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   1100006篇
  免费   67033篇
  国内免费   1342篇
耳鼻咽喉   14046篇
儿科学   30743篇
妇产科学   26161篇
基础医学   148609篇
口腔科学   29739篇
临床医学   92295篇
内科学   212599篇
皮肤病学   19858篇
神经病学   87932篇
特种医学   45364篇
外国民族医学   79篇
外科学   179791篇
综合类   20315篇
现状与发展   1篇
一般理论   234篇
预防医学   79004篇
眼科学   23971篇
药学   81606篇
  3篇
中国医学   2786篇
肿瘤学   73245篇
  2018年   30050篇
  2017年   23691篇
  2016年   26567篇
  2015年   9714篇
  2014年   12724篇
  2013年   18173篇
  2012年   30726篇
  2011年   45228篇
  2010年   32881篇
  2009年   25379篇
  2008年   43303篇
  2007年   46578篇
  2006年   26907篇
  2005年   27419篇
  2004年   27750篇
  2003年   27745篇
  2002年   25477篇
  2001年   54964篇
  2000年   56918篇
  1999年   47087篇
  1998年   10912篇
  1997年   9645篇
  1996年   9663篇
  1995年   9016篇
  1994年   8368篇
  1993年   7645篇
  1992年   35513篇
  1991年   33993篇
  1990年   32850篇
  1989年   31940篇
  1988年   29037篇
  1987年   28281篇
  1986年   26307篇
  1985年   25170篇
  1984年   17850篇
  1983年   15159篇
  1982年   7819篇
  1981年   6771篇
  1979年   15784篇
  1978年   10606篇
  1977年   9055篇
  1976年   7880篇
  1975年   8635篇
  1974年   10485篇
  1973年   9860篇
  1972年   9359篇
  1971年   8853篇
  1970年   8443篇
  1969年   7945篇
  1968年   7218篇
排序方式: 共有10000条查询结果,搜索用时 15 毫秒
1.
2.
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   
3.

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   
4.
5.
Magnetic field generated by neuronal activity could alter magnetic resonance imaging (MRI) signals but detection of such signal is under debate. Previous researches proposed that magnitude signal change is below current detectable level, but phase signal change (PSC) may be measurable with current MRI systems. Optimal imaging parameters like echo time, voxel size and external field direction, could increase the probability of detection of this small signal change. We simulate a voxel of cortical column to determine effect of such parameters on PSC signal. We extended a laminar network model for somatosensory cortex to find neuronal current in each segment of pyramidal neurons (PN). 60,000 PNs of simulated network were positioned randomly in a voxel. Biot–savart law applied to calculate neuronal magnetic field and additional phase. The procedure repeated for eleven neuronal arrangements in the voxel. PSC signal variation with the echo time and voxel size was assessed. The simulated results show that PSC signal increases with echo time, especially 100/80 ms after stimulus for gradient echo/spin echo sequence. It can be up to 0.1 mrad for echo time = 175 ms and voxel size = 1.48 × 1.48 × 2.18 mm3. With echo time less than 25 ms after stimulus, it was just acquired effects of physiological noise on PSC signal. The absolute value of the signal increased with decrease of voxel size, but its components had complex variation. External field orthogonal to local surface of cortex maximizes the signal. Expected PSC signal for tactile detection in the somatosensory cortex increase with echo time and have no oscillation.  相似文献   
6.
7.
8.
9.
10.
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