{"id":"W4412020176","doi":"10.1007/s11739-025-04032-z","title":"Rethinking shifts: shift length, diurnal variability, and long-term health risks for emergency medicine physicians","year":2025,"lang":"en","type":"article","venue":"Internal and Emergency Medicine","topic":"Sleep and Work-Related Fatigue","field":"Psychology","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Western University; University of Toronto","funders":"","keywords":"Medicine; Term (time); MEDLINE; Emergency medicine; Medical emergency","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaepi_narrow","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.001584187,0.0004016859,0.000722751,0.0002732739,0.0003381183,0.000005348787,0.0003429667,0.0002277507,0.005319715],"category_scores_gemma":[0.0003372557,0.0003039974,0.0001203903,0.0003962788,0.0003405141,0.0001084448,0.0001163152,0.0006727656,0.000009945251],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.00005334951,"about_ca_system_score_gemma":0.00003050554,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003210928,"about_ca_topic_score_gemma":0.0006900671,"domain_scores_codex":[0.9966716,0.0002496272,0.00141019,0.0007491526,0.0003010511,0.0006184454],"domain_scores_gemma":[0.9985051,0.0002877572,0.0003953058,0.0004192108,0.0001420235,0.0002505647],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0005564353,0.0003025699,0.7207175,0.0002919084,0.00102349,0.00001633095,0.02649542,0.000001657186,0.00009878382,0.02325627,0.07037266,0.1568669],"study_design_scores_gemma":[0.005939617,0.002488969,0.9316826,0.005834823,0.0006782234,0.0000178106,0.001383421,0.0001137396,0.00001517953,0.0467712,0.004438563,0.0006358392],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.8593375,0.02496185,0.02554351,0.03785046,0.02506148,0.0009566934,0.0000346376,0.0001513664,0.02610252],"genre_scores_gemma":[0.98857,0.00612087,0.00004899097,0.0007944297,0.001863975,0.00007283728,0.00003849396,0.00003540966,0.002454941],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2109651,"threshold_uncertainty_score":0.9999412,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07292036287056908,"score_gpt":0.4100084316035735,"score_spread":0.3370880687330045,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}