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To better characterize occurrence and extent of anticoagulant-associated pseudothrombocytopenia (PTCP) in the daily routine of a high-throughput clinical laboratory in order to draw conclusions on a more precise definition of this phenomenon.

Novel observations of aerosol and clouds by means of ground-based remote sensing have been performed in Antarctica over the Ekstrom Ice Shelf on the coast of Dronning Maud Land at Neumayer Station III (70.67[degrees]S, 8.27[degrees]W) from January to December 2023. The deployment of the OCEANET-Atmosphere remote sensing observatory in the framework of the Continuous Observations of Aerosol-Cloud Interaction (COALA) campaign has brought Aerosol, Clouds and Trace Gases Research Infrastructure (ACTRIS) aerosol and cloud profiling capabilities next to meteorological and air chemistry in situ observations at the Antarctic station. We present an overview of the site, the instrumental setup, and data analysis strategy and introduce 3 scientific highlights from austral fall and winter, namely, 1) observations of a persistent mixed-phase cloud embedded in a plume of marine aerosol. Remote sensing-based retrievals of cloud-relevant aerosol properties and cloud microphysical parameters confirm that the free-tropospheric mixed-phase cloud layer formed in an aerosol-limited environment. 2) Two extraordinary warm air intrusions: one with intense snowfall produced the equivalent of 10% of the yearly snow accumulation and a second one with record-breaking maximum temperatures and heavy icing due to supercooled drizzle. 3) Omnipresent aerosol layers in the stratosphere. Our profiling capabilities could show that 50% of the 500-nm aerosol optical depth of 0.06 was caused by stratospheric aerosol, while the troposphere was usually pristine. As demonstrated by these highlights, the 1-yr COALA observations will serve as a reference dataset for the vertical structure of aerosol and clouds above the region, enabling future observational and modeling studies to advance understanding of atmospheric processes in Antarctica. KEYWORDS: Antarctica; Ice shelves; Aerosols; Clouds; Remote sensing; Aerosol-cloud interaction, 1. Introduction The Antarctic continent and its surrounding Southern Ocean are key components of the global climate system. Having been considered rather stable over the last century, the climate of [...]

The Aerosol, Clouds and Trace Gases Research Infrastructure ACTRIS is currently being developed with support from more than 20 countries and more than 100 research-performing organizations in Europe. The pan-European distributed research infrastructure shall provide data and services related to short-lived atmospheric constituents to facilitate high-quality Earth system research in the long term (over at least 20 years). While some of the activities are already in place, ACTRIS functionality will be further ramped up until full operation in 2025. The observation of aerosol, clouds and reactive trace gases with in-situ and remote-sensing techniques in ACTRIS is supported by six Topical Centres, which are responsible for common standards and quality assurance. Free and open virtual access to ACTRIS data is provided by the Data Centre. International users will also have physical access to ACTRIS observatories, atmospheric simulation chambers and mobile platforms as well as remote or physical access to calibration services, digital services and training. Access provision is organized through a single-entry point by the Head Office. In this contribution, the general principles and structure of ACTRIS are introduced, and the observational component related to aerosol remote sensing, which builds on the heritage of the European Aerosol Research Lidar Network (EARLINET) and the European part of the Aerosol Robotic Network (AERONET-Europe), is explained in more detail.

On 22nd August 2018, the European Space Agency (ESA) launched the first direct detection Doppler wind lidar into space. Operating at 355 nm and acquiring signals with a dual channel receiver, it allows wind observations in clear air and particle-laden regions of the atmosphere. Furthermore, particle optical properties can be obtained using the High Spectral Resolution Technique Lidar (HSRL) technique. Measuring with 87 km horizontal and 0.25-2 km vertical resolution between ground and up to 30 km in the stratosphere, the global coverage of Aeolus observations shall fill gaps in the global observing system and thus help improving numerical weather prediction. Within this contribution, first results from the German initiative for experimental Aeolus validation are presented and discussed. Ground-based wind and aerosol measurements from tropospheric radar wind profilers, Doppler wind lidars, radiosondes, aerosol lidars and cloud radars are utilized for that purpose.

