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Aerosol–cloud interactions play a crucial role in shaping Earth’s climate and hydrological cycle. Observing these interactions with high precision and accuracy is of the utmost importance for improving climate models and predicting Earth’s climate. Over the past few decades, lidar techniques have emerged as powerful tools for investigating aerosol–cloud interactions due to their ability to provide detailed vertical profiles of aerosol particles and clouds with high spatial and temporal resolutions. This review paper provides an overview of recent advancements in the study of ACI using lidar techniques. The paper begins with a description of the different cloud microphysical processes that are affected by the presence of aerosol, and with an outline of lidar remote sensing application in characterizing aerosol particles and clouds. The subsequent sections delve into the key findings and insights gained from lidar-based studies of aerosol–cloud interactions. This includes investigations into the role of aerosol particles in cloud formation, evolution, and microphysical properties. Finally, the review concludes with an outlook on future research. By reporting the latest findings and methodologies, this review aims to provide valuable insights for researchers engaged in climate science and atmospheric research.

Polar stratospheric clouds (PSCs) form in polar regions, typically between 15 and 25 km above mean sea level, when the local temperature is sufficiently low. PSCs play an important role in the ozone chemistry and the dehydration and denitrification of the stratosphere. Lidars with a depolarization channel may be used to detect and classify different classes of PSCs. The main PSC classes are water ice, nitric acid trihydrate (NAT), and supercooled ternary solutions (STSs), the latter being liquid droplets consisting of water, nitric acid, and sulfuric acid. PSCs have been observed at the lidar observatory at Concordia Station from 2014 onward. The harsh environmental conditions at Concordia during winter render successful lidar operation difficult. To facilitate the operation of the observatory, several measures have been put in place to achieve an almost complete remote control of the system. PSC occurrence is strongly correlated with local temperatures and is affected by dynamics, as the PSC coverage during the observation season shows. PSC observations in 2021 are shown as an example of the capability and functionality of the lidar observatory. A comparison of the observations with the satellite-borne CALIOP (Cloud-Aerosol Lidar with Orthogonal Polarization) lidar has been made to demonstrate the quality of the data and their representativeness for the Antarctic Plateau.

Background The aim of this systematic review (SR) was to evaluate the clinical efficacy of different adjunctive methods/therapies to the non-surgical treatment (NST) of peri-implantitis. Materials and methods The protocol of the review was registered in PROSPERO database (CRD42022339709) and was designed according to PRISMA statement. Electronic and hand searches were performed to identify randomized clinical trials (RCTs) comparing non-surgical treatment of peri-implantitis alone versus NST plus any adjunctive method/treatment. The primary outcome was probing pocket depth (PPD) reduction. Results Sixteen RCTs were included. Only 2 out of 1189 implants were lost and follow-up ranged from 3 to 12 months. PPD reduction across the studies varied from 0.17 to 3.1 mm, while defect resolution from 5.3% to 57.1%. Systemic antimicrobials were associated to higher PPD reduction (1.56 mm; [95% CI 0.24 to 2.89]; p  = 0.02) with high heterogeneity, and treatment success (OR = 3.23; [95% CI 1.17 to 8.94]; p  = 0.02), compared to NST alone. No differences were found with adjunctive local antimicrobials and lasers for PPD and bleeding on probing (BoP) reduction. Conclusions Non-surgical treatment with or without adjunctive methods may reduce PPD and BoP even if complete resolution of the pocket is unpredictable. Among possible adjunctive methods, only systemic antibiotics seems to provide further benefits, but their usage should be considered with caution.

The Asian monsoon anticyclone (AMA) represents one of the wettest regions in the lower stratosphere (LS) and is a key contributor to the global annual maximum in LS water vapour. While the AMA wet pool is linked with persistent convection in the region and horizontal confinement of the anticyclone, there remain ambiguities regarding the role of tropopause-overshooting convection in maintaining the regional LS water vapour maximum. This study tackles this issue using a unique set of observations from aboard the high-altitude M55-Geophysica aircraft deployed in Nepal in summer 2017 within the EU StratoClim project. We use a combination of airborne measurements (water vapour, ice water, water isotopes, cloud backscatter) together with ensemble trajectory modelling coupled with satellite observations to characterize the processes controlling water vapour and clouds in the confined lower stratosphere (CLS) of the AMA. Our analysis puts in evidence the dual role of overshooting convection, which may lead to hydration or dehydration depending on the synoptic-scale tropopause temperatures in the AMA. We show that all of the observed CLS water vapour enhancements are traceable to convective events within the AMA and furthermore bear an isotopic signature of the overshooting process. A surprising result is that the plumes of moist air with mixing ratios nearly twice the background level can persist for weeks whilst recirculating within the anticyclone, without being subject to irreversible dehydration through ice settling. Our findings highlight the importance of convection and recirculation within the AMA for the transport of water into the stratosphere.

