 8.0%, P = .314). After risk adjustment, overnight extubation was not associated with any difference in reintubation, mortality, or composite morbidity-mortality. On subanalysis, those extubated between 24:00 and 06:00 exhibited increased composite morbidity-mortality (odds ratio, 1.18; P = .001) but no difference in reintubation or mortality.

Conclusions

Extubation overnight was not associated with increased mortality or reintubation. These results suggest that in the appropriate clinical setting, it is safe to routinely extubate cardiac surgery patients overnight.  相似文献   
8.
9.
10.
Metabolism describes the series of chemical reactions that are concerned with the provision of energy to biological systems. They may be divided into reactions involved in energy yield (catabolism: demand exceeds supply), and energy storage (anabolism: supply exceeds demand). Regulation of these pathways is critical for homeostasis, and derangements in metabolism are seen in a wide variety of pathological processes. Understanding metabolism is key to the treatment of many diseases, notably diabetes, as well as underpinning clinical nutritional support.  相似文献   
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号