The Amundsen Sea sector of the West Antarctic ice sheet has been losing mass in recent decades; however, long records of snow accumulation are needed to place the recent changes in context. Here we present 300 year records of snow accumulation from two ice cores drilled in Ellsworth Land, West Antarctica. The records show a dramatic increase in snow accumulation during the twentieth century, linked to a deepening of the Amundsen Sea Low (ASL), tropical sea surface temperatures, and large‐scale atmospheric circulation. The observed increase in snow accumulation and interannual variability during the late twentieth century is unprecedented in the context of the past 300 years and evidence that the recent deepening of the ASL is part of a longer trend.

We examined the modulatory effects of iontophoretically administered norepinephrine (NE) on the excitability of 117 neurons in cat somatosensory cortex. NE was released in the vicinity of neurons with receptive fields (31/117) while they were excited by somatic stimuli and near neurons without receptive fields (86/117) while they were excited by glutamate. In 54% of the neurons (n = 63) the effects were inhibitory, decreasing both the spontaneous and the driven activity. Most of these cells were found in the middle layers of cortex. In 36% of the neurons (n = 42), mostly located in either the upper or lower layers, the effects were excitatory, enhancing either or both driven and spontaneous activity, but 52% (n = 22) of this group displayed a transient phase of inhibition. NE usually had a proportionately greater effect on the spontaneous activity than on the evoked activity. Effects of specific NE agonists and antagonists indicated that alpha 2- and beta-receptors mediated the inhibition, but that alpha 1-receptors mediated the excitation. We hypothesize that when NE is released in cat somatosensory cortex, it modulates neuronal responses to afferent activity by generally reducing the excitability of cells in the middle layers and by increasing their signal-to-noise ratios. However, in the upper and lower layers NE will enhance neuronal activity, encouraging exchanges with other cortical areas. In addition, we tested and confirmed the hypothesis that short treatments with NE can modify the excitability of neurons in adult cat somatosensory cortex for long periods of time. Of 69 cells, 59% showed effects of NE lasting for more than 5 min. Response enhancement lasting for the duration of the recording session (5 to 36 min) occurred in 82% (18/22) of silent cells without a receptive field and in 63% (17/27) of spontaneously active cells without a receptive field, but only in 14% (2/14) of cells with a receptive field, suggesting an inverse relationship between cell excitability and this effect of NE. The magnitude of the enhancement followed the same relationship, being greatest for silent cells and least for cells with receptive fields (125, 58, and 49%, respectively). The long-lasting enhancement was blocked by an alpha 1-receptor antagonist in 6 of 9 neurons tested, while the administration of alpha 2- and beta-receptor agonists never produced a long-lasting effect, suggesting that the effect is mediated by alpha 1-adrenoceptors.

Winds in the Southern Ocean drive exchanges of heat and carbon dioxide between the ocean and atmosphere. Wind dynamics also explain the dominant patterns of both basal and surface melting of glaciers and ice shelves in the Amundsen and Bellingshausen Seas. Long records of past wind strength and atmospheric circulation are needed to assess the significance of these recent changes. Here we present evidence for a novel proxy of past south westerly wind (SWW) strength over the Amundsen and Bellingshausen Seas, based on diatoms preserved in an Antarctic Peninsula ice core. Ecological affinities of the identified diatom taxa indicate an almost exclusively marine assemblage, dominated by open ocean taxa from the Northern Antarctic Zone (NAZ). Back-trajectory analysis shows the routes of air masses reaching the ice core site and reveals that many trajectories involve contact with surface waters in the NAZ of the Amundsen and Bellingshausen Seas. Correlation analyses between ice core diatom abundance and various wind vectors yield positive and robust coefficients for the 1980–2010 period, with average annual SWW speeds exhibiting the strongest match. Collectively, the data presented here provide new evidence that diatoms preserved in an Antarctic Peninsula ice core offer genuine potential as a new proxy for SWW strength.

Adoption of electronic health records (EHR) systems in nonfederal acute care hospitals has increased, with adoption rates across the United States reaching as high as 94%. Of the 330 plus acute care hospital EHR implementations in Texas, only 31% have completed attestation to Stage 2 of the meaningful use (MU) criteria. The purpose of this multiple case study was to explore strategies that hospital chief information officers (CIOs) used for the successful implementation of EHR. The target population consists of 3 hospitals CIOs from a multi-county region in North Central Texas who successfully implemented EHRs meeting Stage 2 MU criteria. The conceptual framework, for this research, was the technology acceptance model theory. The data were collected through semistructured interviews, member checking, review of the literature on the topic, and publicly available documents on the respective hospital websites. Using methodological triangulation of the data, 4 themes emerged from data analysis: EHR implementation strategies, overcoming resistance to technology acceptance, strategic alignment, and patient wellbeing. Participants identified implementation teams and informatics teams as a primary strategy for obtaining user engagement, ownership, and establishing a culture of acceptance to the technological changes. The application of the findings may contribute to social change by identifying the strategies hospital CIOs used for successful implementation of EHRs. Successful EHR implementation might provide positive social change by improving the quality of patient care, patient safety, security of personal health information, lowering health care cost, and improvements in the overall health of the general population.