(a) UGIH complicates LRYGB in a small but significant number of patients. (b) Bleeding usually occurs at the GJ site. (c) EGD is safe and effective in controlling hemorrhage with standard endoscopic techniques. (d) UGIH occurs most commonly in the immediate postoperative period and may be best managed in the operating room with the patient intubated to prevent aspiration.

Air pollution is highly variable, such that source contributions to air pollution can vary even within a single city. However, few tools exist to support city-scale air quality analyses, including impacts of energy system changes. We present a methodology that utilizes regional ground-based monitor measurements to scale speciation data from the Intervention Model for Air Pollution (InMAP), a national-scale reduced-complexity model. InMAP, like all air quality models, has biases in its concentration estimates; these biases may be pronounced when examining a single city. We apply the bias correction methodology to Madison, Wisconsin, and estimate the relative contributions of sources to annual-average fine particulate matter (PM2.5), as well as the impacts of coal power plant retirements and electric vehicle (EV) adoption. We find that the largest contributors to ambient PM2.5 concentrations in Madison are on-road transportation, contributing 21% of total PM2.5; non-point sources, 16%; and electricity generating units, 14%. State-wide coal power plant closures from 2014 to 2020 and planned closures through 2025 were modeled to assess air quality benefits. The largest relative reductions are seen in areas north of Milwaukee (up to 7%), though population-weighted PM2.5 was reduced by only 3.8% across the state. EV adoption scenarios lead to a relative reduction in PM2.5 over Madison of 0.5% to 13.7% or a 9.3% reduction in total PM2.5 from a total replacement of light-duty vehicles with EVs. Similar percent reductions are calculated for population-weighted concentrations over Madison. Replacing 100% of light-duty vehicles with EVs reduced CO2 emissions by over 50%, highlighting the potential benefits of EVs to both climate and air quality. This work illustrates the potential of combining data from models and monitors to inform city-scale air quality analyses, supporting local decision-makers working to reduce air pollution and improve public health.

Air quality models can support pollution mitigation design by simulating policy scenarios and conducting source contribution analyses. The Intervention Model for Air Pollution (InMAP) is a powerful tool for equitable policy design as its variable resolution grid enables intra‐urban analysis, the scale of which most environmental justice inquiries are levied. However, InMAP underestimates particulate sulfate and overestimates particulate ammonium formation, errors that limit the model's relevance to city‐scale decision‐making. To reduce InMAP's biases and increase its relevancy for urban‐scale analysis, we calculate and apply scaling factors (SFs) based on observational data and advanced models. We consider both satellite‐derived speciated PM 2.5 from Washington University and ground‐level monitor measurements from the U.S. Environmental Protection Agency, applied with different scaling methodologies. Relative to ground‐monitor data, the unscaled InMAP model fails to meet a normalized mean bias performance goal of <±10% for most of the PM 2.5 components it simulates ( p SO 4 : −48%, p NO 3 : 8%, p NH 4 : 69%), but with city‐specific SFs it achieves the goal benchmarks for every particulate species. Similarly, the normalized mean error performance goal of <35% is not met with the unscaled InMAP model ( p SO 4 : 53%, p NO 3 : 52%, p NH 4 : 80%) but is met with the city‐scaling approach (15%–27%). The city‐specific scaling method also improves the R 2 value from 0.11 to 0.59 (ranging across particulate species) to the range of 0.36–0.76. Scaling increases the percent pollution contribution of electric generating units (EGUs) (nationwide 4%) and non‐EGU point sources (nationwide 6%) and decreases the agriculture sector's contribution (nationwide −6%).