A comparison of polar stratospheric cloud (PSC) occurrence from 2006 to 2010 is presented, as observed from the ground-based lidar station at McMurdo (Antarctica) and by the satellite-borne CALIOP lidar (Cloud-Aerosol Lidar with Orthogonal Polarization) measuring over McMurdo. McMurdo (Antarctica) is one of the primary lidar stations for aerosol measurements of the NDACC (Network for Detection of Atmospheric Climate Change). The ground-based observations have been classified with an algorithm derived from the recent v2 detection and classification scheme, used to classify PSCs observed by CALIOP. A statistical approach has been used to compare ground-based and satellite-based observations, since point-to-point comparison is often troublesome due to the intrinsic differences in the observation geometries and the imperfect overlap of the observed areas. A comparison of space-borne lidar observations and a selection of simulations obtained from chemistry–climate models (CCMs) has been made by using a series of quantitative diagnostics based on the statistical occurrence of different PSC types. The distribution of PSCs over Antarctica, calculated by several CCMVal-2 and CCMI chemistry–climate models has been compared with the PSC coverage observed by the satellite-borne CALIOP lidar. The use of several diagnostic tools, including the temperature dependence of the PSC occurrences, evidences the merits and flaws of the different models. The diagnostic methods have been defined to overcome (at least partially) the possible differences due to the resolution of the models and to identify differences due to microphysics (e.g., the dependence of PSC occurrence on T−TNAT). A significant temperature bias of most models has been observed, as well as a limited ability to reproduce the longitudinal variations in PSC occurrences observed by CALIOP. In particular, a strong temperature bias has been observed in CCMVal-2 models with a strong impact on PSC formation. The WACCM-CCMI (Whole Atmosphere Community Climate Model – Chemistry-Climate Model Initiative) model compares rather well with the CALIOP observations, although a temperature bias is still present.

Background and Objective: Systemic antibiotics (AB) are often used in conjunction with regenerative/reconstructive periodontal surgery of intrabony defects and furcations; however, their potential benefits have not been systematically assessed. Materials and Methods: Data were retrieved from two recent systematic reviews (a total of 105 randomized clinical trials (RCTs) on clinical and radiographic outcomes in intrabony defects (ID) and molars with furcation involvement (FI) treated by surgical access with regenerative techniques. Pair-wise meta-analysis of RCTs with and without AB was performed. Meta-regressions from single-arm (subgroup) RCTs including study arms with or without adjunctive AB were also conducted. Results: No statistically significant benefits of systemic AB with regard to PPD, CAL and bone gain were detected in ID by pair-wise meta-analysis. Meta-regression revealed increased PPD reduction (−0.91 mm, 95% CI = −1.30; −0.51, p < 0.001), CAL gain (−0.92 mm, 95% CI = −1.32; −0.52, p < 0.001) and bone gain (−1.08 mm, 95% CI = −1.63; −0.53, p < 0.001) in ID but not in any of the outcomes in FI for arms treated with AB vs. study arms treated with no AB. No clear differences in adverse events were detected between AB and non-AB groups. Conclusion: There is only weak indirect evidence that AB may provide additional benefits in terms of clinical improvements in the regenerative/reconstructive periodontal surgery of intrabony defects and no evidence for a benefit in furcations. Until new data are gained and in the context of antibiotic stewardship, it may be questionable to justify the adjunctive use of systemic antibiotics.

Altered passive eruption/gummy smile is a common challenge in patients requiring aesthetic treatment. A specific surgical protocol was designed and tested in patients with altered passive eruption. Standardized preoperative X-rays were used to assess crown length at baseline and to place submarginal incisions. Osseous respective therapy was performed to achieve biological width. Clinical outcomes were recorded 6 months after surgery. Eleven patients with a total of 58 teeth were treated with flap surgery and osseous resective therapy at upper anterior natural teeth. At the last followup, a significant and stable improvement of crown length was obtained when compared to the baseline (P<0.0001). All patients rated as satisfactory in the final outcomes (final VAS value = 86.6). In conclusion, this study showed that periodontal plastic surgery including osseous resection leads to predictable outcomes in the treatment of altered passive eruption/gummy smile: A careful preoperative planning avoids unpleasant complications and enhances postsurgical stability of the gingival margin.

