全文获取类型
收费全文 | 842篇 |
免费 | 43篇 |
国内免费 | 7篇 |
专业分类
耳鼻咽喉 | 10篇 |
儿科学 | 117篇 |
妇产科学 | 44篇 |
基础医学 | 68篇 |
口腔科学 | 23篇 |
临床医学 | 75篇 |
内科学 | 165篇 |
皮肤病学 | 80篇 |
神经病学 | 40篇 |
特种医学 | 10篇 |
外科学 | 140篇 |
综合类 | 10篇 |
一般理论 | 1篇 |
预防医学 | 33篇 |
眼科学 | 17篇 |
药学 | 39篇 |
肿瘤学 | 20篇 |
出版年
2024年 | 1篇 |
2023年 | 11篇 |
2022年 | 15篇 |
2021年 | 21篇 |
2020年 | 16篇 |
2019年 | 25篇 |
2018年 | 27篇 |
2017年 | 20篇 |
2016年 | 24篇 |
2015年 | 34篇 |
2014年 | 37篇 |
2013年 | 59篇 |
2012年 | 43篇 |
2011年 | 46篇 |
2010年 | 44篇 |
2009年 | 24篇 |
2008年 | 59篇 |
2007年 | 77篇 |
2006年 | 55篇 |
2005年 | 64篇 |
2004年 | 44篇 |
2003年 | 39篇 |
2002年 | 33篇 |
2001年 | 12篇 |
2000年 | 12篇 |
1999年 | 12篇 |
1998年 | 8篇 |
1997年 | 4篇 |
1996年 | 1篇 |
1995年 | 7篇 |
1994年 | 2篇 |
1993年 | 4篇 |
1992年 | 3篇 |
1991年 | 2篇 |
1990年 | 1篇 |
1989年 | 1篇 |
1986年 | 1篇 |
1985年 | 1篇 |
1982年 | 2篇 |
1978年 | 1篇 |
排序方式: 共有892条查询结果,搜索用时 15 毫秒
1.
BACKGROUND: The infusion of citrate during apheresis may affect the levels of ionized magnesium in the blood. Hypomagnesemia and concomitant hypocalcemia could influence the parathormone response and could be responsible for some of the symptoms observed during apheresis. STUDY DESIGN AND METHODS: The study reports measurement of ionized magnesium by the new ion-selective electrode technique in response to citrate infusion in 15 donors undergoing continuous flow high-yield plateletpheresis. The monitoring included measurement of ionized calcium and parathormone every 30 minutes during the 120-minute apheresis (plus the next 30 minutes to assess recovery). RESULTS: Ionized magnesium fell by 30 +/− 4 percent (mean +/− SD, p<0.01), which contrasts with minor changes in total concentrations. Comparison of variations in the levels of ionized and total magnesium found major formation of complexes during citrate infusion. Ionized calcium fell by 15 +/− 3 percent (p<0.01), while parathormone peaked at 356 +/− 114 percent (p<0.01) of initial value after 30 minutes. Ionized cations and parathormone recovered by more than 50 percent within 30 minutes of the end of apheresis. CONCLUSION: An acute and steep drop in ionized magnesium occurs during citrate administration. The measurement of ionized magnesium should be included in future prospective studies of donor safety and parathormone regulation during apheresis. 相似文献
2.
Oocyte morphology does not affect fertilization rate, embryo quality and implantation rate after intracytoplasmic sperm injection 总被引:6,自引:10,他引:6
Balaban B; Urman B; Sertac A; Alatas C; Aksoy S; Mercan R 《Human reproduction (Oxford, England)》1998,13(12):3431-3433
In this study, we compared the fertilization rate and embryo quality after
intracytoplasmic sperm injection (ICSI) as they relate to oocyte
morphology. A total of 654 ICSI cycles yielding 5903 metaphase II oocytes
were observed. The oocytes retrieved in these cycles were divided into (i)
normal oocytes, (ii) oocytes with extracytoplasmic abnormalities (dark zona
pellucida and large perivitelline space), (iii) oocytes with cytoplasmic
abnormalities (dark cytoplasm, granular cytoplasm, and refractile body),
(iv) oocytes with shape abnormalities, and (v) oocytes with more than one
abnormality (double and triple abnormalities). Intracytoplasmic vacuoles
and aggregates of smooth endoplasmic reticulum were not recorded
separately. The fertilization rate and quality of morphologically graded
embryos did not differ between the groups. There were 77 cycles where all
transferred embryos were derived from abnormal oocytes, and 164 cycles
where all embryos were derived from normal oocytes. These cycles were
studied further. The two groups were comparable regarding mean female age,
duration of infertility, duration of ovarian stimulation, number of
ampoules of gonadotrophin injected, and number of oocytes retrieved. Two
clinical pregnancy rates (44.4 versus 42.1%) and implantation rates per
embryo (10.3 versus 13.2%) were similar. In conclusion, in couples
undergoing ICSI, abnormal oocyte morphology is not associated with a
decreased fertilization rate or unfavourable embryo quality. Furthermore,
embryos derived from abnormal oocytes yield similar clinical pregnancy and
implantation rates when transferred compared with embryos derived from
normal oocytes.
