{"id":"https://openalex.org/W7213783105","doi":"https://doi.org/10.68312/mdx.26.011.iz","title":"Wake-Up Stroke: Should We Stop Letting the Clock Decide?","display_name":"Wake-Up Stroke: Should We Stop Letting the Clock Decide?","publication_year":2026,"publication_date":"2026-09-20","ids":{"openalex":"https://openalex.org/W7213783105","doi":"https://doi.org/10.68312/mdx.26.011.iz"},"language":"en","primary_location":{"id":"doi:10.68312/mdx.26.011.iz","doi":"https://doi.org/10.68312/mdx.26.011.iz","is_oa":true,"landing_page_url":"https://doi.org/10.68312/mdx.26.011.iz","pdf_url":"https://medicianx.com/api/files/public/135c8b35-820f-4591-861e-517b9fab4faf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedicianX Journal of Medical Science","raw_type":"journal-article"},"volume":null,"type":"editorial","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://medicianx.com/api/files/public/135c8b35-820f-4591-861e-517b9fab4faf","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111120258","display_name":"Mouhamed Nazar","orcid":"https://orcid.org/0009-0001-9686-5943","observed_orcids":["https://orcid.org/0009-0001-9686-5943"]},"institutions":[{"id":"https://openalex.org/I1302623664","display_name":"Mahatma Gandhi Medical College and Research Institute","ror":"https://ror.org/05v4pjq26","country_code":"IN","type":"education","lineage":["https://openalex.org/I1302623664"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Mouhamed Nazar","raw_affiliation_strings":["Assistant Professor, Dept. of General Medicine, MGMCRI, Puducherry"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Assistant Professor, Dept. of General Medicine, MGMCRI, Puducherry","institution_ids":["https://openalex.org/I1302623664"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5111120258"],"corresponding_institution_ids":["https://openalex.org/I1302623664"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"1","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10227","display_name":"Acute Ischemic Stroke Management","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10292","display_name":"Acute Myocardial Infarction Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/wake-up-stroke","display_name":"wake-up stroke","score":0.9750000238418579},{"id":"https://openalex.org/keywords/acute-ischemic-stroke","display_name":"acute ischemic stroke","score":0.9269999861717224},{"id":"https://openalex.org/keywords/time-to-treatment","display_name":"time to treatment","score":0.6589999794960022},{"id":"https://openalex.org/keywords/stroke-onset-time","display_name":"stroke onset time","score":0.6179999709129333},{"id":"https://openalex.org/keywords/neurological-deficit","display_name":"neurological deficit","score":0.3580000102519989}],"concepts":[{"id":"https://openalex.org/C2780645631","wikidata":"https://www.wikidata.org/wiki/Q671554","display_name":"Stroke (engine)","level":2,"score":0.5120999813079834},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4429999887943268},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.38019999861717224},{"id":"https://openalex.org/C3020166492","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Acute stroke","level":3,"score":0.353300005197525},{"id":"https://openalex.org/C2775841894","wikidata":"https://www.wikidata.org/wiki/Q4683692","display_name":"Sleep (system call)","level":2,"score":0.33160001039505005},{"id":"https://openalex.org/C3020199598","wikidata":"https://www.wikidata.org/wiki/Q12202","display_name":"Ischemic stroke","level":3,"score":0.3165000081062317},{"id":"https://openalex.org/C26517878","wikidata":"https://www.wikidata.org/wiki/Q228039","display_name":"Key (lock)","level":2,"score":0.28859999775886536},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.2825999855995178},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.266400009393692},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2500999867916107}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.68312/mdx.26.011.iz","doi":"https://doi.org/10.68312/mdx.26.011.iz","is_oa":true,"landing_page_url":"https://doi.org/10.68312/mdx.26.011.iz","pdf_url":"https://medicianx.com/api/files/public/135c8b35-820f-4591-861e-517b9fab4faf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedicianX Journal of Medical Science","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.68312/mdx.26.011.iz","doi":"https://doi.org/10.68312/mdx.26.011.iz","is_oa":true,"landing_page_url":"https://doi.org/10.68312/mdx.26.011.iz","pdf_url":"https://medicianx.com/api/files/public/135c8b35-820f-4591-861e-517b9fab4faf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"MedicianX Journal of Medical Science","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8371999859809875,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7213783105.pdf","grobid_xml":"https://content.openalex.org/works/W7213783105.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2519207121","https://openalex.org/W2976949699","https://openalex.org/W7126226790","https://openalex.org/W2025695547","https://openalex.org/W4362555123","https://openalex.org/W3000325062","https://openalex.org/W3048710800","https://openalex.org/W4411956899","https://openalex.org/W7056093752","https://openalex.org/W2139976729"],"abstract_inverted_index":{"\u201cTime":[0],"is":[1,3],"brain\u201d":[2],"one":[4,38],"of":[5,13,23,41,66],"the":[6,11,21,43],"most":[7],"influential":[8],"principles":[9],"in":[10],"management":[12],"acute":[14],"ischemic":[15],"stroke.":[16],"It":[17],"has":[18],"appropriately":[19],"driven":[20],"development":[22],"rapid":[24],"stroke":[25,67],"pathways,":[26],"prehospital":[27],"triage,":[28],"streamlined":[29],"imaging":[30],"protocols,":[31],"and":[32],"efficient":[33],"reperfusion":[34],"systems.":[35],"Yet,":[36],"for":[37],"important":[39],"group":[40],"patients,":[42],"clock":[44],"presents":[45],"a":[46,58],"fundamental":[47],"challenge:":[48],"those":[49],"who":[50],"awaken":[51],"from":[52],"sleep":[53],"with":[54],"neurological":[55],"deficits":[56],"have":[57],"known":[59],"last-known-well":[60],"time,":[61],"but":[62],"an":[63],"unknown":[64],"time":[65],"onset.":[68]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-09-21T00:00:00"}