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Today's Arctic is characterized by a lengthening of the sea ice melt season, but also by fast and at times unseasonal melt events. Such anomalous melt cases have been identified in Pacific and Atlantic Arctic sector sea ice studies. Through observational analyses, we document an unprecedented, simultaneous marginal ice zone melt event in the Bering Sea and Labrador Sea in March of 2023. Taken independently, variability in the cold season ice edge at synoptic time scales is common. However, such anomalous, short-term ice loss over either region during the climatological sea ice maxima is uncommon, and the tandem ice loss that occurred qualifies this as a rare event. The atmospheric setting that supported the unseasonal melt events was preceded by a sudden stratospheric warming event that, along with ongoing La Niña teleconnections, led to positive tropospheric height anomalies across much of the Arctic and the development of anomalous mid-troposphere ridges over the ice loss regions. These large-scale anticyclonic centers funneled extremely warm and moist airstreams onto the ice causing melt. Further analysis identified the presence of atmospheric rivers within these warm airstreams whose characteristics likely contributed to this bi-regional ice melt event. Whether such a confluence of anomalous wintertime events associated with troposphere-stratosphere coupling may occur more often in a warming Arctic remains a research area ripe for further exploration. [ABSTRACT FROM AUTHOR]

Every year family physicians and their staffs are given the challenge of managing changes in coding and Medicare payment policy. While some years it may be easy to tell whether the changes as a whole benefit your practice financially, this year it's complicated. Some policies will cut payments and others should boost revenue for family physicians. Despite annual threats to Medicare's physician payment rate, primary care physicians will benefit from the implementation of a new code for visit complexity, among other key changes. [ABSTRACT FROM AUTHOR]