Vertically resolved multiwavelength aerosol Raman lidar observations were conducted in the pristine environment of the Southern-hemisphere midlatitudes at Punta Arenas, Chile (53.1346°S, 70.8834°W). In contrast to the usually prevailing clean and pristine conditions at this site, two pronounced lofted aerosol layers were observed up to 4.2 and 4.4 km height on 4 and 5 February 2019, respectively. The layers mainly consisted of biomass burning aerosols originating from the region of Central Chile, where wildfires were also observed. Based on spectrally resolved backscatter and extinction coefficients, lidar ratios and depolarization ratio a detailed characterization of the aerosol optical properties is presented.

ATLID (“ATmospheric LIDar”) is the lidar to be flown on the multi-instrument Earth Clouds and Radiation Explorer (EarthCARE or ECARE) joint ESA/JAXA mission now scheduled for launch in 2022. ATID is a 3 channel linearly polarized High-Spectral Resolution (HSRL) system operating at 355nm. Cloud and aerosol optical properties are key ECARE products. This paper will provide an overview of the ATLID L2a (i.e. single instrument) retrieval algorithms being developed and implemented in order to derive cloud and aerosol optical properties.

The biomass burning events are analyzed using the EARLINET-ACTRIS atmospheric profiling of aerosols using lidars. The period of 2008-2017 was chosen to analyze all the events assigned in the EARLINET database under Forest Fire category. A number of fourteen stations were considered. The data provided, ranged from complete data sets (backscatter, extinction and particle linear depolarization ratio) to single profiles (backscatter coefficient). A thorough quality control was performed. Smoke layers geometry was evaluated and the mean properties within each layer were computed. The Hysplit backward-trajectory technique and the FIRMS fire database were used to double check the source of each layer. Discussions were made under the following scenarios: fire events seen by two stations, long range transport from North America, and geographical clusters.

In this work we evaluate the possibilities to assess aerosol-cloud interactions in short time scales (2 min.) on an observational base. Retrievals of the cloud effective radius and number concentration in a liquid-water cloud by using the multiple scattering technique Dual-FOV Polarization lidar, together with the aerosol extinction coefficient in the boundary layer has shown a correspondence between the aerosol and cloud properties in the 6 hours case presented, obtaining a value of ACIN = 0.76 ± 0.29, which corroborates the potential of lidar observations to study the relation between aerosols and clouds on small scales.

We present a new method to determine the hygroscopic growth of atmospheric particles. This method combines lidar measurements with high temporal resolution of the particle backscatter coefficient and water vapor mixing ratio with temperature measurements from radiosondes and a microwave radiometer. The hygroscopic growth is described by an equation that represents the two observed branches of the growth curve with different dependencies on the relative humidity. An example is presented to illustrate a first result from a continental air mass case.

IntroductionVery rarely, adult NMDAR antibody-associated encephalitis (NMDAR-E) leads to persistent cerebellar atrophy and ataxia. Transient cerebellar ataxia is common in pediatric NMDAR-E. Immune-mediated cerebellar ataxia may be associated with myelin oligodendrocyte glycoprotein (MOG), aquaporin-4 (AQP-4), kelch-like family member 11 (KLHL11), and glutamate kainate receptor subunit 2 (GluK2) antibodies, all of which may co-occur in NMDAR-E. Here, we aimed to investigate the frequency, long-term outcome, and immunological concomitants of ataxia in NMDAR-E.MethodsIn this observational study, patients with definite NMDAR-E with a follow-up of >12 months were recruited from the GENERATE registry. Cases with documented ataxia were analyzed in detail.ResultsIn 12 of 62 patients (19%), ataxia was documented. Bilateral cerebellar ataxia without additional focal CNS findings was found in four (one child and three adults); one of these was previously reported as a case with persistent cerebellar atrophy and ataxia. Two patients with bilateral cerebellar ataxia had additional focal neurological symptoms, optic neuritis and facial palsy. Two patients developed hemiataxia: one with diplopia suggesting brainstem dysfunction and the other probably resulting from cerebellar diaschisis due to contralateral status epilepticus. In all but the one developing cerebellar atrophy, cerebellar ataxia was transient and not associated with a worse long-term outcome. In all five patients with cerebellar ataxia tested, MOG, AQP-4, GluK2, and KLHL11 antibodies were negative. In two additional patients negative for both MOG and AQP-4 antibodies, ataxia was sensory and explained by cervical myelitis as part of multiple sclerosis (MS) manifesting temporal relation to NMDAR-E. One of the patients with bilateral ataxia with focal neurological deficits was also diagnosed with MS upon follow-up. Finally, in two patients, ataxia was explained by cerebral hypoxic damage following circulatory failure during an ICU stay with severe NMDAR-E.DiscussionAtaxia of different types is quite common in NMDAR-E. Cerebellar ataxia in NMDAR-E is mostly transient. NMDAR-E followed by persistent ataxia and cerebellar atrophy is very rare. Cerebellar ataxia in NMDAR-E may not be explained by concomitant KLHL11, MOG, AQP-4, or GluK2 autoimmunity. Of note, ataxia in NMDAR-E may result from treatment complications and, most interestingly, from MS manifesting in temporal association with NMDAR-E.

