Publications by authors named "Wannapha Petchkrua"

With the expansion of global health initiatives focused on healthcare professional training, it is important to ensure that such training is scalable and sustainable. Simulation-based education (SBE) is a highly effective means to achieve these goals. Although SBE is widely used in the United States, its integration globally is limited, which can impact the potential of SBE in many countries.

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Objective: To assess the prevalence of vitamin B(12) deficiency in persons with spinal cord injury (SCI) or disease (SCD).

Design: Cross-sectional study with prospective blood collection and retrospective medical record review.

Setting: Regional Veterans Affairs SCI service.

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Article Synopsis
  • Vitamin B12 deficiency is underrecognized in spinal cord injury patients, with 16 out of 34 showing probable deficiency over a 10-year study period.
  • Most had subnormal or low-normal levels without classic symptoms like paresthesias due to existing sensory impairments from their injuries.
  • Replacement therapy resulted in various clinical improvements, including reversal of anemia, improved gait, and enhanced mood and memory for several patients.
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