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  1. 1421
    “…CASE PRESENTATION: A 47-year-old male presented with weakness in his left arm upon awakening. Contrast-enhanced computed tomography and transesophageal echocardiography revealed a mobile pedunculated object suggestive of a thrombus arising from the ascending aorta and extending to the left common carotid artery. …”
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    Fluttering cord-like thrombus in the aortic arch
  2. 1422
    por Sylaja, P. N., Demchuk, Andrew M.
    Publicado 2008
    “…In many special circumstances, such as seizure at stroke onset, stroke on awakening, age more than 80 years, and patients with rapidly improving symptoms, the decision to treat depends on expert judgment. …”
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    Intravenous thrombolytic therapy in acute ischemic stroke: The art and science of treatment decision making
  3. 1423
    “…RESULTS: Four themes were constructed: dark hidden force, battling imminent death, dreaming and awakening calls, and inner and outer transformation. …”
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    “Your Ovaries Are Expired, Like an Old Lady” Metaphor Analysis of Saudi Arabian Women’s Descriptions of Breast Cancer: A Qualitative Study
  4. 1424
    “…A wake-up sensor node connected to the switch can awaken when the switch is under vibration as an intended characteristics.…”
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    Low-G Triggered Acceleration Switch for Near-Zero Power Wake-Up Application
  5. 1425
    “…This finding persisted till 12 h after surgery, and the patient awakened on postoperative day 2. CONCLUSIONS: Remimazolam is a short-acting anesthetic, but long-term delayed emergence with re-sedation may occur even after flumazenil administration. …”
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    Long-term delayed emergence after remimazolam-based general anesthesia: a case report
  6. 1426
    “…Remimazolam is an ultrashort-acting benzodiazepine intravenous anesthetic characterized by rapid awakening after anesthesia. However, the method for administering remimazolam in clinical practice remains unclear. …”
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    Postoperative Heart Failure with Preserved Ejection Fraction Induced by Flumazenil Administered for Remimazolam Antagonism
  7. 1427
    “…RESULTS: The groups differed in repeated daytime cortisol (dayCort) secretion (p=.005,η(2) (p)=.03,f=0.18) and cortisol awakening response (CAR) (p=.006,η(2) (p)=.03,f=0.18), with similarly lower overall dayCort and CAR in CHD-patients and HT, as compared to NT. …”
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    Lower diurnal HPA-axis activity in male hypertensive and coronary heart disease patients predicts future CHD risk
  8. 1428
    “…There were no statistically significant differences between the incidence of intraoperative hypoxaemia and intraoperative use of CPAP during OLV (10% vs 5%, respectively; P = 1.000), duration of awakening (18 mins vs 19 mins, respectively; P = 0.616). …”
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    Two-minute disconnection technique with a double-lumen tube to speed the collapse of the non-ventilated lung for one-lung ventilation in thoracoscopic surgery
  9. 1429
    “…For SCR, mean cortisol 30 min after awakening was significantly higher in ATL (500 ng/dL) compared to OTS (323 ng/dL) and NCS (393 ng/dL) (p = 0.004). …”
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    Hypothalamic-Pituitary-Adrenal (HPA) Axis Functioning in Overtraining Syndrome: Findings from Endocrine and Metabolic Responses on Overtraining Syndrome (EROS)—EROS-HPA Axis
  10. 1430
    “…The electrical current necessary for a contractile response was higher in the lower extremities. At the first awakening, patients presented with significant weakness (3.2 [2.5/3.8] MRC score). …”
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    Differential contractile response of critically ill patients to neuromuscular electrical stimulation
  11. 1431
    “…Overall, maintaining a permanent cell dormancy by the chronic administration of RV might be considered a therapeutic option to prevent the “awakening” of cancer cells in response to a permissive microenvironment. …”
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    Resveratrol Contrasts IL-6 Pro-Growth Effects and Promotes Autophagy-Mediated Cancer Cell Dormancy in 3D Ovarian Cancer: Role of miR-1305 and of Its Target ARH-I
  12. 1432
    “…The univariate analysis showed that the feeling of tiredness was significantly greater in patients reporting difficulty falling asleep (P≥.99), pain (P<.001), and frequent awakening (P<.001), as well as in patients who were not receiving cancer treatment (P<.001). …”
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    Sleep Disorders and Quality of Life in Patients With Cancer: Prospective Observational Study of the Rafael Institute
  13. 1433
    por Matsuura, Yuki, Ochi, Genta
    Publicado 2023
    “…In this study, we sought to establish this by evaluating HRV upon awakening in one athlete over 20 months. We assessed mental health once a month by calculating the depression index. …”
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    The Potential of Heart Rate Variability Monitoring for Mental Health Assessment in Top Wheel Gymnastics Athletes: A Single Case Design
  14. 1434
    “…However, this shift in body metabolism presents new challenges for survival, including oxidative stress upon awakening from aestivation, accumulation of toxic metabolites, changes in energy sources, adjustments to immune status, muscle atrophy due to prolonged immobility, and degeneration of internal organs due to prolonged food deprivation. …”
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    Aestivation in Nature: Physiological Strategies and Evolutionary Adaptations in Hypometabolic States
  15. 1435
    “…Med4 downregulation effectively awakened dormant breast cancer cells, prompting macroscopic metastatic outgrowth in the lungs. …”
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    Noncanonical Activity of Med4 as a Gatekeeper of Metastasis through Epigenetic Control of Integrin Signaling
  16. 1436
    “…In a population-based cohort of 1,768 10- to 12-year-old early adolescents, we assessed the cortisol awakening response and evening cortisol levels. Externalizing behavior problems were assessed using the Child Behavior Checklist and the Youth Self-Report. …”
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    Does HPA-axis activity mediate the relationship between obstetric complications and externalizing behavior problems? The TRAILS study
  17. 1437
    “…We tested associations between cortisol responses to a set of laboratory challenges (colour/word interference and mirror tracing) and three aspects of cortisol output over the day, namely total area under the curve (AUC(day)), the cortisol awakening response (CAR) and the slope of cortisol decline over the day. …”
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    The relationship between cortisol responses to laboratory stress and cortisol profiles in daily life
  18. 1438
    “…In this review, we assessed the current literature about the hypothesis that wake-up-strokes occur just prior on awakening and if this subgroup differs in characteristics compared to the overall stroke population. …”
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    Wake-Up Stroke and Stroke of Unknown Onset: A Critical Review
  19. 1439
    “…A 74-year old man, who had no prior significant neurologic signs or trauma history, visited our emergency center with paraplegia of both lower extremities occurring suddenly when awakened. On magnetic resonance image (MRI) findings, we could detect ruptured disc herniation with severe lumbar stenosis at the L2-3 level. …”
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    Sudden Onset of Cauda Equina Syndrome Resulting from Posterior Migration of Lumbar Herniated Disc Without Significant Previous Neurological Signs
  20. 1440
    por Fletcher, Helen A.
    Publicado 2016
    “…The advance of recombinant BCGs should awaken us from our sleep and call us to invest in new-generation TB vaccines and to protect the biomanufacture of our current BCG vaccine.…”
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    Sleeping Beauty and the Story of the Bacille Calmette-Guérin Vaccine
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