Aerosol typing is essential for understanding the impact of the different aerosol sources on climate, weather system and air quality. An aerosol classification method for EARLINET (European Aerosol Research Lidar Network) measurements is introduced which makes use the Mahalanobis distance classifier. The performance of the automatic classification is tested against manually classified EARLINET data. Results of the application of the method to an extensive aerosol dataset will be presented.

ATLID stands for “ATmospheric LIDar” and is the lidar to be flown on the Earth Clouds and Radiation Explorer (EarthCARE) platform in early 2019. ATLID is a High-Spectral Resolution (HSRL) system operating at 355nm. This presentation will introduce the ATLID level-2 retrieval algorithms being implemented in order to derive cloud and aerosol optical properties

PollyNET is a network of portable, automated, and continuously measuring Ramanpolarization lidars of type Polly operated by several institutes worldwide. The data from permanent and temporary measurements sites are automatically processed in terms of optical aerosol profiles and displayed in near-real time at polly.tropos.de. According to current schedules, the network will grow by 3-4 systems during the upcoming 2-3 years and will then comprise 11 permanent stations and 2 mobile platforms.

The Cloud-Aerosol Transport System (CATS) onboard the International Space Station (ISS), is a lidar system providing vertically resolved aerosol and cloud profiles since February 2015. In this study, the CATS aerosol product is validated against the aerosol profiles provided by the European Aerosol Research Lidar Network (EARLINET). This validation activity is based on collocated CATS-EARLINET measurements and the comparison of the particle backscatter coefficient at 1064nm.

Lidar measurements of cirrus clouds are highly influenced by multiple scattering (MS). We therefore developed an iterative approach to correct elastic backscatter lidar signals for multiple scattering to obtain best estimates of single-scattering cloud optical depth and lidar ratio as well as of the ice crystal effective radius. The approach is based on the exploration of the effect of MS on the molecular backscatter signal returned from above cloud top.

The EARLINET database is facing a complete reshaping to meet the wide request for more intuitive products and to face the even wider request related to the new initiatives such as Copernicus, the European Earth observation programme. The new design has been carried out in continuity with the past, to take advantage from long-term database. In particular, the new structure will provide information suitable for synergy with other instruments, near real time (NRT) applications, validation and process studies and climate applications.

Aerosol absorption profiling is crucial for radiative transfer calculations and climate modelling. Here, we utilize the synergy of lidar with sun-photometer measurements to derive the absorption coefficient and single scattering albedo profiles during the ACTRIS-2 campaigns held in Germany, Greece and Cyprus. The remote sensing techniques are compared with in situ measurements in order to harmonize and validate the different methodologies and reduce the absorption profiling uncertainties.

We introduce the development of EarthCARE Level 2 layer products derived from profile measurements of the high-spectral-resolution lidar ATLID and column products obtained from combined information of ATLID and the Multi-Spectral Imager (MSI). Layer products include cloud top height as well as aerosol layer boundaries and mean optical properties along the satellite nadir track. Synergistic column products comprise cloud top height, Ångström exponent, and aerosol type both along-track and across the MSI swath.

Since 2010, the Raman dual-FOV lidar system permits the retrieval of microphysical properties of liquid-water clouds during nighttime. A new robust lidar depolarization approach was recently introduced, which permits the retrieval of these properties as well, with high temporal resolution and during daytime. To implement this approach, the lidar system was upgraded, by adding a three channel depolarization receiver. The first preliminary retrieval results and a comparison between both methods is presented.

