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Introduction: Paramedic students should have the crucial cognitive and psychomotor skills related to neonatal cardiopulmonary resuscitation (N-CPR). Study Objective: The aim of this study was to evaluate the effect of blended learning on the theoretical knowledge and preliminary knowledge of the psychomotor skills, adherence to the algorithm, and teamwork in simulation-based education (SBE) of N-CPR. Methods: This randomized, prospective study was conducted on 60 fourth-semester paramedic students. The participants were separated into two groups following a classroom lecture. Each group was assigned either a slide presentation (Group 1; SP-G) or a video clip (Group 2; V-G). All the participants answered multiple-choice questions (MCQs) and each group (Group 1 and Group 2) was divided into 10 sub-groups. These sub-groups were then tested in an observational performance evaluation (OPE) consisting of a neonatal asphyxia megacode scenario, after the classroom lecture and following the blended learning process. Results: Group performance, teamwork, communication skills, and adherence to the algorithm were evaluated. There was a significant difference in the MCQ and OPE results between the after classroom lecture and after blended learning for both groups. The average score of Group 2 was higher than Group 1 in the MCQ results (Mann-Whitney U test; P <.001). The average score of Group 2 was higher than Group 1 in the OPE results (Mann-Whitney U test; P = .002). Conclusion: Blended learning, especially video clips, in adjunction with the classroom lecture were effective in acquiring and developing both technical and non-technical skills among paramedic students in SBE of N-CPR training.

ÖzetBruselloz özellikle ülkemizin doğu ve güneydoğu kesimlerinde endemik olarak görülen önemli bir enfeksiyon hastalığıdır. Bu makalede çocuklarda brusellozun klinik ve laboratuvar bulgularının ve tedavi sonuçlarının etkinliğini değerlendirmek amaçlandı.Eylül 2010 ile Şubat 2011 tarihleri arasında yaklaşık 6 aylık dönemde çocuk polikliniğine bruselloz düşündüren şikayetlerle başvuran çocuklar tetkik edildi. Tetkik edilen hastaların 43'üne bruselloz tanısı konuldu ve başvuru şikayetleri, fizik muayene bulguları ve laboratuvar sonuçları değerlendirildi. Olguların 22'si erkek (%51) olup ortalama yaşları 9.3 yaş (4 yaş-13 yaş) arasında idi. En sık başvuru yakınmaları; halsizlik olguların tamamı (%100), kas ağrısı olguların tamamı (%100) ve kilo kaybı (%86) idi. Olguların fizik muayenelerinde; artrit (%48), lenfadenopati (%6) ve splenomegali (%13) saptandı. Laboratuvar bulgularında olguların %51'inde sedimantasyon yüksekliği, %65'inde ALT/AST yüksekliği ve %72'sinde ise CRP pozitifliği vardı. Brusella aglütinasyon testleri olguların tamamında pozitifti. Kan kültüründe üreme olguların %6'sında tespit edildi. Olguların tamamına en az ikili antibiyotik tedavisi verildi. Rölaps %11 (n=5) oranında görüldü, mortalite gözlenmedi. Bruselloz özellikle hastalığın yaygın olduğu bölgelerde sağlık ekiplerinin üzerinde durması gereken ve koruyucu tedbirlerin alınması ve etkin tedavinin uygulanması gereken toplum sağlığı problemidir. Anahtar kelimeler: Bruselloz; çocuk; laboratuvar bulguları; tedavi. AbstractBrucellosis is an important infectious disease especially endemic in Eastern and Southeastern Turkey. In this study, we aimed to evaluate the clinical, laboratory and treatment results of Brucellosis in children. Children with nonspecific findings suggestive of Brucellosis were included from September 2010 to February 2011 from the outpatient clinic. The symptoms, physical findings and laboratory values are analyzed in 43 children who were diagnosed as Brucellosis.The mean age of children was 9.3 years (range: 4-13 years), 51%n:22) were male. Most common complaint was fatigue (100%), myalgia (100%) and weight loss (86%). Arthritis (48%), lymphadenopathy (6%), and splenomegaly (13%) has been identified. Laboratory values revealed high sedimentation rates (51%), high AST/ALT (65%), high CRP levels (72%). Brucella agglutination test was positive in all of the patients. Brucella was identified in 6% of blood cultures. All of the patients were treated with antibiotics of least two-drug combination. The relapse rate was 11% (n=5) and no mortality was observed. Brucellosis is an important health issue, especially in endemic regions, necessitating preventive measures and effective treatment.