Background: Subarachnoid hemorrhage (SAH) is a rare complication of systemic lupus erythematosus (SLE). Methods: We made a retrospective search for patients with SLE and nontraumatic SAH from 1990 to 2006. Results: We found 10 patients with SLE and primary SAH of a total of 1,077 patients with SLE (0.93%); mean age of onset was 37.4 ± 15.25 years and the mean duration of SLE at the onset of SAH was 98.3 ± 50.32 months. SLEDAI and chronic damage scores were 3.67 ± 5.20 (n = 9) and 2.90 ± 1.45 (n = 10), respectively; 60% of patients had high Hunt-Hess scores and in only 50% of cases a saccular aneurysm was identified. Conclusions: SAH presents in about 1% of SLE patients. Long duration of SLE and chronic damage scores might be associated risk factors.

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Threats to adolescent and young adult health and well-being come primarily from behavior and life choices. The purpose of this study was to understand the role that peer and parent relationships have on reckless and deviant behaviors during the transition from adolescence to emerging adulthood. Select Wave I and Wave III variables from the Add Health database were studied. Adolescent reckless behavior was significantly associated with emerging adult deviant behavior, Wald χ2(1, N = 4,615) = 105, p < .001, β = 0.152, SE(β) = 0.015 Adolescent reckless behavior increases the probability of emerging adult deviant behavior among adolescents having lower scores on the quality of peer relationships, Wald χ2(1, N = 4,615) = 56, p < .001, β = 0.062, SE(β) = 0.008, and the quality of parent relationships, Wald χ2(1, N = 4,545) = 36, p < .001 β = 0.052, SE(β) = 0.009.

With emphasis on value-based health care, empiric models are used to estimate expected read-mission rates for individual institutions. The aim of this study was to determine the relationship between distance traveled to seek surgical care and likelihood of readmission in adult patients undergoing cardiac operations at a single medical center. All adults undergoing major cardiac surgeries from 2008 to 2015 were included. Patients were stratified by travel distance into regional and distant travel groups. Multivariable logistic regression models were developed to assess the impact of distance traveled on odds of readmission. Of the 4232 patients analyzed, 29 per cent were in the regional group and 71 per cent in the distant. Baseline characteristics between the two groups were comparable except mean age (62 vs 61 years, P < 0.01) and Caucasian race (59 vs 73%, P < 0.01). Distant travel was associated with a significantly longer hospital length of stay (11.8 vs 10.5 days, P < 0.01) and lower risk of readmission (9.5 vs 13.4%, P < 0.01). Odds of readmission was inversely associated with logarithm of distance traveled (odds ratio 0.75). Travel distance in patients undergoing major cardiac surgeries was inversely associated with odds of readmission.