L’Aquila (Italy) lidar station is part of the EARLINET (European Aerosol Research Lidar Network) since its beginning in the 2000. In the EARLINET community great efforts are devoted to the quality-assurance of the aerosol optical properties inserted in the database. To this end, each lidar station performed intercomparisons with reference instruments, a series of internal hardware checks in order to assess the quality of their instruments and exercises to test the algorithms used to retrieve the aerosol optical parameters. In this paper we give an overview of our experience within EARLINET qualityassurance (QA) program, which was adopted for the Raman lidar (RL) operated in the AUGER Observatory. This program could be systematically adopted for the lidar systems needed for the current and upcoming UHECR experiments, like CTA (Cherenkov Telescope Array).

We present a 3D multi-year monthly mean climatology of Saharan dust advection over Europe using an area-optimized pure dust CALIPSO product. The product has been developed by applying EARLINET-measured dust lidar ratios and depolarization-based dust discrimination methods and it is shown to have a very good agreement in terms of AOD when compared to AERONET over Europe/North Africa and MODIS over Mediterranean. The processing of such purely observational data reveals the certain seasonal patterns of dust transportation towards Europe and the Atlantic Ocean. The physical and optical properties of the dust layer are identified for several areas near the Saharan sources, over the Mediterranean and over continental Europe.

The importance of studying the vertical distribution of aerosol plumes is prominent in regional and climate studies. The new Generalized Aerosol Retrieval from Radiometer and Lidar Combined data algorithm (GARRLiC) provides this opportunity combining active and passive ground-based remote sensing from lidar and sunphotometer measurements. Here, we utilize GARRLiC capabilities for the characterization of Saharan dust and marine particles at the Eastern Mediterranean region during the Characterization of Aerosol mixtures of Dust And Marine origin Experiment (CHARADMExp). Two different case studies are presented, a dust-dominated case which we managed to characterize successfully in terms of the particle microphysical properties and their vertical distribution and a case of two separate layers of marine and dust particles for which the characterization proved to be more challenging.

In this paper an introduction to the planned L2 retrieval algorithms for the Earth Clouds and Radiation Explorer (EarthCARE) lidar ATLID is given. The ATLID instrument is a high spectral resolution lidar which will provide independent retrievals of extinction and backscatter profiles and will be launched in 2018. A short description of the intended operational ESA products is given together with the logic behind the choices made.

We introduce the Hybrid End-To-End Aerosol Classification (HETEAC) model for the upcoming EarthCARE mission. The model serves as the common baseline for development, evaluation, and implementation of EarthCARE algorithms. It shall ensure the consistency of different aerosol products from the multi-instrument platform as well as facilitate the conform specification of broad-band optical properties necessary for the EarthCARE radiative closure efforts. The hybrid approach ensures the theoretical description of aerosol microphysics consistent with the optical properties of various aerosol types known from observations. The end-to-end model permits the uniform representation of aerosol types in terms of microphysical, optical and radiative properties.

EARLINET has been collecting high quality aerosol optical profiles over Europe since 2000. The comparison with automatic collected dataset of aerosol optical depth (AOD) from AERONET and MODIS demonstrates the effectiveness of EARLINET regular measurement schedule for climatological studies. The analysis of optical properties in the local boundary layer indicates that the general decrease of AOD observed by different platforms over Europe in the last decade could be due to the modification of aerosol properties (towards less absorbing and larger particles) in the lower troposphere.

CALIPSO (Cloud-Aerosol Lidar and Pathfinder Satellite Observations) Level 3 (CL3) data were compared against EARLINET (European Aerosol Research Lidar Network) monthly averages obtained by profiles during satellite overpasses. Data from EARLINET stations of Évora, Granada, Leipzig, Naples and Potenza, equipped with advanced multi-wavelength Raman lidars were used for this study. Owing to spatial and temporal differences, we reproduced the CL3 filtering rubric onto the CALIPSO Level 2 data. The CALIPSO monthly mean profiles following this approach are called CALIPSO Level 3*, CL3*. This offers the possibility to achieve direct comparable datasets. In respect to CL3 data, the agreement typically improved, in particular above the areas directly affected by the anthropogenic activities within the planetary boundary layer. However in most of the cases a subtle CALIPSO underestimation was observed with an average bias of 0.03 km-1. We investigated the backscatter coefficient applying the same screening criteria, where the mean relative difference in respect to the extinction comparison improved from 15.2% to 11.4%. Lastly, the typing capabilities of CALIPSO were assessed outlining the importance of the correct aerosol type (and associated lidar ratio value) assessment to the CALIPSO aerosol properties retrieval.

