GamePro praised the aspect of shifting between realms, particularly the visual effects involved.
While research concentrates on biological aspects of shift work sleep disorder (SWSD), few studies addressed psychosocial variables.
Many aspects of shift systems have been studied, but attempts to reach definitive conclusions about appropriate designs have been hampered by a number of methodological issues.
Objective assessment of these aspects of shift work is increasingly possible from routinely collected data and such observations suggest a need for increased training in non-technical skills.
The role of shift work in the development of biliary tract cancer should be explored in further studies that include data on various aspects of shift work and biomarkers.
We were not able to control for other aspects of shift work, including weekly hours, number of hours overtime, the possibility of taking breaks during shifts and sleep patterns.
The ABC tool supports training for middle grade doctors on the aspects of shift handover and how to use the information gained to maximise efficiency and safety of the next shift.
Lastly, the RN4CAST study was not designed primarily to investigate shift work and therefore the survey did not include some relevant aspects of shift work, including the number of hours overtime, mode of overtime, the possibility of taking breaks during shifts and opportunity to rest between shifts, sleep patterns and total hours worked per week.
We hypothesize that an association between shift work and breast cancer risk may be attributed to specific domains and aspects of shift work and that individual factors like polymorphisms in certain circadian genes and chronotype may modify the association between shift work and breast cancer.
Because the baseline exposure data were collected 20 years ago when most findings on the association between shift work and cancer had not been reported, we did not add more questions to evaluate various aspects of shift work, such as duration and chronotype.
