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1.
Vijay Gayam Venu M. Konala Srikanth Naramala Pavani Reddy Garlapati Mohamed A. Merghani Nirajan Regmi Mamtha Balla Sreedhar Adapa 《Journal of medical virology》2020,92(10):2181-2187
Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome-coronavirus 2 (SARS-CoV-2) is spreading at a rapid pace, and the World Health Organization declared it as pandemic on 11 March 2020. Mycoplasma pneumoniae is an "atypical" bacterial pathogen commonly known to cause respiratory illness in humans. The coinfection from SARS-CoV-2 and mycoplasma pneumonia is rarely reported in the literature to the best of our knowledge. We present a study in which 6 of 350 patients confirmed with COVID-19 were also diagnosed with M. pneumoniae infection. In this study, we described the clinical characteristics of patients with coinfection. Common symptoms at the onset of illness included fever (six [100%] patients); five (83.3%) patients had a cough, shortness of breath, and fatigue. The other symptoms were myalgia (66.6%), gastrointestinal symptoms (33.3%-50%), and altered mental status (16.7%). The laboratory parameters include lymphopenia, elevated erythrocyte sedimentation rate, C-reactive protein, lactate dehydrogenase, interleukin-6, serum ferritin, and D-dimer in all six (100%) patients. The chest X-ray at presentation showed bilateral infiltrates in all the patients (100%). We also described electrocardiogram findings, complications, and treatment during hospitalization in detail. One patient died during the hospital course. 相似文献
2.
Disertori B. Ducati A. Piazza M. Pavani M. 《The Italian Journal of Neurological Sciences》1982,3(4):359-363
A case of spasmodic torticollis with thoracic outlet syndrome observed for over 18 months is presented and discussed.
Maximal head rotation (determining backward gaze) was associated with compression of the brachial plexus between the scaleni muscles and motor, sensory and trophic troubles in the hand. This new syndrome is called after the diviner Manto, quoted by Dante Alighieri in his Divina Commedia (Inferno, XX, 52–56). The etiology was ascribed to subacute toxic effects of methylparathion.
Brainstem Auditory Evoked Potentials (BAEPs) demonstrated severe brainstem involvement, maximal in the mesencephalic structures. Clinical and neurophysiological data improved on treatment with L-5-hydroxytryptophan.
Finally, BAEPs returned to normal.
Sommario Dopo sospetta intossicazione subacuta da metilparatione una giovane donna presenta torcicollo spasmodico extrapiramidale laterale di altissimo grado: con capo girato all'indietro e nocumento secondario al plesso brachiale. Proponiamo il nome di Sindrome di Manto. Con i potenziali evocati acustici del tronco cerebrale (BAEPs) abbiamo dimostrato alterazioni prevalentemente mesencefaliche controlaterali. I tracciati si sono normalizzati progressivamente in rapporto alla guarigione clinica correlata a terapia con L-5-idrossitriptofano.相似文献
3.
Pavani K. Ram Dhiman Dutt Benjamin J. Silk Saumil Doshi Carole B. Rudra Jaynal Abedin Doli Goswami Alicia M. Fry W. Abdullah Brooks Stephen P. Luby Adam L. Cohen 《The American journal of tropical medicine and hygiene》2014,90(5):968-975
To inform interventions to reduce the high burden of pneumonia in urban settings such as Kamalapur, Bangladesh, we evaluated household air quality risk factors for radiographically confirmed pneumonia in children. In 2009–2010, we recruited children < 5 years of age with pneumonia and controls from a population-based surveillance for respiratory and febrile illnesses. Piped natural gas was used by 85% of 331 case and 91% of 663 control households. Crowding, a tin roof in the living space, low socioeconomic status, and male sex of the child were risk factors for pneumonia. The living space in case households was 28% less likely than in control households to be cross-ventilated. Particulate matter concentrations were not significantly associated with pneumonia. With increasing urbanization and supply of improved cooking fuels to urban areas, the high burden of respiratory illnesses in urban populations such as Kamalapur may be reduced by decreasing crowding and improving ventilation in living spaces. 相似文献
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Could Alcohol-Based Hand Sanitizer Be an Option for Hand Hygiene for Households in Rural Bangladesh?