Linear depolarization ratios in clean air ranges were measured with POLIS-6 at 355 and 532 nm. The mean deviation from the theoretical values, including the rotational Raman lines within the filter bandwidths, amounts to 0.0005 at 355 nm and to 0.0012 at 532 nm. The mean uncertainty of the measured linear depolarization ratio of clean air is about 0.0005 at 355 nm and about 0.0006 at 532 nm.

Abstract Recently, we discovered a novel serum and cerebrospinal fluid (CSF) autoantibody (anti-Ca) to Purkinje cells in a patient with autoimmune cerebellar ataxia (ACA) and identified the RhoGTPase-activating protein 26 (ARHGAP26; alternative designations include GTPase regulator associated with focal adhesion kinase pp125, GRAF, and oligophrenin-1-like protein, OPHN1L) as the target antigen. Here, we report on two new cases of ARHGAP26 autoantibody-positive ACA that were first diagnosed after publication of the index case study. While the index patient developed ACA following an episode of respiratory infection with still no evidence for malignancy 52 months after onset, neurological symptoms heralded ovarian cancer in one of the patients described here. Our finding of anti-Ca/anti-ARHGAP26 antibodies in two additional patients supports a role of autoimmunity against ARHGAP26 in the pathogenesis of ACA. Moreover, the finding of ovarian cancer in one of our patients suggests that anti-Ca/anti-ARHGAP26-positive ACA might be of paraneoplastic aetiology in some cases. In conclusion, testing for anti-Ca/anti-ARHGAP26 should be included in the diagnostic work-up of patients with ACA, and an underlying tumour should be considered in patients presenting with anti-Ca/ARHGAP26 antibody-positive ACA.

Abstract Background The diagnostic and pathophysiological relevance of antibodies to aquaporin-4 (AQP4-Ab) in patients with neuromyelitis optica spectrum disorders (NMOSD) has been intensively studied. However, little is known so far about the clinical impact of AQP4-Ab seropositivity. Objective To analyse systematically the clinical and paraclinical features associated with NMO spectrum disorders in Caucasians in a stratified fashion according to the patients' AQP4-Ab serostatus. Methods Retrospective study of 175 Caucasian patients (AQP4-Ab positive in 78.3%). Results Seropositive patients were found to be predominantly female (p < 0.0003), to more often have signs of co-existing autoimmunity (p < 0.00001), and to experience more severe clinical attacks. A visual acuity of ≤ 0.1 during acute optic neuritis (ON) attacks was more frequent among seropositives (p < 0.002). Similarly, motor symptoms were more common in seropositive patients, the median Medical Research Council scale (MRC) grade worse, and MRC grades ≤ 2 more frequent, in particular if patients met the 2006 revised criteria (p < 0.005, p < 0.006 and p < 0.01, respectively), the total spinal cord lesion load was higher (p < 0.006), and lesions ≥ 6 vertebral segments as well as entire spinal cord involvement more frequent (p < 0.003 and p < 0.043). By contrast, bilateral ON at onset was more common in seronegatives (p < 0.007), as was simultaneous ON and myelitis (p < 0.001); accordingly, the time to diagnosis of NMO was shorter in the seronegative group (p < 0.029). The course of disease was more often monophasic in seronegatives (p < 0.008). Seropositives and seronegatives did not differ significantly with regard to age at onset, time to relapse, annualized relapse rates, outcome from relapse (complete, partial, no recovery), annualized EDSS increase, mortality rate, supratentorial brain lesions, brainstem lesions, history of carcinoma, frequency of preceding infections, oligoclonal bands, or CSF pleocytosis. Both the time to relapse and the time to diagnosis was longer if the disease started with ON (p < 0.002 and p < 0.013). Motor symptoms or tetraparesis at first myelitis and > 1 myelitis attacks in the first year were identified as possible predictors of a worse outcome. Conclusion This study provides an overview of the clinical and paraclinical features of NMOSD in Caucasians and demonstrates a number of distinct disease characteristics in seropositive and seronegative patients.

