全文获取类型
收费全文 | 390篇 |
免费 | 23篇 |
国内免费 | 5篇 |
专业分类
耳鼻咽喉 | 5篇 |
儿科学 | 4篇 |
妇产科学 | 9篇 |
基础医学 | 87篇 |
口腔科学 | 19篇 |
临床医学 | 35篇 |
内科学 | 123篇 |
皮肤病学 | 4篇 |
神经病学 | 22篇 |
特种医学 | 1篇 |
外科学 | 23篇 |
综合类 | 3篇 |
一般理论 | 1篇 |
预防医学 | 39篇 |
药学 | 21篇 |
中国医学 | 4篇 |
肿瘤学 | 18篇 |
出版年
2023年 | 3篇 |
2022年 | 3篇 |
2021年 | 8篇 |
2020年 | 2篇 |
2019年 | 9篇 |
2018年 | 11篇 |
2017年 | 9篇 |
2016年 | 16篇 |
2015年 | 7篇 |
2014年 | 14篇 |
2013年 | 18篇 |
2012年 | 33篇 |
2011年 | 24篇 |
2010年 | 18篇 |
2009年 | 8篇 |
2008年 | 27篇 |
2007年 | 25篇 |
2006年 | 25篇 |
2005年 | 11篇 |
2004年 | 18篇 |
2003年 | 18篇 |
2002年 | 12篇 |
2001年 | 8篇 |
2000年 | 8篇 |
1999年 | 10篇 |
1998年 | 4篇 |
1995年 | 2篇 |
1992年 | 2篇 |
1991年 | 3篇 |
1990年 | 2篇 |
1988年 | 5篇 |
1987年 | 5篇 |
1986年 | 3篇 |
1984年 | 5篇 |
1983年 | 1篇 |
1982年 | 2篇 |
1979年 | 3篇 |
1978年 | 1篇 |
1977年 | 1篇 |
1976年 | 1篇 |
1975年 | 5篇 |
1974年 | 2篇 |
1973年 | 2篇 |
1972年 | 3篇 |
1971年 | 2篇 |
1970年 | 3篇 |
1969年 | 2篇 |
1967年 | 2篇 |
1966年 | 4篇 |
1965年 | 1篇 |
排序方式: 共有418条查询结果,搜索用时 421 毫秒
1.
F Sène Diouf A M Basse A K Ndao M Ndiaye K Touré A Thiam M M Ndiaye A G Diop I P Ndiaye 《Annales de Réadaptation et de Médecine Physique》2006,49(3):100-104
OBJECTIVE: To evaluate the functional outcome in patients followed in the department of neurology of Dakar for stroke. MATERIALS AND METHOD: Prospective longitudinal observational study from August 2003 to May 2005 included inpatients or outpatients with stroke one month or less from entry confirmed by computed tomography scan. Patients were followed monthly for 12 months. At each visit, data on functional autonomy measured by the Barthel index and the treatments received were collected. RESULTS: One hundred and seventy patients aged 25 to 90 years (mean 61+/-13 years) were evaluated. The sex ratio was 0.68. A total of 64.7% of strokes involved ischemic cerebral vascular accidents and 35.3% hemorrhagic vascular accidents. Right hemiplegia was present in 55.9%, left hemiplegia in 42.9% and bilateral paresis in 1.2% of patients. A total of 28.8% of patients died between d0 and d30, 50.6% within one year. At entry, the Barthel score was greater than 60 in only 4.7% of patients. After one-year follow-up, 58.3% of the patients had a Barthel score greater than 60, 19.1% had a score between 20 and 40 and 22.6% a score between 40 and 60. Only 53.5% received rehabilitation care. The parameters significantly associated with a functional recovery were age less than 55 years (P<0.05), hemorrhagic vascular accident as opposed to ischemic vascular accident (P<0.05), and earlier rehabilitation care under qualified personnel (P<0.01). DISCUSSION: Our study shows an important rate of mortality during the first year following stroke and the rather young age of our population. The parameters associated with a better functional recovery are comparable to most of the data in the literature. The results of our study suggest that it is possible to improve functional prognosis after stroke by setting measures of prevention of the risk factors and rehabilitation in the early management of hemiplegia. 相似文献
2.
3.
V. Tsatsaris B. Carbonne M. Dupré La Tour D. Cabrol J. Milliez 《European journal of obstetrics, gynecology, and reproductive biology》1998,80(2):941-141
HELLP syndrome is associated with a high rate of maternal and perinatal morbidity and mortality, and often leads to immediate fetal extraction. However, this condition may occur very early in pregnancy and conservative approaches have been recently proposed. The limits of this approach are discussed with two cases of conservative management of HELLP syndrome complicated by abruptio placentae. 相似文献
4.