A comprehensive investigation of polar stratospheric clouds was performed on 25 January 2000 with instruments onboard a balloon gondola flown from Kiruna, Sweden. Cloud layers were repeatedly encountered at altitudes between 20 and 24 kilometers over a wide range of atmospheric temperatures (185 to 197 kelvin). Particle composition analysis showed that a large fraction of the cloud layers was composed of nitric acid trihydrate (NAT) particles, containing water and nitric acid at a molar ratio of 3:1; this confirmed that these long-sought solid crystals exist well above ice formation temperatures. The presence of NAT particles enhances the potential for chlorine activation with subsequent ozone destruction in polar regions, particularly in early and late winter.

The StratoClim stratospheric aircraft campaign took place in summer 2017 in Nepal (27 July–10 August) and provided for the first time a wide dataset of observations of air composition inside the Asian monsoon anticyclone (AMA). In the framework of this project, with the purpose of modelling the injection of pollutants and natural compounds into the stratosphere, we performed a series of diffusive back trajectory runs along the flights' tracks. The availability of in situ measurements of trace gases has been exploited to evaluate the capability of the trajectory system to reproduce the transport in the upper troposphere–lower stratosphere (UTLS) region. The diagnostics of the convective sources and mixing in the air parcel samples have been derived by integrating the trajectory output with high-resolution observations of cloud tops from the Meteosat Second Generation (MSG1) and Himawari geostationary satellites. Back trajectories have been calculated using meteorological fields from European Centre for Medium-Range Weather Forecasts (ECMWF) reanalysis (ERA-Interim and ERA5) at 3 and 1 h resolution, using both kinematic and diabatic vertical motion. The comparison among the different trajectory runs shows, in general, a higher consistency with observed data as well as a better agreement between the diabatic and kinematic version when using ERA5-based runs with respect to ERA-Interim. Overall, a better capacity in reproducing the pollution features is finally found in the diabatic version of the ERA5 runs. We therefore adopt this setting to analyse the convective influence in the UTLS starting from the StratoClim observations. A large variety of transport conditions have been individuated during the eight flights of the campaign. The larger influence by convective injections is found from the continental sources of China and India. Only a small contribution appears to be originated from maritime regions, in particular the South Pacific and the Bay of Bengal, which, unexpectedly, was not particularly active during the period of the campaign. In addition, a mass of clean air injected from a typhoon has also been detected at around 18 km. Thin filamentary structures of polluted air, characterized by peaks in CO, are observed, mostly associated with young convective air (age less than a few days) and with a predominant South China origin. The analysis revealed a case of direct injection of highly polluted air close to the level of the tropopause (anomalies of around 80 ppbv injected at 16 km) that then kept rising inside the anticyclonic circulation. Due to the location of the campaign, air from continental India, in contrast, has been only observed to be linked to air masses that recirculated within the anticyclone for 10 to 20 d, resulting in a lower concentration of the trace gas. The analysis of a flight overpassing an intense convective system close to the southern Nepalese border revealed the injection of very young air (few hours of age) directly in the tropopause region (∼18 km), visible in the trace gases as an enhancement in CO and a depletion in the O3 one. From the whole campaign, a vertical stratification in the age of air is observed: up to 15 km, the age is less than 3 d, and these fresh air masses constitute almost the totality of the air composition. A transition layer is then individuated between 15 and 17 km, where the convective contribution is still dominant, and the ages vary between 1 and 2 weeks. Above this level, the mean age of the air sampled by the aircraft is estimated to be 20 d. There, the convective contribution rapidly decreases with height and finally becomes negligible around 20 km.

The rise of ammonia emissions in Asia is predicted to increase radiative cooling and air pollution by forming ammonium nitrate particles in the lower troposphere. There is, however, a severe lack of knowledge about ammonia and ammoniated aerosol particles in the upper troposphere and their possible effects on the formation of clouds. Here we employ satellite observations and high-altitude aircraft measurements, combined with atmospheric trajectory simulations and cloud-chamber experiments, to demonstrate the presence of ammonium nitrate particles and also track the source of the ammonia that forms into the particles. We found that during the Asian monsoon period, solid ammonium nitrate particles are surprisingly ubiquitous in the upper troposphere from the Eastern Mediterranean to the Western Pacific—even as early as in 1997. We show that this ammonium nitrate aerosol layer is fed by convection that transports large amounts of ammonia from surface sources into the upper troposphere. Impurities of ammonium sulfate allow the crystallization of ammonium nitrate even in the conditions, such as a high relative humidity, that prevail in the upper troposphere. Solid ammonium nitrate particles in the upper troposphere play a hitherto neglected role in ice cloud formation and aerosol indirect radiative forcing.