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Roux-en-Y gastric bypass (RYGB) is a treatment for severe obesity. However, many patients have insufficient total weight loss (TWL) after RYGB. Although multiple factors have been involved, their influence is incompletely known. The aim of this exploratory study was to evaluate the feasibility and reliability of the use of machine learning (ML) techniques to estimate the success in weight loss after RYGP, based on clinical, anthropometric and biochemical data, in order to identify morbidly obese patients with poor weight responses. We retrospectively analyzed 118 patients, who underwent RYGB at the Hospital Clínico Universitario of Valencia (Spain) between 2013 and 2017. We applied a ML approach using local linear embedding (LLE) as a tool for the evaluation and classification of the main parameters in conjunction with evolutionary algorithms for the optimization and adjustment of the parameter model. The variables associated with one-year postoperative %TWL were obstructive sleep apnea, osteoarthritis, insulin treatment, preoperative weight, insulin resistance index, apolipoprotein A, uric acid, complement component 3, and vitamin B12. The model correctly classified 71.4% of subjects with TWL < 30% although 36.4% with TWL ≥ 30% were incorrectly classified as "unsuccessful procedures". The ML-model processed moderate discriminatory precision in the validation set. Thus, in severe obesity, ML-models can be useful to assist in the selection of patients before bariatric surgery. [ABSTRACT FROM AUTHOR]

In early 2020, the COVID-19 pandemic spread globally, and severe measures to control it were implemented. This study investigates the impact of the lockdown on the air quality of three provinces in the Valencia region, eastern Spain, in the years 2015–2020, focusing on particulate matter (PM). A thorough statistical analysis using different approaches is conducted. Hourly patterns are also assessed. In addition, the role of meteorological parameters on PM is explored. The results indicate an overall PM10 reduction of 16.5% when comparing the lockdown in 2020 and the 2015–2019 period, while PM2.5 increased by 3.1%. As expected, urban zones experienced higher reductions than suburban zones, which experienced a PM concentration increase. The impact of the drastic drops of benzene, toluene and xylene (77.4%, 58.0% and 61.8%, respectively) on the PM values observed in urban sites is discussed. Our study provides insights on the effect of activity changes over a wide region covering a variety of air quality stations, urban, suburban and rural, and different emission types. The results of this work are a valuable reference and suggest the need for considering different factors when establishing scientific air pollution control strategies. [ABSTRACT FROM AUTHOR]

Abstract: The indoor radon risk in Valencia (Spain) was studied more than twenty years ago in two surveys using different methodologies and leading to contradictory results. We report here on new indoor radon measurements with the charcoal canister technique, which confirm the low average level of indoor radon in the city, with a geometrical mean of 24Bq/m3 and an arithmetic mean of 27Bq/m3. [Copyright &y& Elsevier]