相似文献
3.
Mercan R; Mayer JF; Walker D; Jones S; Oehninger S; Toner JP; Muasher SJ 《Human reproduction (Oxford, England)》1997,12(9):1886-1889
The aim of this study was to compare the efficacy of pure follicle
stimulating hormone (FSH) with that of FSH/human menopausal gonadotrophin
(HMG) combination in downregulated cycles. A total of 357 patients was
evaluated retrospectively. Sixty percent of patients in the FSH group and
55% in the FSH/HMG group were new; the others were repeat patients.
Ovulation was suppressed with leuprolide acetate in all patients, followed
by either FSH (n = 218) or FSH/HMG (n = 119). There was no difference in
patients' age, infertility factors, number of ampoules used, length of
stimulation, oestradiol levels on day of human chorionic gonadotrophin
(HCG) administration, number of oocytes recovered or the number of embryos
transferred. Also, nuclear maturity at aspiration and fertilization rates
were not different between the two groups. FSH stimulation resulted in a
significantly higher percentage of mature oocytes that showed the typical
'mature' morphological characteristics (P < 0.0001). The clinical
pregnancy rates per transfer were 40 and 28% in patients stimulated with
pure FSH and FSH/HMG respectively (P < 0.05). The significantly higher
number of immature oocytes matured in vitro in the FSH/HMG group (P =
0.001) suggests a possible effect on in-vitro maturation, due to
luteinizing hormone present in HMG. The difference in mature oocyte quality
may be an important determinant in the higher pregnancy rates for the FSH-
stimulated patients.
相似文献
4.
Sema Aydodu Ipek Akil Talha Akil Caner Kabasakal Refik Killi Sevgi Mir Rait Yaci 《Pediatrics international》2004,46(1):67-71
BACKGROUND: The aim of the present study was to investigate renal vascular resistive changes in children with different stages of liver cirrhosis without obvious renal failure. METHODS: Twenty-nine children (14 girls, 15 boys, mean age 11.6 years) with cirrhosis and 20 healthy children (mean age 10.3 years) were investigated for renal vascular resistance with Doppler ultrasonography, urinary sodium, N-acetyl-beta-D glucosaminidase (NAG) and microalbuminuria excretion. RESULTS: The measurements of renal resistive indexes (RRI) were significantly higher in cirrhotic patients than the control group (0.69 +/- 0.07 vs 0.62 +/- 0.02, P < 0.0001). RRI measurement was found to be increased in decompensated cirrhotic patients than in compensated cirrhotic patients (0.73 +/- 0.05 vs 0.67 +/- 0.08, P < 0.0001). A significant positive relationship was observed between RRI and child score (r = 0.53). Urine NAG/Cr ratio was significantly higher in cirrhotic patients than in the control subjects (P < 0.001). Microalbumin concentrations were increased in the patients with decompensated cirrhosis than in the controls (P = 0.02). Patients with ascites and portal hypertension showed increased RRI values. CONCLUSIONS: We conclude that patients with cirrhosis are at risk of renal deterioration, which can not be detected by serum urea, creatinine, and glomerular filtration rate. The increase of RRI is associated with the progress of hepatocellular disease, and also the development of ascites and portal hypertension. Elevated urinary sodium excretion, elevated urinary NAG/Cr ratio and microalbuminuria might have a prognostic value especially in patients with Child scores> 6. Hence, monitoring RRI is a non-invasive means of studying early renal hemodynamic alteration in childhood cirrhosis. 相似文献
5.
