全文获取类型
收费全文 | 1105篇 |
免费 | 162篇 |
国内免费 | 1篇 |
专业分类
耳鼻咽喉 | 1篇 |
儿科学 | 5篇 |
妇产科学 | 351篇 |
基础医学 | 26篇 |
口腔科学 | 2篇 |
临床医学 | 451篇 |
内科学 | 14篇 |
皮肤病学 | 3篇 |
神经病学 | 29篇 |
特种医学 | 6篇 |
外科学 | 15篇 |
综合类 | 142篇 |
一般理论 | 2篇 |
预防医学 | 160篇 |
药学 | 37篇 |
5篇 | |
中国医学 | 12篇 |
肿瘤学 | 7篇 |
出版年
2024年 | 1篇 |
2023年 | 26篇 |
2022年 | 21篇 |
2021年 | 33篇 |
2020年 | 69篇 |
2019年 | 55篇 |
2018年 | 49篇 |
2017年 | 49篇 |
2016年 | 54篇 |
2015年 | 74篇 |
2014年 | 88篇 |
2013年 | 88篇 |
2012年 | 82篇 |
2011年 | 81篇 |
2010年 | 66篇 |
2009年 | 69篇 |
2008年 | 62篇 |
2007年 | 57篇 |
2006年 | 44篇 |
2005年 | 34篇 |
2004年 | 31篇 |
2003年 | 36篇 |
2002年 | 13篇 |
2001年 | 16篇 |
2000年 | 17篇 |
1999年 | 16篇 |
1998年 | 14篇 |
1997年 | 8篇 |
1996年 | 1篇 |
1995年 | 5篇 |
1994年 | 2篇 |
1992年 | 4篇 |
1991年 | 1篇 |
1989年 | 1篇 |
1985年 | 1篇 |
排序方式: 共有1268条查询结果,搜索用时 15 毫秒
1.
2.
This paper examines the use of videotape simulation as a research method for the exploration of clinical problem-solving, the challenges posed and the strategies employed to overcome the difficulties encountered are discussed. The simulation forms part of a larger comparative study of outcomes of pre-registration nurse education programmes, commissioned by the English National Board for Nursing, Midwifery and Health Visiting. 相似文献
3.
作者通过对1例冲动症案例的分析,结合文献报道,初步阐述了冲动症的概念范围、临床特征与诊断标准。并讨论了其与强迫症、性心理障碍、正常性犯罪之间的区别和责任能力的评定。 相似文献
4.
【目的】比较宫颈Bishop评分和宫颈胰岛素样生长因子结合蛋白 1(IGFBP 1)检测在妊娠晚期气囊助产中的临床意义。【方法】将妊娠晚期有引产指征的 15 0例初产妇随机分成 3组 ,每组 5 0例。A组在气囊助产前使用宫颈IGFBP 1检测作为引产时机预测 ,B组在气囊助产前使用宫颈Bishop评分作为引产时机预测 ,C组则单纯催产素引产同时使用宫颈Bish op评分作为引产时机预测。【结果】总引产时间、潜伏期、活跃期、第一产程、第二产程 ,A、B两组较C组短 (P <0 0 1) ;A组总引产时间较B组短 (P <0 0 5 ) ;A组潜伏期、活跃期、第一产程、第二产程的较B组短 ,但差别无统计学意义 ;阴道分娩率A组 >B组 >C组 ,剖宫产率A组 相似文献
5.
Sara W. Jones PhD Susanne Darra PhD Mike Davies Catherine Jones MSc student Wendy Sunderland-Evans Mike R. M. Ward PhD 《Health & social care in the community》2021,29(4):1115-1125
Children of young and socially disadvantaged parents are more likely to experience adverse outcomes. In response to this, a unique young families’ project in Swansea, UK, was created, which drew together a team of multi-agency professionals, to support people aged 16–24 from 17 weeks of pregnancy throughout 1,001 days of the child's life. The aim of the JIGSO (the Welsh word for Jigsaw) project is for young people to reach their potential as parents and to break the cycle of health and social inequality. This evaluation analysed routinely collected data held by the project from January 2017 to December 2018 exploring health and social outcomes, including smoking and alcohol use in pregnancy, breastfeeding, maternal diet and social services outcomes. Outcomes were compared to local and national averages, where available. Data relating to parenting knowledge and skills were available via records of 10-point Likert scales, one collected at the start of the JIGSO involvement and one around 4–6 months later. Findings showed higher than average levels of breastfeeding initiation and lower smoking and alcohol use in pregnancy. Parents also reported enhanced knowledge and confidence in their child care skills, as well as improved family relationships. Parents with high levels of engagement with JIGSO also appeared to have positive outcomes with Social Services (their child's name was removed from child protection register or their case was closed to social services). This was a post-hoc evaluation, not an intervention study or trial, and thus findings must be interpreted with caution. Despite this, the findings are promising and more prospective research exploring similar services is required. 相似文献
6.