Gora Lô Amina Sow‐Sall Halimatou Diop‐Ndiaye Nokoa Chadia Ines Danty Mandiouba Moussa Thiam Fatou Diop Ousseynou Ndiaye Sokhna Bousso Gueye Sidy Mouhamed Seck Abou Abdallah Malick Dioura Moustapha Mbow Aïssatou Gaye‐Diallo Souleymane Mboup Coumba Touré‐Kâne 《Journal of medical virology》2016,88(3):461-465
5.
6.
7.
8.
Manoukis NC Powell JR Touré MB Sacko A Edillo FE Coulibaly MB Traoré SF Taylor CE Besansky NJ 《Proceedings of the National Academy of Sciences of the United States of America》2008,105(8):2940-2945
The role of chromosomal inversions in speciation has long been of interest to evolutionists. Recent quantitative modeling has stimulated reconsideration of previous conceptual models for chromosomal speciation. Anopheles gambiae, the most important vector of human malaria, carries abundant chromosomal inversion polymorphism nonrandomly associated with ecotypes that mate assortatively. Here, we consider the potential role of paracentric inversions in promoting speciation in A. gambiae via "ecotypification," a term that refers to differentiation arising from local adaptation. In particular, we focus on the Bamako form, an ecotype characterized by low inversion polymorphism and fixation of an inversion, 2Rj, that is very rare or absent in all other forms of A. gambiae. The Bamako form has a restricted distribution by the upper Niger River and its tributaries that is associated with a distinctive type of larval habitat, laterite rock pools, hypothesized to be its optimal breeding site. We first present computer simulations to investigate whether the population dynamics of A. gambiae are consistent with chromosomal speciation by ecotypification. The models are parameterized using field observations on the various forms of A. gambiae that exist in Mali, West Africa. We then report on the distribution of larvae of this species collected from rock pools and more characteristic breeding sites nearby. Both the simulations and field observations support the thesis that speciation by ecotypification is occurring, or has occurred, prompting consideration of Bamako as an independent species. 相似文献
9.
Laurent C Bourgeois A Faye MA Mougnutou R Seydi M Gueye M Liégeois F Kane CT Butel C Mbuagbaw J Zekeng L Mboup S Mpoudi-Ngolé E Peeters M Delaporte E 《The Journal of infectious diseases》2002,186(4):486-492
To compare human immunodeficiency virus (HIV) type 1 disease progression in patients infected by the predominant strain circulating recombinant form (CRF) 02_AG in western and west-central Africa and in patients infected by other strains, a prospective multicenter cohort study was conducted in Cameroon and Senegal. Among the 335 patients, a broad HIV-1 group M subtype diversity was observed in the envelope V3-V5 region, but strain CRF02_AG predominated in both Cameroon and Senegal (61.2% and 62.9%, respectively; P<.8). Multivariate analyses showed no difference between patients infected by CRF02 strains and those infected by other strains in terms of survival (adjusted hazards ratio [HR], 1.16; 95% confidence interval [CI], 0.76-1.78; P=.5), clinical disease progression (HR, 0.79; 95% CI, 0.50-1.25; P=.3), or square root CD4 cell decline (regression coefficient, -0.01; 95% CI, -0.82 to 0.81; P=.9). This study suggests that the predominance of HIV-1 CRF02_AG strain in western and west-central Africa should have no major clinical consequences. 相似文献
10.
Djimdé AA Fofana B Sagara I Sidibe B Toure S Dembele D Dama S Ouologuem D Dicko A Doumbo OK 《The American journal of tropical medicine and hygiene》2008,78(3):455-461
We conducted a randomized single-blinded trial comparing the efficacy and safety of artesunate (AS) + amodiaquine (AQ, 3 days) versus AS (3 days) + sulfadoxine-pyrimethamine (SP, single dose) versus AS monotherapy (5 days) in Southern Mali. Uncomplicated malaria cases were followed for 28 days. Molecular markers of drug resistance were determined. After identification of recrudescences by genotyping, both artemisinin-based combination therapies (ACTs) reached nearly 100% efficacy at Day 14 and Day 28 versus 98.3% and 96.5% for AS, respectively (P > 0.05). AS + SP significantly selected DHFR and DHPS mutations associated with sulfadoxine and pyrimethamine resistance (P < 0.001), and AS + AQ equally selected PfCRT and PfMDR1 point mutations associated with chloroquine and AQ resistance (P < 0.001). No significant adverse event attributable to any of the study drugs was found. The ACTs were efficacious and safe, but the selection of markers for resistance to the partner drugs raises concerns over their lifespan in areas of intense malaria transmission. 相似文献