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This paper briefly reviews ionospheric irregularities that occur in the E and F regions at mid-latitudes. Sporadic E (ES) is a common ionospheric irregularity phenomenon that is first noticed in the E layer. ES mainly appears during daytime in summer hemispheres, and is formed primarily from neutral wind shear in the mesosphere and lower thermosphere (MLT) region. Field-aligned irregularity (FAI) in the E region is also observed by Very High Frequency (VHF) radar in mid-latitude regions. FAI frequently occurs after sunset in summer hemispheres, and spectrum features of E region FAI echoes suggest that type-2 irregularity is dominant in the nighttime ionosphere. A close relationship between ES and E region FAI implies that ES may be a possible source of E region FAI in the nighttime ionosphere. Strong neutral wind shear, steep ES plasma density gradient, and a polarized electric field are the significant factors affecting the formation of E region FAI. At mid-latitudes, joint observational experiments including ionosonde, VHF radar, Global Positioning System (GPS) stations, and all-sky optical images have revealed strong connections across different scales of ionospheric irregularities in the nighttime F region, such as spread F (SF), medium-scale traveling ionospheric disturbances (MSTID), and F region FAI. Observations suggest that different scales of ionospheric irregularities are generally attributed to the Perkins instability and subsequently excited gradient drift instability. Nighttime MSTID can further evolve into small-scale structures through a nonlinear cascade process when a steep plasma density gradient exists at the bottom of the F region. In addition, the effect of ionospheric electrodynamic coupling processes, including ionospheric E-F coupling and inter-hemispheric coupling on the generation of ionospheric irregularities, becomes more prominent due to the significant dip angle and equipotentiality of magnetic field lines in the mid-latitude ionosphere. Polarized electric fields can map to different ionospheric regions and excite plasma instabilities which form ionospheric irregularities. Nevertheless, the mapping efficiency of a polarized electric field depends on the ionospheric background and spatial scale of the field.