Andrés Santiago Cisneros-Barahona, Luis Marqués-Molías, Nicolay Samaniego-Erazo, Catalina Mejía-Granizo, Gabriela De la Cruz-Fernández
Multivariate data analysis: Validation of an instrument for the evaluation of teaching digital competence
F1000Research
circadian rhythms synchronize biological functions enabling humans foresee respond better periodic environmental changes coronavirus disease covid19 lockdown regulations significantly changed lighting conditions pregnant women leading chronological disruption study aimed investigate impact covid19 circadian rhythm cesarean deliveries investigated whether circadian rhythm cesarean section deliveries changed first year covid19 pandemic tertiary hospital van province eastern turkey analyzed distribution birth times 1476 cesarean deliveries performed march 01 2020 january 20 2021 1st year covid19 pandemic compared information data 1194 cesarean deliveries performed similar period previous year primary outcome change circadian rhythm cesarean deliveries secondary outcomes included cesarean section cs delivery rates indications cs 1st 5th minutes appearance skin color pulse heart rate grimace reflex irritability activity muscle tone respiration scores anesthesia technique use rates regarding time distribution cs deliveries first year covid19 pandemic maximum number cesarean deliveries n 234 16 occurred 1400 1600 p 112 cesarean deliveries precovid19 group frequently performed 1000 1200 rate 18 n 216 p 001 groups time point cs deliveries least performed 0400 0600 rates different n 35 2 n 14 1 respectively p 022 4hour phase shift detected peak birth time first year covid19 pandemic compared previous year results suggest circadian rhythm cesarean deliveries affected pandemic