Native Americans are the least represented population in science fields. In recent years, undergraduate and graduate level summer research programs that aimed to increase the number of Native Americans in science have made some progress. As new programs are designed, key characteristics that address science self-efficacy and science identity and provide supports for Native American students' commitment to a scientific career should be considered. In this study, we used sequential mixed methods to investigate the potential of culturally tailored internship programs on Native American persistence in science. We analyzed surveys (n = 47) and interviews (n = 4) with Native American students to understand their perceptions of themselves in relation to science research and how summer research experiences might develop science identities. Based on regression modeling, science identity, but not science self-efficacy, predicted intent to persist in science. In turn, science self-efficacy and Native American identity predicted science identity, and this suggests cultural identity is central to Native American persistence in science. In interviews, students' comments reinforced these findings and shed light on students' reasoning about the kinds of science experiences they sought; specifically, they chose to participate in culturally tailored internships because these programs provided a sense of belonging to the scientific community that did not conflict with their cultural identities. Based on our analysis, we propose an Indigenous science internship model and recommend that agencies target funding for culturally tailored programs from high school through early-investigator levels as well as provide inclusive programmatic and mentoring guidelines.

Abstract Background In 70-80% of cases, neuromyelitis optica (NMO) is associated with highly specific serum auto-antibodies to aquaporin-4 (termed AQP4-Ab or NMO-IgG). Recent evidence strongly suggests that AQP4-Ab are directly involved in the immunopathogenesis of NMO. Objective To assess the frequency, syndrome specificity, diagnostic relevance, and origin of cerebrospinal fluid (CSF) AQP4-Ab in patients with NMO spectrum disorders (NMOSD). Methods 87 CSF samples from 37 patients with NMOSD and 42 controls with other neurological diseases were tested for AQP4-Ab in a cell based assay using recombinant human AQP4. Twenty-three paired CSF and serum samples from AQP4-Ab seropositive NMOSD patients were further analysed for intrathecal IgG synthesis to AQP4. Results AQP4-Ab were detectable in 68% of CSF samples from AQP4-Ab seropositive patients with NMOSD, but in none of the CSF samples from AQP4-Ab seronegative patients with NMOSD and in none of the control samples. Acute disease relapse within 30 days prior to lumbar puncture, AQP4-Ab serum titres >1:250, and blood-CSF barrier dysfunction, but not treatment status, predicted CSF AQP4-Ab positivity. A positive AQP4-specific antibody index was present in 1/23 samples analysed. Conclusions AQP4-Ab are detectable in the CSF of most patients with NMOSD, mainly during relapse, and are highly specific for this condition. In the cohort analysed in this study, testing for CSF AQP4-Ab did not improve the sensitivity and specificity of the current diagnostic criteria for NMO. The substantial lack of intrathecal AQP4-Ab synthesis in patients with NMOSD may reflect the unique localisation of the target antigen at the blood brain barrier, and is important for our understanding of the immunopathogenesis of the disease.

Abstract We report on a newly discovered serum and cerebrospinal fluid (CSF) reactivity to Purkinje cells (PCs) associated with subacute inflammatory cerebellar ataxia. The patient, a previously healthy 33-year-old lady, presented with severe limb and gait ataxia, dysarthria, and diplopia two weeks after she had recovered from a common cold. Immunohistochemical studies on mouse, rat, and monkey brain sections revealed binding of a high-titer (up to 1:10,000) IgG antibody to the cerebellar molecular layer, Purkinje cell (PC) layer, and white matter. The antibody is highly specific for PCs and binds to the cytoplasm as well as to the inner side of the membrane of PC somata, dendrites and axons. It is produced by B cell clones within the CNS, belongs to the IgG1 subclass, and activates complement in vitro. Western blotting of primate cerebellum extract revealed binding of CSF and serum IgG to an 80-97 kDa protein. Extensive control studies were performed to rule out a broad panel of previously described paraneoplastic and non-paraneoplastic antibodies known to be associated with cerebellar ataxia. Screening of >9000 human full length proteins by means of a protein array and additional confirmatory experiments revealed Rho GTPase activating protein 26 (ARHGAP26, GRAF, oligophrenin-1-like protein) as the target antigen. Preadsorption of the patient's serum with human ARHGAP26 but not preadsorption with other proteins resulted in complete loss of PC staining. Our findings suggest a role of autoimmunity against ARHGAP26 in the pathogenesis of subacute inflammatory cerebellar ataxia, and extend the panel of diagnostic markers for this devastating disease.

