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Sarah Piecuch Germana

Associate Professor of Pediatrics
Pediatrics, General Pediatrics and Adolescent Health
Box 3675 DUMC, Durham, NC 27710
3116 N Duke St., Durham, NC 27704

Selected Publications


Increasing utilisation of a rebound hyperbilirubinaemia calculator in two newborn nurseries.

Journal Article BMJ Open Qual · July 2023 Neonatal hyperbilirubinaemia requiring phototherapy treatment is a common problem impacting the length of hospital stay and rates of hospital readmission. Previous guidelines included guidance for initiating phototherapy treatment but not for discontinuing ... Full text Link to item Cite

Improving adherence to hepatitis B vaccine administration recommendations in two newborn nurseries.

Journal Article BMJ Open Qual · October 2021 Administration of the birth dose of hepatitis B vaccine is an important step in reducing perinatally acquired hepatitis B infection, yet the USA is below the Healthy People 2020 goal for rate of administration.In response to updated Advisory Committee on I ... Full text Open Access Link to item Cite

Factors Associated With Refusal of Intramuscular Vitamin K in Normal Newborns

Journal Article Pediatrics · August 1, 2018 BACKGROUND AND OBJECTIVE:Refusal of intramuscular (IM) vitamin K administration by parents is an emerging problem. Our objective was to assess the frequency of and factors ass ... Full text Cite

Screening for critical congenital heart disease in newborns using pulse oximetry: evaluation of nurses' knowledge and adherence.

Journal Article Adv Neonatal Care · April 2014 PURPOSE: The purpose of this project was to evaluate the benefits of an online nursing education program addressing the significance and rationale of an evidence-based critical congenital heart disease (CCHD) screening protocol using pulse oximetry impleme ... Full text Link to item Cite

Metabolic abnormalities and cardiovascular disease risk factors in adults with human immunodeficiency virus infection and lipodystrophy.

Journal Article Clin Infect Dis · January 2001 We evaluated metabolic and clinical features of 71 HIV-infected patients with lipodystrophy by comparing them with 213 healthy control subjects, matched for age and body mass index, from the Framingham Offspring Study. Thirty HIV-infected patients without ... Full text Link to item Cite

Hyperandrogenemia in human immunodeficiency virus-infected women with the lipodystrophy syndrome.

Journal Article J Clin Endocrinol Metab · October 2000 A novel lipodystrophy syndrome characterized by insulin resistance, hypertriglyceridemia, and fat redistribution has recently been described in human immunodeficiency virus (HIV)-infected men and women. Women with the HIV lipodystrophy syndrome exhibit a m ... Full text Link to item Cite

Fasting hyperinsulinemia in human immunodeficiency virus-infected men: relationship to body composition, gonadal function, and protease inhibitor use.

Journal Article J Clin Endocrinol Metab · January 2000 Fat redistribution in the setting of protease inhibitor use is increasingly common and is associated with insulin resistance in human immunodeficiency virus (HIV)-infected patients. However, little is known regarding the factors that may contribute to abno ... Full text Link to item Cite

Changes in atrioventricular conduction properties with refractory-period modulation.

Journal Article J Cardiovasc Pharmacol · December 1996 Dofetilide, clofilium, and risotilide, three drugs known to prolong cardiac action potentials and refractory periods, were studied by using a perfused isolated rabbit heart preparation with intermittent premature pacing and bipolar surface electrograms. Th ... Full text Link to item Cite