7.
Suhasini Tirumala Bijayini Behera Srikanth Jawalkar Pradeep Kumar Mishra Pavithra Vani Patalay Sudha Ayyagari Pavani Nimmala 《Indian Journal of Critical Care Medicine》2014,18(7):476-478
Seriously ill patients presenting with purpura fulminans, sepsis and multi-organ failure often require extensive diagnostic workup for proper diagnosis and management. Host of common infections prevalent in the tropics, e.g. malaria, dengue; other septicemic infections e.g. meningococcemia, typhoid, leptospirosis, toxic shock syndrome, scarlet fever, viral exanthems like measles, infectious mononucleosis, collagen vascular diseases (Kawasaki disease, other vasculitis) diseases, and adverse drug reactions are often kept in mind, and the index of suspicion for rickettsial illness is quite low. We present a case of Indian tick typhus presenting with purpura fulminans (retiform purpura all over the body), sepsis and multiorgan failure without lymphadenopathy and eschar, successfully treated with doxycycline and discharged home. Hence, a high index clinical suspicion and prompt administration of a simple therapy has led to successful recovery of the patient. 相似文献
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9.
Tapia L Torres J Mendoza L Urzúa A Ferreira J Pavani M Wilkens M 《Planta medica》2004,70(11):1058-1063
13-epi-sclareol is a labdane-type diterpene isolated from the resinous exudates of the medicinal plant species Pseudognaphalium cheiranthifolium (Lam.) Hilliard et Burtt. and P. heterotrichium (Phil.) A. Anderb. This compound has antibacterial activity only against Gram-positive bacteria, showing a bactericidal and lytic action. The interaction of 13- epi-sclareol with the bacterial respiratory chain was analyzed. The compound inhibited oxygen consumption of intact Gram-positive cells, but not with Gram-negative bacteria. The compound inhibited NADH oxidase and cytochrome c reductase activities, while coenzyme Q reductase and the cytochrome c oxidase activities were not affected. These results suggest that the target site of 13-epi-sclareol is located between coenzyme Q and cytochrome c. Using cytoplasmic membrane fractions, the results of the analysis of the enzyme activities associated with the respiratory chain complexes were the same for both Gram-positive and Gram-negative bacteria, indicating that the compound has no access to the cytoplasmic membrane of intact Gram-negative bacteria. Thus, the Gram-negative envelope may act as a physical barrier that prevents the access of this compound to the site of action. 相似文献
10.
Catena V De Zen GF Pavani A Vedolin G Battagin G Milite D Biondani L Munerati V 《Minerva anestesiologica》2003,69(1-2):23-9, 29-33
BACKGROUND: To evaluate two anesthetic techniques for hemodynamic control during carotid TEA surgery and early post-surgery. METHODS: Two study groups treated by carotid surgery were compared; the Fentanyl group consisted of 7 patients in ASA class 3, the Remifentanil-Sevoflorane group included 12 patients in ASA class 3. The double product was monitored on entry to the operating room, at 5, 15, 30 min after induction of anesthesia and tracheal intubation, and at 30 min after extubation. Time of extubation, re-awakening and attention levels during early post-surgery, and myocardial ischemia markers were monitored for 48 h after surgery in the Remifentanil group. RESULTS: Statistical analysis using Student's "t"-test for paired data showed that the double product indicated better hemodynamic stability in the patients who received Remifentanil-Sevoflorane than in those who received Fentanyl. CONCLUSIONS: Compared with anesthesia using Fentanyl and with locoregional techniques, anesthesia with Remifentanil-Sevoflorane in carotid surgery provides a valuable alternative and secures good hemodynamic stability. 相似文献