A record-breaking stratospheric ozone loss was observed over the Arctic and Antarctica in 2020. Strong ozone depletion occurred over Antarctica in 2021 as well. The ozone holes developed in smoke-polluted air. In this article, the impact of Siberian and Australian wildfire smoke (dominated by organic aerosol) on the extraordinarily strong ozone reduction is discussed. The study is based on aerosol lidar observations in the North Pole region (October 2019–May 2020) and over Punta Arenas in southern Chile at 53.2∘ S (January 2020–November 2021) as well as on respective NDACC (Network for the Detection of Atmospheric Composition Change) ozone profile observations in the Arctic (Ny-Ålesund) and Antarctica (Neumayer and South Pole stations) in 2020 and 2021. We present a conceptual approach on how the smoke may have influenced the formation of polar stratospheric clouds (PSCs), which are of key importance in the ozone-depleting processes. The main results are as follows: (a) the direct impact of wildfire smoke below the PSC height range (at 10–12 km) on ozone reduction seems to be similar to well-known volcanic sulfate aerosol effects. At heights of 10–12 km, smoke particle surface area (SA) concentrations of 5–7 µm2 cm−3 (Antarctica, spring 2021) and 6–10 µm2 cm−3 (Arctic, spring 2020) were correlated with an ozone reduction in terms of ozone partial pressure of 0.4–1.2 mPa (about 30 % further ozone reduction over Antarctica) and of 2–3.5 mPa (Arctic, 20 %–30 % reduction with respect to the long-term springtime mean). (b) Within the PSC height range, we found indications that smoke was able to slightly increase the PSC particle number and surface area concentration. In particular, a smoke-related additional ozone loss of 1–2 mPa (10 %–20 % contribution to the total ozone loss over Antarctica) was observed in the 14–23 km PSC height range in September–October 2020 and 2021. Smoke particle number concentrations ranged from 10 to 100 cm−3 and were about a factor of 10 (in 2020) and 5 (in 2021) above the stratospheric aerosol background level. Satellite observations indicated an additional mean column ozone loss (deviation from the long-term mean) of 26–30 Dobson units (9 %–10 %, September 2020, 2021) and 52–57 Dobson units (17 %–20 %, October 2020, 2021) in the smoke-polluted latitudinal Antarctic belt from 70–80∘ S.

• Patients from a tertiary epilepsy center in routine clinical practice were studied. • NfL was measured in serum with a highly sensitive single molecule array (Simoa). • The vast majority (94 %) of patients with epilepsy did not have increased sNfL values. • The finding of higher sNfL in males with seizure activity should be interpreted with utmost caution. To detect possible neuronal damage due to recurrent isolated seizures in patients with epilepsy in a clinical routine setting. We measured the serum concentrations of neurofilament light chain (sNfL) in 46 outpatients with an at least monthly occurrence (self-reported) of generalized tonic-clonic seizures in the six months prior to the study and in 49 patients who had been seizure free (self-reported) for at least one year. We assigned the patients with seizure activity into groups with moderate and high seizure frequency. We measured sNfL with a highly sensitive single molecule array (Simoa). The majority (94 %) of all patients with epilepsy had sNfL values within the age adjusted reference ranges of our laboratory. Three patients with and three patients without seizure activity (each 3 %) showed elevated sNfL concentrations. Age adjusted sNfL concentrations did not differ significantly between patients with and without seizure activity in the total sample or in the female subgroup. In contrast, NfL concentrations were significantly higher in male patients with seizure activity and highest in the subgroup of those with high seizure activity, but were only above the reference range in two patients. sNfL concentrations did not differ between focal and generalized epilepsies and between genetic and structural etiologies. The sNfL concentrations in patients with epilepsy and healthy patients did not differ significantly. The finding of higher sNfL concentrations in males with self-reported seizure activity should be viewed with utmost caution because the difference was small and only two male patients showed sNfL concentrations above the reference range. [ABSTRACT FROM AUTHOR]