胡薇 《山西职工医学院学报》2000,(4)
目的:探讨如何处理持续性枕后位,以尽可能减少母儿并发症。方法:总结分析了120例持续性枕后位的孕周、胎儿体重、产重长短对分娩方式的影响以及不同分娩方式对母儿的影响。结果:当孕周大于等于40周,胎儿体重大于等于3500g,潜伏期大于8h,活跃期大于4h时,剖宫产率明显增高,持续性枕后位所致的产程延长及手术助产增加了新生儿窒息率和产妇的并发症。结论:对持续性枕后位应正确观察处理各产程,早期诊断,充分估计其阴道分娩的可能性,对不适于阴道分娩者,应果断行剖宫产术,以降低母儿并发症。[ 相似文献
7.
8.
Using action research to develop midwives’ skills to support women with perinatal mental health needs
下载免费PDF全文
![点击此处可从《Journal of clinical nursing》网站下载免费的PDF全文](/ch/ext_images/free.gif)
9.
Jody R. Lori CNM PhD Elikem E. Amable CNM MS Sara G. Mertz CNM MS Kathleen Moriarty CNM PhD 《Journal of Midwifery & Women's Health》2012,57(5):495-501
Introduction: Home‐Based Life‐Saving Skills (HBLSS) has been fully integrated into Liberia's long‐term plan to decrease maternal and newborn mortality and morbidity, coordinated through the Ministry of Health and Social Welfare. The objective of this article is to disseminate evaluation data from project monitoring and documentation on translation of knowledge and skills obtained through HBLSS into behavior change at the community level. Methods: One year after completion of HBLSS training, complication audits were conducted with 434 postpartum women in 1 rural county in Liberia. Results: Sixty‐two percent (n = 269) of the women were attended during birth by an HBLSS‐trained traditional midwife or family member, while 38% (n = 165) were attended by a traditional midwife or family member who did not receive HBLSS training. Home‐Based Life‐Saving Skills–trained birth attendants performed significantly more first actions (life‐saving actions taught to be performed after every birth) than the attendants not HBLSS trained. Fourteen percent of our sample (n = 62) reported too much bleeding following the birth. Of these women, approximately half (n = 29) were attended by an HBLSS‐trained traditional midwife or family member. There was a significant difference in secondary actions (those actions taught to be performed when a woman experiences too much bleeding following childbirth) that were reported to have been performed by HBLSS‐trained attendants (mean 5.26, standard deviation [SD] 1.88) and untrained attendants (mean 2.73, SD 1.97; P < .0001). Discussion: Our findings suggest that HBLSS knowledge is being transferred into behavior change and used at the community level by traditional midwives and family members. 相似文献
10.
《Midwifery》2016
Aimthe concept of ‘advanced midwifery practice’ is explored to a limited extent in the international literature. However, a clear conception of advanced midwifery practice is vital to advance the discipline and to achieve both internal and external legitimacy. This concept analysis aims to clarify advanced midwifery practice and identify its components.Methodsa review of the literature was executed using Rodgers’ evolutionary method of concept analysis to analyze the attributes, references, related terms, antecedents and consequences of advanced midwifery practice.Resultsan international consensus definition of advanced midwifery practice is currently lacking. Four major attributes of advanced midwife practitioners (AMPs) are identified: autonomy in practice, leadership, expertise, and research skills. A consensus was found on the need of preparation at master’s level for AMPs. Such midwives have a broad and internationally varied scope of practice, fulfilling different roles such as clinicians, clinical and professional leaders, educators, consultants, managers, change agents, researchers, and auditors. Evidence illustrating the important part AMPs play on a clinical and strategic level is mounting.Key conclusionsthe findings of this concept analysis support a wide variety in the emergence, titles, roles, and scope of practice of AMPs. Research on clinical and strategic outcomes of care provided by AMPs supports further implementation of these roles. As the indistinctness of AMPs’ titles and roles is one of the barriers for implementation, a clear conceptualization of advanced midwifery practice seems essential for successful implementation.Implications for practicean international debate and consensus on the defining elements of advanced midwifery practice could enhance the further development of midwifery as a profession and is a prerequisite for its successful implementation. Due to rising numbers of AMPs, extension of practice and elevated quality requirements in healthcare, more outcomes research exclusively evaluating the contribution of AMPs to healthcare becomes possible and desirable. 相似文献