Kudret Çağlar Selma Ünal Ahmet Çetinkaya Fatma Gümrük Sevgi Yetgin 《Pediatric hematology and oncology》2013,30(7):535-537
Second malignant neoplasm in childhood is increasing due to advances in therapy modalities. Acute lymphoblastic leukemia as a second malignancy following the treatment of medulloblastoma is a very rare condition. A 13-year-old boy was diagnosed as acute lymphoblastic leukemia following radiotherapy and chemotherapy for treatment of medulloblastoma. 相似文献
6.
7.
8.
Elif Ozalkaya Sevgi Mir Betul Sozeri Afig Berdeli Fatma Mutlubas Alphan Cura 《Rheumatology international》2011,31(6):779-784
Familial Mediterranean fever (FMF) is a disease characterized by recurrent, self-limiting fever and serositis and caused by
altered pyrin due to mutated MEFV gene. The aim of this study was to investigate clinical manifestations and MEFV mutations
among patients with FMF and healthy controls in the Aegean region of Turkey. This study included 308 patients and 164 healthy
controls. Patients were divided into three groups according to Tel-Hashomer criteria; definitive, probable, and suspicious.
Among the patients, 146 were women (47.4%) and 162 were men (52.6%). The mean age (±SD) of the patients at the diagnosis was
9.6 ± 3.95 (range 0.5–18). The mean age (±SD) at onset of the symptom was 6.2 ± 3.95 (range 1–18). Symptoms were seen earlier
onset in definitive group than the suspicious group in our cohort (4.7 ± 3.9 years, 6.6 ± 3.9 years, respectively; P = 0.001). Clinical features were abdominal pain (83.1%), fever (55%), arthritis (17.1%), myalgia (4.5%), pleuritis (10%),
and erysipelas—like erythema (7.7%). Fever, arthralgia, arthritis, chest pain, and amyloidosis were found statistically significant
more in definitive group than suspicious group (P < 0.001, P < 0.001, P < 0.001, P < 0.05, and P < 0.001, respectively). MEFV gene mutations were identified in 199 patients (64.6%). The most commonly encountered MEFV mutation
among the patients was M694V homozygote (25%). M694V homozygous mutation was found most frequently in definitive FMF group
than other groups (49, 9, 8.9%, respectively). To our knowledge that FMF should be suspected in the case of non-specific but
recurrent attacks of serositis and high fever, and molecular analysis should be performed in order to make diagnosis of FMF. 相似文献
9.
Long‐term analysis of phase II studies of single‐agent lenalidomide in relapsed/refractory mantle cell lymphoma 下载免费PDF全文
Thomas E. Witzig Pier Luigi Zinzani Thomas M. Habermann Joseph M. Tuscano Johannes Drach Radhakrishnan Ramchandren Sevgi Kalayoglu Besisik Kenichi Takeshita Marie‐Laure Casadebaig Bravo Lei Zhang Tommy Fu Andre Goy 《American journal of hematology》2017,92(10):E575-E583
Mantle cell lymphoma (MCL) is a type of non‐Hodgkin lymphoma (NHL) with aggressive disease characteristics resulting in multiple relapses after initial treatment. Lenalidomide is an immunomodulatory agent approved in the US for patients with relapsed/refractory MCL following bortezomib based on results from 3 multicenter phase II studies (2 including relapsed/refractory aggressive NHL and 1 focusing on MCL post‐bortezomib). The purpose of this report is to provide longer follow‐up on the MCL‐001 study (follow‐ups were 6.8 [NHL‐002], 7.6 [NHL‐003], and 52.2 [MCL‐001] months). The 206 relapsed MCL patients treated with single‐agent lenalidomide (25 mg/day PO, days 1 to 21 every 28‐days) had a median age of 67 years (63% ≥65 years), 91% with stage III/IV disease, and 50% with ≥4 previous treatment regimens. With a median follow‐up of X, the combined best overall response rate (ORR) was 33% (including 11% with complete remission [CR]/CR unconfirmed CRu). Lenalidomide produced rapid and durable responses with a median time to response of 2.2 months and median duration of response (DOR) of 16.6 months (95% CI: 11.1%‐29.8%). The safety profile was consistent and manageable; myelosuppression was the most common adverse event (AE). Overall, single‐agent lenalidomide showed consistent efficacy and safety in multiple phase II studies of heavily pretreated patients with relapsed/refractory MCL, including those previously treated with bortezomib. 相似文献
10.